I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
Votiva is a safe and comfortable treatment that can address both internal and external vaginal health issues without surgery. It is a non-surgical, FDA-cleared treatment that uses radiofrequency (RF) energy to gently heat and stimulate collagen production in the vaginal and vulvar tissues. It’s designed to address both aesthetic and functional concerns in women’s intimate wellness.
Votiva is ideal for patients with concerns, including:
- Loss of elasticity or wrinkled appearance of the labia
- Lack of bladder control (urgency and stress incontinence)
- Lack of sensitivity and dryness; low blood flow
- Pain resulting from enlarged labia (labial hypertrophy)
- Mild pelvic floor weakness
- Lack of self-esteem or sexual interest

Benefits of Votiva:
- Non-invasive & comfortable
- No downtime
- Quick in-office treatment
- Noticeable improvement in both function and appearance
- Restores confidence and intimacy


Who is a good candidate?
Votiva is ideal for women who:
- Have experienced childbirth, aging, or hormonal changes
- Want a non-surgical option to improve intimate health
- Prefer no downtime or anesthesia
- Are looking for enhanced comfort and sexual wellness
Treatment Process
No anesthesia is typically required, but a topical numbing cream may be applied for added comfort. You’ll lie comfortably in a reclined position, similar to a pelvic exam.
- The licensed provider will use a small handheld Votiva device (either FormaV for internal tissue or FractoraV for external tissue).
- The device delivers radiofrequency (RF) energy to gently heat the tissue.
- Treatment typically lasts 15–30 minutes per session.
- Patients often describe the sensation as warmth with mild pressure—most find it very tolerable.

Aftercare and Mild Side Effects:
Most patients tolerate Votiva well, but some may experience temporary side effects such as:
- There’s no downtime—you can return to normal activities the same day.
- You may be advised to avoid sexual intercourse, tampons, and hot tubs for 24–72 hours, depending on your provider’s guidance.
- Mild swelling or discharge may occur temporarily.
- Mild itching or burning sensation
- Increased sensitivity or discomfort during initial intercourse
These effects are generally short-lived and resolve within a few days. Following post-treatment care instructions—such as avoiding sexual activity for 48–72 hours and refraining from using tampons or douching for a week—can help minimize discomfort and reduce the risk of complications.
Results
- Many women notice improvements in tightness, moisture, and urinary control within the first few weeks.
- A full treatment plan typically includes 2–3 sessions spaced about 4–6 weeks apart.
- Maintenance treatments may be recommended annually or as needed.
Don’t wait to feel better about the skin you’re in! Votiva delivers feminine health solutions WITHOUT invasive surgery. It’s quick, it’s comfortable, and you’ll be amazed by the results.

Real Patient Testimonials/Reviews
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
I love the centre. Pc. The staff they treat you like they know you forever they explain they make sure what you’re going to do and ext. Doctor Downs is the best. He’s funny but when is about to do his job is he’s very strict and very discipline no doubt. Thank you guys for make me feel happy and look beautiful 😍 God bless all of you 🙏😍
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
I recently had a surgical procedure done with Dr. Macias. The staff was absolutely amazing from my consult to surgery everyone was soooo sweet and kind! So very helpful from the front desk to the treatment coordinators to the pre op the whole surgery experience to post op!!
If you are considering on having anything done I highly recommend. I am extremely happy with my results so far and it’s only been a week.
I was referred to The Centre by the on call hand Doctor that reviewed my ER case after I split my thumb open. From setting up my appointment to being taken care of by the staff, it was a pleasant experience. Each member of the team I met was attentive, very forthright with any information I needed & were an absolute pleasure to be around. Dr. Downs has an amazing staff!
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
Have questions?
We’d love
to hear from you!
There are a million reasons you might consider Votiva. You may also want to combine Votiva with other treatments like the orgasm shot and bioidentical hormones like BioTe. Come to The Centre, P.C., and find answers to all your questions during a consultation!
Call to schedule a consultation or contact us online to schedule an appointment.

