Hi There Gorgeous6856! I would recommend Accutite for a Non-Surgical Labiaplasty, but not for Vaginal Tightening. Accutite as a replacement for Labiaplasty, is in my recommendation less invasive, with less downtime, and less negative side effects than getting it surgically done. Simply, Accutite is a minimally invasive skin tightening treatment. It uses radio-frequency technology to improve skin laxity and tightness. However, I would for the best results in vaginal-tightness you want a procedure that works from the inside. Something the targets the area internally. Viveve works by inserting a small probe which emits cryogen-cooling to protect the tissue and radio-frequency waves to heat the tissue. This prompts the production of new collagen to reinvigorate the tissue. Viveve helps the overall health of the vagina. Below I attached a web-link to an education video on how Viveve further works. Hope this helped! -Dr. Eisenbrown