Labia majora rejuvenation by autologous fat, lipofilling or fat transfer is a cosmetic procedure designed to rejuvenate the appearance of the outer lips of the vagina opening called the labia majora. With aging, after a considerable weight loss, the skin loses its elasticity and becomes loose. This unpleasant appearance of the deflated and wrinkled skin may affect a women’s self-confidence and cause emotional discomfort. These changes may be corrected by the injection of autologous (individual's own) fat.

Two interventions in cosmetic surgery, liposuction and fat injection, are strategically applied in labia majora rejuvenation. The liposuction is performed from specific parts of the body where fat deposits are localised, using a hollow metal surgical instrument called a cannula. The fat can be harvested from different parts of the body such as the abdomen, hips, thighs, back and other places through small incisions.

Once the unwanted fat is extracted, it is concentrated. The adipose (fatty) tissue is separated from other body tissues and then purified. The processed fat is then re-injected to the labia majora by multiple injections at different depths to obtain the best results.

The best candidates for a labia majora rejuvenation using fat grafting are:

  • in good health
  • emotionally well-balanced
  • women who have realistic expectations about what this surgery can accomplish
  • women who have excess weight or have a sufficient amount of localized fat
  • women who choose labia majora rejuvenation using their own fat

Alternative treatments

Fat grafting to labia majora is considered elective surgery. One option would be not to undergo to labia majora rejuvenation using fat grafting. Fillers containing hyaluronic acid and other products can increase the volume of the outer lips. If the skin excess is considerable, to achieve better results, the fat grafting to labia majora may be combined with a labiaplasty, the resection of the excess skin of the outer lips.