At the beginning of the Geneveve by Viveve procedure, your doctor will insert a treatment tip about the size of your thumb right behind the vaginal opening. The tip is circumferentially moved around the opening, delivering pulsed heat to the collagen fibres that make up the underlying tissues while also cooling the surface.

Vaginal tissue reacts to the heat by reproducing new collagen fibres within the tissue. The process takes place over time, usually between 30-90 days after the treatment, and perhaps longer. These changes occur on the cellular level, so there are no outward signs of change to the vaginal tissue.