This historical video from 2009 shows a Hybrid Labiaplasty followed by an RF tightening of the labia majora using the first RF device released in the United States, for surgical and non-surgical procedures,called the Ellman Pelleve. Dr. Alinsod created the first protocols for vulvovaginal RF use external and internal.This is the first video to show a labia majora Pelleve treatment protocol and was use by Dr. Alinsod over a decade ago. This technology was the basis for his development of ThermiVa. It has no commentary and has music in the background.