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.