Filling the atrophied labia majora (loss of volume) restores sensuality to the vulva by creating a “full” appearance.

In addition, the insufficiency of the labia majora brings out the labia minora which are normally hidden inside the labia majora. This reinforces the unattractive appearance, and can lead to the mistaken belief that the problem is an excess of the labia minora. Augmentation of the labia majora will solve the problem while giving a natural appearance to the vulva. However, in the case of associated hypertrophy of the labia majora, a labioplasty can be performed
Finally, sexually, atrophy of the labia majora can make intercourse more painful during contact.

Technique :

Hyaluronic acid: filling with a cannula after local anesthesia. Often, 2 to 3 ml per side are necessary.
Lipofilling: fat removal (often inner knee or abdomen) under local anesthesia (no pain with an appropriate anesthesia), decantation and specific preparation of the fat (thus recovering part of the purified fat, rich in stem cells) and then reinjection by the same technique as hyaluronic acid.


Time frame for final results:
Hyaluronic acid: immediate
Lipofilling: 4-7 days, after a period of swelling, you will see 80% of the result. During the first 3 months, there is a natural resorption of fat of 10 to 30%, which reaches 80% in smokers.

Longevity results :
Hyaluronic acid: 3-12 months
Lipofilling: 5-10 years

Before surgery:

Stop smoking 1 month before lipofilling
Do not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.
Take Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
Contraindications hyaluronic acid: autoimmune diseases.

Intervention :

Pain: the pain during the intervention will be almost non-existent, with an adapted anesthesia
Duration of the procedure: 30 minutes for hyaluronic acid, 60 minutes for lipofilling
Anesthesia: local
Location: office for hyaluronic acid, operating room for lipofilling
Ambulatory (without hospitalization)

After surgery:

Post-operative pain: 1/10 often responding to Dafalgan

Social eviction:

Hyaluronic acid: no (discrete swelling for 24-48h)
Lipofilling: swelling and hematoma for 4-7 days
Suture removal: no sutures
Return to work: immediate
Resumption of sports: 2 weeks


Hyaluronic acid
Control by Dr Lucas 2 weeks, 3 months


Disinfection of the entry points with Merfen disinfection for 7 days.
Do not compress the fat injection area (risk of fat loss) for 3 weeks: therefore do not wear tight underwear and do not have sexual intercourse for 3 weeks.
Shower from day 1: for 10 days, do not rub too hard, dry with a clean cloth and dab.
Stop smoking for good to prevent fat resorption.
Lyman 50,000 IU cream twice a day on fat collection areas.
Dr. Lucas control 2 days, 1 week, 3 weeks, 3 months.


– Infection, hematoma, undercorrection
– Risks common to all liposuction procedures

Alternatives and operations that can be combined :

In case of associated hypertrophy of the labia majora, a labioplasty can be performed.