What can be done about labia that has become wrinkly again after getting labia fat transfer?

Fat transfer procedures to the labia majora typically give a final result at approximately 12 weeks. Usually, half of the transplanted fat survives and the other half dissolves away. This is a normal process. Factors that would make it difficult for transplanted fat to survive include cigarettes smoking, vaping, dieting, and intense cardio. However, even if these factors don't apply to you, you might still have trouble keeping the transplanted fat. The good news is that the fat grafting process can be repeated to give additional volume.

Thank you for your question — this is something we hear often with labia majora fat transfer.

It’s completely normal for the area to look very plump and smooth right after the procedure due to post-op swelling and initial fat volume. However, over time, some of the fat naturally resorbs — often around 30–50% — which can lead to less volume and the return of wrinkling or skin laxity, especially if the skin was already thin or stretched.

The good news is there are a few effective options to restore the smoothness and fullness you're looking for:

1. Touch-Up Fat Transfer:
We can perform a second round of fat grafting to restore lost volume and improve texture.

2. Labia Puffing with Filler:
If you're looking for a quicker, non-surgical option, hyaluronic acid filler (often combined with PRP) can help plump and smooth the area with minimal downtime.

Hello,
Thank you for sharing your experience with labia majora filler treatment. It's quite common for patients to notice changes in the appearance of their labia as the initial swelling subsides and the filler settles.
The initial swelling can give a more pronounced plump and smooth appearance, which might change once the swelling decreases. If you're noticing that the labia majora has become wrinkly again a few months after the treatment, there are several options you can consider to achieve the desired aesthetic result.
1. **Additional Filler Treatments:** It's possible that a follow-up treatment with additional genital area specific filler might be needed to maintain the plumpness and reduce the appearance of wrinkles. This is quite common with fillers, as they are absorbed by the body over time.
2. **Alternative Treatments:** Depending on the specifics of your case, other treatments such as laser therapy or radiofrequency treatments might be beneficial. These can help to improve skin texture and elasticity.
3. **Comprehensive Evaluation:** It's important to have a thorough evaluation to determine the best course of action. This would include an assessment of the current state of the treated area, your skin quality, and overall aesthetic goals.
Remember, each individual's body reacts differently to treatments, and sometimes adjustments are necessary to achieve optimal results. Your satisfaction and safety must be top priorities.
Best regards,
Dr. Mehmet Bekir SENGenital Aesthetic Surgeon"