Viveve - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.


“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 appearance

2 to 3 months.

Length of results

2 years or more, this varies from person to person.

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.

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

“I love when patients tell me their friends and coworkers ask if they’ve gone on vacation or lost weight—their results are seen as a natural improvement. They look like themselves, just better rested.”

– Dr. Danielle DeLuca-Pytell

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 noon.


Our email address

You can also email us anytime with questions.

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Testimonials for Dr. Danielle DeLuca-Pytell


See what Dr. DeLuca-Pytell’s patients have to say about their surgical experience.

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


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.

Breast Augmentation18

Side effects

Temporary swelling, bruising, and some pain commonly occur. Irregular skin contour may be noticed initially. For the first two weeks after surgery, sutures will remain in the hairline and facial skin which will be removed in the office. Sensation of the face may be different initially. Fluid collections below the skin are possible. Scars are permanent and may stay red for 6-12 months, but can be concealed with makeup once scabs resolve.

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 skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before 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


Recovery time

If healing proceeds as expected:

Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.

Return to gentle exercise and household chores at two weeks, but no heavy lifting or strenuous activity for six weeks. May cover scars with makeup once scabs are gone. May resume work if it is sedentary. May color hair at three weeks after surgery.

Return to full activity 6 weeks after surgery.

Returning to Work

This depends on the type of work that you do.   Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

Time until final appearance

3 to 4 months, depending on how swelling resolves

Length of results

Long lasting, but varies from patient to patient.


Other information

if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital. For other suggestions during the “ugly ducking” stage, click here:  How to manage in the ugly duckling stage after facial surgery

Your appointment with Dr. DeLuca-Pytell

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

  • 248-273-7700