The EmpowerRF platform by InMode delivers three clinically targeted energy-based therapies through a single workstation — each addressing a distinct dimension of pelvic tissue health. At Advanced Pelvic Surgery and Urogynecology of Charlotte, the focus is on what most practices never offer: maintenance before failure, not correction after it.
Morpheus8V, FormaV, and VTone each target a different layer and mechanism of pelvic tissue decline — structural remodeling, surface tone and hydration, and neuromuscular rehabilitation. Used in sequence or individually, they represent the most clinically comprehensive non-surgical approach to pelvic longevity available.
The InMode EmpowerRF platform — Morpheus8 (M8 and M8V), FormaV, VTone, Aviva, and the EmpowerRF workstation.
Most EmpowerRF treatments are delivered as a series — not a single session. Optimal results from Morpheus8V, FormaV, and VTone each require multiple visits per modality. These treatment series are available to purchase individually, with no program enrollment required.
The Signature Vitality Membership is a separate offering — a physician-coordinated annual protocol that includes discounts on multiple treatment packages. It is designed for patients who want continuous, maintained pelvic health as a long-term priority, not a one-time correction.
Regenerative Wellness — Morpheus8V
Morpheus8V
Radiofrequency Microneedling
Morpheus8V is an advanced tissue remodeling treatment that delivers fractional radiofrequency energy through ultrafine microneedles into the submucosal layers of vaginal and labial tissue. Unlike surface-only treatments, it reaches the structural layer where collagen and elastin are produced — supporting a controlled regenerative response and tissue remodeling from within.
The treatment addresses vaginal laxity, labial texture changes, and loss of submucosal volume that occur with childbirth, hormonal shifts, and the natural aging process. By stimulating the body’s own collagen production rather than delivering temporary surface hydration, results develop progressively in the weeks following each session and continue to mature for months afterward.
For many patients, Morpheus8V can meaningfully support their experience of their own body — not through surface correction alone, but through deeper structural remodeling.
Morpheus8V delivers RF energy at 1–4mm depth, reaching the submucosal tissue layer where structural remodeling occurs.
What to Expect
Morpheus8V is performed in-office under topical anesthesia. Treatment time is approximately 30 to 45 minutes. A mild warming sensation and minor post-treatment sensitivity are normal and typically resolve within 48 hours. Most patients return to daily activities the same day. Results develop over 3 to 6 months as new collagen matures.
Regenerative Wellness — VTone
Intravaginal Neuromuscular Rehabilitation
VTone delivers intravaginal electrical muscle stimulation to rehabilitate the pelvic floor from within. Using a small intravaginal applicator, it generates precise involuntary muscle contractions — recruiting the deep pelvic floor musculature in a way that voluntary exercise alone cannot reliably achieve. The clinical targets are stress urinary incontinence, urgency incontinence, and the generalized pelvic floor weakness that often develops after childbirth or pelvic surgery.
VTone bridges the gap between surgical outcomes and long-term pelvic floor health. Post-operative patients use it as a rehabilitation tool; pre-surgical patients build muscular resilience before a procedure; women investing in preventive care use it to maintain function across the decades.
The pelvic floor is a dynamic structure. Strength built and maintained across the decades is categorically different from strength recovered after dysfunction has set in. VTone makes that kind of longitudinal maintenance clinically achievable.
A natural complement to physical therapy. VTone pairs well with pelvic floor physical therapy — delivering neuromuscular activation while PT addresses motor control, coordination, and functional integration. For patients currently working with a pelvic floor physical therapist, VTone can support that work. For patients who have completed PT, it can help maintain gains.
What to Expect
VTone is performed in-office with a small intravaginal applicator. There is no pain. Most patients describe a strong but entirely tolerable muscle contraction — similar to an intense Kegel exercise that cannot be produced voluntarily. Sessions last approximately 30 minutes. Six sessions are the standard series, spread over several months to allow progressive neuromuscular adaptation and sustained pelvic floor conditioning. No preparation or recovery is required.
Regenerative Wellness — Aviva
Minimally Invasive RF Tissue Tightening — Without Surgery
Aviva is a minimally invasive, FDA-cleared procedure that delivers controlled bipolar radiofrequency energy beneath the surface of the tissue. It targets the connective tissue layer where structural laxity originates — using a fine subdermal needle probe to trigger immediate collagen contraction and a sustained remodeling response from within. No surgical incision. No general anesthesia.
When subdermal tissue reaches a precisely controlled therapeutic temperature, existing collagen fibers contract immediately while the body initiates a months-long regenerative cascade. New collagen and elastin mature progressively, producing tissue retraction, improved firmness, and refined contour — with no visible scars and minimal recovery time.
Aviva is not limited to a single anatomical target. At this practice it is applied to the labia minora and majora, the mons pubis (for non-surgical mons reduction), and the clitoral hood — areas where laxity and volume changes are common after childbirth, hormonal shifts, or the natural aging process. It can be performed as a standalone procedure or used to refine and maintain the outcomes of prior surgical work.
What to Expect
Aviva is performed in-office under local anesthesia. A subdermal needle probe delivers bipolar RF energy to the connective tissue layer while an external electrode completes the circuit. The procedure typically takes 30 to 45 minutes. Most patients experience mild swelling or sensitivity for 24 to 48 hours. Return to normal activities is rapid — patients are advised to avoid intercourse and strenuous exercise for approximately one week. Progressive collagen remodeling continues for 3 to 6 months.
Frequently Asked Questions
Common Patient Questions
What is the EmpowerRF Suite and what treatments does it include?
The EmpowerRF Suite is a clinical platform by InMode delivering three energy-based therapies through a single workstation: Morpheus8V (fractional radiofrequency microneedling for submucosal tissue remodeling), FormaV (RF thermal therapy for vulvovaginal tone, texture, and moisture), and VTone (intravaginal electrical muscle stimulation for pelvic floor rehabilitation). Each modality targets a different dimension of pelvic tissue health and can be scheduled individually or in combination.
What is Morpheus8V and how does it differ from surface-only treatments?
Morpheus8V delivers fractional radiofrequency energy through ultrafine microneedles into the submucosal layers of vaginal and labial tissue — reaching the structural layer where collagen and elastin are produced. Unlike surface-only treatments, it supports a regenerative response and tissue remodeling from within, addressing vaginal laxity, labial texture changes, and loss of submucosal volume. Results develop progressively over 3 to 6 months as new collagen matures.
Is FormaV treatment painful and what is the recovery time?
FormaV is non-invasive and requires no anesthesia. The device delivers a consistent, controlled warmth that most patients find genuinely comfortable throughout the session. Recovery expectations are reviewed during consultation. Sessions last approximately 20 to 30 minutes, and the standard protocol within the membership is three sessions spaced four to six weeks apart.
What conditions does VTone treat?
VTone delivers intravaginal electrical muscle stimulation to treat stress urinary incontinence, urgency incontinence, and generalized pelvic floor weakness that often develops after childbirth or pelvic surgery. It recruits the deep pelvic floor musculature in a way that voluntary exercise alone cannot reliably achieve. The standard protocol is six sessions, typically two per week over three weeks.
Can I schedule a single EmpowerRF treatment without enrolling in a membership?
Yes. Morpheus8V, FormaV, and VTone are each available as standalone services. A membership is not required. The Signature Vitality Membership exists for patients who want a physician-coordinated annual protocol with these therapies sequenced clinically — but any individual treatment can be scheduled on its own.
What is Aviva and how is it different from surgical labiaplasty?
Aviva is a minimally invasive, in-office procedure that uses a fine subdermal needle probe to deliver bipolar radiofrequency energy into the connective tissue layer beneath the skin — triggering immediate collagen contraction and a sustained remodeling response. Unlike surgical labiaplasty, which removes tissue through excision, Aviva tightens and reshapes from within, leaving no visible scars and requiring minimal downtime. It is performed under local anesthesia in the office, typically in 30 to 45 minutes.
What areas can Aviva treat?
At this practice, Aviva is applied to the labia minora and majora, the mons pubis (for non-surgical mons reduction), and the clitoral hood. It addresses laxity, volume changes, and contour irregularities in each of these areas using the same RF remodeling mechanism — without surgical incision. The appropriate target area is determined during consultation based on your anatomy and goals.
Who is a good candidate for Aviva?
Aviva is well suited for patients who want meaningful tissue tightening and contour improvement but prefer to avoid surgical excision, general anesthesia, or extended recovery. It is also appropriate for patients who have had prior surgical procedures and want to maintain or refine those results over time. Candidacy is assessed during consultation, where Dr. Stepp evaluates tissue quality, laxity, and anatomical goals to determine whether Aviva, surgical intervention, or a combination approach best serves the patient.
What is recovery like after Aviva?
Most patients experience mild swelling or sensitivity for 24 to 48 hours following the procedure. Return to normal daily activities is rapid. Patients are advised to avoid intercourse and strenuous physical activity for approximately one week. Because Aviva is performed under local anesthesia with a needle probe rather than surgical instruments, there are no incisions, sutures, or wound care required. Progressive collagen remodeling continues for 3 to 6 months, with final results maturing fully over that period.
