Can you do a labia puff/fat transfer under local anesthesia?

The use of local anesthesia for labia puff/fat transfer can depend on the extent of the procedure, as well as the preference of the surgeon and patient. In some cases, local anesthesia may be sufficient to numb the area and make the procedure more comfortable. However, in more extensive procedures or for patients who prefer to be asleep during the procedure, general anesthesia may be recommended.

It is important to discuss the use of anesthesia with your surgeon during the consultation process, as well as any potential risks and benefits associated with the procedure. It is also essential to choose a board-certified plastic surgeon with experience in labia puff/fat transfer to ensure the safest and most successful outcome.


Best of luck !

Fat can be injected into the labia majora under local anesthesia. The fat is suctioned after the site used for the fat is injected with local anesthesia. The fat can then be put into the majora.

However, many women with sagging or wrinkling of the majora have stretching of skin and normal fat. In that case, the skin only can be removed. If the skin only is saggy due to fat loss, then only fat can be injected. However, over-injection can cause a large bulge in the genitalia, which can be unsightly. If skin is excessive and fat is diminished, then skin can be excised and fat injected at the same time. If you only have slight wrinkling, then a laser can tighten the skin. ​If your labia majora skin and fat are excessive, then skin and fat can be excised to make them smaller and less protruding. The skin excision technique I pioneered leaves a scar on the inside of the majora in the concavity between the majora and the minor and clitoral hood. I have published and lectured extensively on this procedure in textbooks and throughout the world. Many physicians are not comfortable or trained in this procedure resulting in poorly placed scars, asymmetry, and poor results. You need to have the surgeon show photos of his past patients.

Dr. Gary Alter

Beverly Hills, CA - Manhattan, NY

labia fat transfer can be performed under local anesthesia in office conditions or with local anesthesia and light sedation anesthesia. First, fat will be taken from you with lipoaspiration, processed and applied as a filler to the labia majora. I hope it helped.

Hello and thank you for your question!

In my office we do these procedures with just local anesthetic or, in conjunction with oral sedation. The choice of the anesthetic is based on the the individual needs and technical considerations. So, yes, it's an option!

Hope that helps!

In good health,
Ellen Mahony MD

Hello, there are 2 types of fillers; fat transfer and hyaluronic acid transfer. For fat transfer ee generally prefer general anesthesia, for HA fillers we prefer local anesthesia.

Hello, labia puffing with fat transfer needs two steps. first harvesting and preparation of the fat. and second is the injection of the fat to the labia majora. Both these steps can be done under local anesthesia. All the best

Thanks for your question. The short answer is yes! If you are limiting the areas of fat harvest, you can perform fat transfer to the labia under local anesthesia. For comfort, we provide ProNox for our patients as well. This combination allows patients to drive themselves home after the procedure. Make sure you consult with a board-certified plastic surgeon. Good luck!

Dear patient
your physician is the one who can answer this question because he has done these procedures and knows how to deal with the pain/ discomfort part of it.
best of health and good luck

Typically, local anesthesia would be sufficient for labia puffing at my practice. This means you are "awake".

While this procedure is technically feasible under local anesthesia, it would be extremely uncomfortable. This procedure should have minimal operative time and therefore minimal risk associated with general anesthetic and minimal downtime regardless of type of anesthetic performed. I would recommend sedation or general anesthetic if this is a procedure that you are pursuing along with consulting with a board certified plastic surgeon.