Labia Majora Augmentation / Labial Puffing

Labia Majora is the outer most region around the vagina. (Refer to the picture shown). With age, every part in the human body loses it’s youthful appearance, loosens and gets wrinkled. Vagina, the skin and tissues around it are no exception. Women who wish to get their youthful vagina back, prefer to undergo ‘Labia Majora Augmentation’ procedure. This procedure is also called Labial Puffing. Labia Majora Augmentation is either done individually or as a part of Vaginal Rejuvenation process.  Vaginal Rejuvenation includes tightening of vagina, labia majora augmentation, treating dryness of the vagina (typically using laser), incontinence treatment etc.

Labia Majora Augmentation (Labial Puffing) is done by filling up the area around the vagina that gives it a fuller and younger look. This is achieved by:

  1. Using Hyaluronic Acid Fillers (brings instant volume/fullness to the region)
  2. Using fat transfer (extracted from different part of the body using liposuction).

Labia Majora Augmentation using Hyaluronic Acid Fillers

Due to the ageing process, the body produces less collagen and as a result, the tissues around the vagina lose their firmness and strength. This causes drooping of the skin and wrinkles on all parts of the body including the vagina.  Pregnancy, vaginal child birth, menopause also cause the vagina to become lose and gives that aged look.  Hyaluronic Acid Fillers such as Restylane, Perlane or Juvederm are used to fill the labia majora region to restore the fullness. A topical numbing cream may be applied before the start of the procedure. The fillers are injected at different layers inside the body to get even and long lasting fullness. In this procedure, the results are immediately visible after it is over.

Labia Majora Augmentation by fat transfer

This procedure involves two steps. First, extraction of fat from the body using liposuction is done. Typically fat is removed from the belly or from the sides of the trunk or from thighs.  The removed fat is then cleansed off the cellular debris.  Local anesthesia will be administered in this procedure. Once the fat is removed and cleaned, it is slowly injected at different levels in the labia majora region.  Since this fat was once a part of the body, it is easily accepted in the new location by the body. Usually, the cosmetic gynecologist who is performing the procedure injects a little excess fat in the region. In most cases, a little bit of fat will be absorbed by the body. The excess fat injected will be there to prevent drooping of the skin once a little fat is taken up by the body.

How do you prepare for Labia Majora Augmentation Surgery?

  1. Stop smoking few weeks before the surgery. Smoking delays the healing of any injury/surgery.
  2. Stop taking blood thinners two weeks before the date of the surgery. Talk to your doctor (who put you on blood thinners) if it is ok to give a pause.
  3. Avoid consuming alcohol the day before the surgery.

What can you expect to see after the surgery?

  1. Redness, swelling/bruising is very common. This should go away in a couple of days in case of Hyaluronic filling and after a week in fat filling procedure.
  2. You can go back to your daily activities or work after 2 days post surgery.
  3. Avoid sitting for long continuously for a week.
  4. Avoid lifting heavy weights and putting pressure on your pelvis region.
  5. Avoid sex for a couple of weeks. Once you get the area inspected by your gynecologist, ask him/her if it is ok to have sex.
  6. In case of Hyaluronic Acid Filling, the results seen will be almost immediate (in a day or two) but you must note that the results will be short lived and you will need to see your gynecologist again in a year for any maintenance.

Who can go for Labia Majora Augmentation?

  1. Women who are in optimal body weight and who workout regularly are ideal candidates. If you happen to put on weight in the future, the augmentation procedure may go waste.
  2. You should be in healthy condition physically.
  3. Note that, augmenting the labia majora area does not increase the sex drive or help you in reaching orgasm. It is only an aesthetic procedure that makes the vagina look younger. If you are looking for better sexual gratification, you should talk to your gynecologist and go for G-Shot (G-Spot Amplification) or O-Shot (O-Shot Amplification).

Watch Dr. Deepa Ganesh talk about Labia Majora Augmentation