Labia Majora Augmentation

Located at the periphery of the labia minora, the labia majora is the most prominent part of the female vulva and contains abundant fat tissues and glands. Its primary function is to provide outer protection to the vagina and secrete lubricating liquids and also improve the intimacy with male genitals during sexual intercourse. Tissues at the labia majora are generally abundant and elastic during adolescence, but due to aging, pregnancy, body weight reduction, lower extremity frequent motion, and even friction from tight clothes, they gradually become atrophic or pigmented to give an appearance of skin laxity or shrinkage. To restore the prior fullness and elasticity of the labia majora, patients have to consider correction by plastic surgeries.

At present, two techniques are available for labia majora augmentation. One is a non-surgical high molecular weight hyaluronic acid (Sub-Q or Macrolene) injection, which being rapid and convenient, sustains the results for only approximately 6 months, resulting in the risks of obstruction and inflammation of the labia majora glands. Clinically, it is mainly used for the correction of mild labia majora shrinkage or slackness. The other technique is augmentation of the labia majora by an autologous fat injection as a surgical method similar to fat injection at other body parts, which necessitates the liposuction of excess fats and injection into the labia majora after purification and filtration. Postoperative swelling is relatively obvious, and recovery is relatively long; this technique offers longer and more stable effects than the injection of hyaluronic acid. Therefore, it is mainly used for the correction of severe labia majora atrophy.

Surgical conditions


  • Type of anesthesia: IV sedation + local anesthesia
  • Surgical incision: Injection needle held at the labia majora
  • Recovery: 3–5 days
  • Removal of stitches: No

General instructions

No food and water on the day of surgery

  • Avoid the surgery during the menstrual period.
  • Try to wear loose underclothes for 1 week postoperatively to avoid compression to the perineum.
  • Avoid sexual behaviors and compression to the affected site for 2 weeks postoperatively.
  • The area of liposuction should be massaged for 1 month.

Ideal candidates

  • Patients with labia majora atrophy due to aging or pregnancy
  • Those with folds or skin laxity at the labia majora
  • Those whose labia majora is unable to achieve intimacy due to shrinkage during sexual behaviors

Potential complications

  • Labia majora lumps (temporary)
  • Redness and swelling
  • Inflammation
  • Fat resorption

Surgical advantages

  1. It is able to rapidly restore the fullness and elasticity of the labia majora.

  2. It is able to enhance the functions of the labia majora to protect the vagina.

  3. It is able to offer better intimacy during sexual intercourse.

  4. It is able to improve the esthetic appearance of the private parts and reinforce the self-confidence of patients.

Surgical drawbacks

  1. The results of hyaluronic acid injection last for a short time (approximately 6 months).

  2. A fat or filler injection may lead to temporary lumps or inflammation due to gland obstruction.

  3. Fats may be absorbed earlier than expected due to frequent compression or friction.