How would I be able to tell if I need labia puffing or skin removal?

If you post a photo or schedule a virtual consultation and share a photo, I'll tell you exactly what you can expect from either labia majora puffing with fat injections or labia majora skin removal. I'll also share some nonsurgical extras that can be done at the same time to boost your results further. The decision comes down to the amount of loose skin present in the labia majora. If there an excess of loose skin, it would take a large volume of fat to inflate the labia to make them tight... and you would wind up with a huge cameltoe. If that's your situation, but not your goal, then skin excision would be the better choice. If there is not much excess skin and you seek conservative youthful fullness, then labia majora fat injections (puffing) would be the better choice.

That’s a great question, and one we get often.

The best way to determine whether you’d benefit more from labia puffing or a labia majoraplasty depends on your anatomy and goals.

Labia Puffing is ideal if your labia majora appear deflated or hollow but the overall shape and amount of skin are still appropriate. Puffing restores volume using filler or fat (often combined with PRP), giving a fuller, smoother, more youthful look. It’s non-surgical, quick, and has minimal downtime.

Labia Majoraplasty is better suited if there is excess skin, sagging, or significant tissue redundancy. In this case, surgical contouring is used to remove excess tissue and reshape the labia for a tighter, more refined appearance.

Sometimes, we even combine both procedures—removing excess skin while restoring volume for optimal results.

The best way to decide is through a personalized consultation. We’ll assess your anatomy, listen to your concerns, and guide you to the treatment that will give you the most natural, satisfying outcome. Let us know if you'd like to schedule a visit!

Hello, in patients whose outer lips are too saggy and who generally lose a lot of weight quickly, we prefer to remove the excess tissue and then apply filler if necessary when full recovery is completed. However, if there is not much excess tissue upon examination, it will be sufficient to apply only filler if the fat content inside has decreased and it looks dull.