“Collagen isn’t just for the face anymore.”

Common name – Vaginal Rejuvenation, Vaginal Tightening, Stress Urinary Incontinence Treatment.

Technical name/also known as – Viveve.

Benefits of Viveve

This non-surgical procedure is for women who have vaginal laxity and/or stress urinary incontinence. Vaginal laxity can occur with aging, especially for women post childbirth. Collagen in the walls of the vaginal decrease with time and can result in vaginal dryness, pain with intercourse, loss of interest in sex, difficulty achieving orgasm, and difficulty with arousal. This loss of collagen can also contribute to stress urinary incontinence. Coughing, sneezing, and laughing can cause urine to leak. Exercise can similarly cause stress incontinence (which affects 25% of college athletes, not just reserved for women as they age). Both of these women’s health issues are common, and not all who suffer are candidates (or desire) medical or surgical treatment. Viveve uses radio frequency to cause a controlled thermal injury in the vaginal wall, resulting in increased collagen and improvement (and in many cases, resolution) of these common and frustrating symptoms.

How it is done: How the vagina is rejuvenated

This procedure involves inserting a treatment tip into the vagina and delivering both heating and cooling to the vagina. The procedure is virtually painless, though some sensitivity may be noted for women who have had a tear or an episiotomy during vaginal birth. One set of passes is done for vaginal symptoms; two sets of passes for stress urinary incontinence.


This single session treatment increases vaginal lubrication, reduces discomfort during intercourse, increases arousal and orgasm, and reduces stress urinary


Because the success of the treatment relies on the wound healing response, the results are not instantaneous. Many women report a change within 2-4 weeks with improvement of symptoms by 3 months.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

30-60 minutes.

Anesthesia used

None required.

In or out patient


Time until final effects

2 to 3 months.

Length of results

1-2 years.  Maintenance treatments are recommended.

Side effects

Temporary swelling and discharge may occur.  Sensation may be different initially.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of laxity, dissatisfaction with results.


“I can say from personal experience that this is a game changer.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    No downtime.

    Returning to Work

    You may return to work immediately

    Time until final effects

    2-3 months.

    Length of results

    1-2 years.  Maintenance treatments are recommended yearly to maintain results.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    Some women wonder why a plastic surgeon offers treatment for urinary incontinence and sexual dysfunction.  To me, it makes perfect sense:  I treat patients from top to bottom, and enhance their lives and well-being through surgery.  Being wet when you should be dry, or dry when you should be wet doesn’t feel good.  Viveve can make laughing, jumping, and sex fun again.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number