The ThermiVa application is best for women who have mild to moderate skin laxity in the vaginal area and who want to avoid the discomfort and downtime of a surgical vaginal lift. A labiaplasty is a surgical removal of the excess skin in the vaginal area for women with more severe skin looseness. ThermiVa is also better for women who are unsure about having more children since it is less expensive, less time consuming, and requires no recovery period.