Would labia puffing alone help minimize the appearance of my inner labia?

Labia puffing in your case would not significantly decrease the protrusion of your labia. Instead, it would just cause your labia majora to be very enlarged and protuberance. If desired, your labia minora and clitoral hood can be reduced to improve the appearance. A labiaplasty with a clitoral hood reduction can reduce your hood size. However, it must be performed by a surgeon with experience. One of the two most common labiaplasty techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labiaplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. There is rarely a sign that the woman has had surgery.

Since you have extra tissue on your clitoral hood, it can be reduced at the same time. Your clitoral hood is long and protuberant. It can be decreased somewhat by reducing the sides. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be decreased. With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. I have performed this procedure over 400 times with outstanding results. I have not published this technique, so no one does it like me.​

You would only need to be out of work for a week or less if the surgery would be performed using my techniques.

No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.​​ Approximately 40% of the female genital surgeries that I perform are reconstructions of other women's botched labiaplasties and hood reductions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

If you want to reduce the appearance of your inner labia, you need to reduce your inner labia. Injecting fat into the labia major won't work for you because the the labia minora are protruding too much. You will wind up with a giant cameltoe and the labia minora will still be protruding. However, you don't need three weeks off from work to recover from a labiaplasty. A few days will suffice. I recommend that you schedule a virtual consult with an expert and don't hesitate to travel by plane if necessary to find the right surgeon.

A labiaplasty would be the best procedure to remove excess tissue from your labia minor. Adding volume to the labia majora won't address the primary issue.