The tightening of the labia majora is performed by removing redundant tissue, ensuring that the scar is hidden on the medial side of the labia majora at its junction with the vulvar mucosa.
For the filler, you can use both your own fat and hyaluronic acid. Each product has its advantages and disadvantages.
Labia majora augmentation with autologous fat:
For the filling with autologous fat, we usually use the inner thighs, the mons pubis or the infraumbilical area as donor areas. After a modified Klein-type local anesthesia where we use 10 cc of 2% lidocaine for every 500ml of RL (less cytotoxic effect), we proceed to extract the fat using 2.4mm diameter cannulas. Subsequently, the fat can be treated by decantation, centrifugation, or filtering. We prefer the latter because greater adipocyte viability has been shown. The infiltration of the fat is carried out using Coleman cannulas of 1.6mm in diameter.
Labia majora augmentation with hyaluronic acid:
For the filler with hyaluronic acid, we usually use it at 28 mg/ml and specially formulated for the genital area. It infiltrates the middle or deep dermis trying to avoid vascular compression and necrosis in this area.
We must avoid this type of product in patients with a tendency to hypertrophic scars, streptococcal infections, autoimmune diseases, pregnant or breastfeeding.
Ensure you consider all aspects of a procedure. You can speak to your surgeon about these areas of the surgery in more detail during a consultation.
Labia majora augmentation with autologous fat typically takes between one to two hours depending on whether it is performed with combined procedures or not.
Labia majora augmentation with hyaluronic acid takes between 30-40 minutes and it can be done at the office.
For better results and more comfort, local anesthesia and light sedation is the rule for the labia majora augmentation with autologous fat. However, local anesthesia, general anesthesia or pudendal blockage may be chosen.
For labia majora augmentation with hyaluronic acid, topical anesthesia and lidocaine mixed with the hyaluronic acid may be enough.
When labia majora augmentation is done with autologous fat, the patient can leave the surgical facility the same day after recovery from anesthesia.
- Liposuction of areas with fatty deposits
- In our population, such deposits are not scarce
- Used as a filler, it has no extra cost
- Low risk of allergic reactions
- Indicated in small augmentations
- It can be an office procedure
- Variable, unpredictable, and interpersonal resorption (30-50%).
- Fatty cysts if excessive filling.
- Increased risk of infections
- Requires a series of touch-ups to achieve the desired volume.
- Increased risk of allergic reactions.
- Dose-dependent price.
- Lasts about a year.
- Less elastic touch and nodules.
- Inflammatory reactions (rash, edema, erythema)
When Labia majora augmentation with autologous fat the area may be swollen for 4-6 weeks. Return to work is possible after 2-3 days. Sexual activity and sports are allowed after four to four-eight weeks.
When labia majora augmentation with hyaluronic acid, the incorporation into her habitual life is immediate.
With good surgical technique, the results are very satisfying with improved self-esteem.