Intimate Wellness Institute

What is the Labia Majora?

The vulva has 2 folds of skin. The outer folds are called the labia majora. These skin folds protect the opening of the urethra and the vagina.

What is Labia Majora Augmentation / Labial Puffing?

The Labia Majora is the outer most region around the vagina. Due to ageing, weight change, pregnancy, childbirth and many changes that can occur to a woman’s body over time the tissues around the vagina can lose their firmness and strength. This can cause excess skin, excess fat, drooping of the skin and wrinkles.  These changes can make women self-conscious, especially in tight clothing or intimate situations.  Women who wish to get restoration of the vulva and a more youthful vagina commonly choose a ‘Labia Majora Augmentation’ procedure. This procedure is also called ‘Labial Puffing’. Labia Majora Augmentation can either be done individually or as a part of a Vaginal Rejuvenation process including other procedures.  Vaginal Rejuvenation includes tightening of vagina, labia majora augmentation, treating dryness of the vagina (typically using laser), incontinence treatment etc.  A very common combination treatment with labial augmentation is a laser treatment to tighten the labial skin. Speak with Dr. Guerette and the IWI team to address your specific concerns and develop your individualized treatment plan.

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

  • Using Hyaluronic Acid Fillers (brings instant volume/fullness to the region)
  • Using fat transfer (extracted from different part of the body using liposuction).
  • Platelet-rich plasma injection (PRP, injecting growth factors from your own blood to enhance the tissue).

Labia Majora Augmentation using Hyaluronic Acid Fillers

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 of the labia majora to get even and long-lasting fullness. This procedure is done in the office and only requires local anesthesia and minimal to no recovery.  In this procedure, the results are immediately visible.

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. 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.  Women who want a little fat removed from a trouble spot in addition to the labial augmentation often choose this option.  This is an office-based procedure requiring only minimal anesthesia.

Labia Majora Augmentation with Platelet-rich Plasma (PRP)

In this procedure, a simple blood draw is initially performed and the blood is processed to isolate the plasma, platelets and growth factors.  Similarly to the filler procedure, the PRP is then injected into different layers of the labia majora to fill and smooth the tissue.  This procedure is done in the office with immediate results.  It is very cost-effective compared to fillers but may need occasional touch-ups. PRP can also be added to the filler or fat transfer to further enhance those procedures.

What can you expect to see after the labial augmentation?

  • Mild swelling/bruising is common. This should go away in a couple of days.
  • You can go back to your daily activities or work immediately with fillers and after 2 days with fat transfer.
  • Avoid sitting on the area for long periods of time for a week.

IWI Combination Therapy:  The advanced IWI treatments work in different ways to improve vaginal and sexual function.  They are the most effective when used in combination to treat all aspects of the physical issue.  Talk to an IWI team member about treatment packages to get the best results.

The Intimate Wellness Institute of Virginia is Happy to Answer Your Questions.  Call a team member to help!