Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
I would recommend their office to everyone!
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
Benefits of Votiva:
- Non-invasive & comfortable
- No downtime
- Quick in-office treatment
- Noticeable improvement in both function and appearance
- Restores confidence and intimacy
Candidates
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
Techniques
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.
Testimonials
Real Patient Testimonials/Reviews
Dr. Downs is fantastic.
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 Downs is the best
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.
Answered all my questions
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
Dr Macias is AMAZING!!
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!
I’m so happy Dr Downs is who I decided to go to for this surgery.
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
I highly recommend
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.
You will be in great hands with Dr. Downs and his team!
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
Dr. Downs and The Centre, P.C. staff are wonderful to work with
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
Everyone here is so kind, helpful, talented and caring
Everyone here is so kind, helpful, talented and caring.I trust highly in them and will always come to them for all my cosmetic concerns and care!!❤️
I felt respected, seen and heard!
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.
Very good bedside manner and great doctor
I was recently hospitalized last week for a finger infection. I ended up having surgery and Dr. Downs was my doctor. Very good bedside manner and great doctor. He takes his time to explain things to you. I really liked that. And went to his office for my follow up. All the staff were so sweet and professional.
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.
