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

Question

The labia looked great initially when it was swollen and plump but a few months out the labia majora has become wrinkly again. What can be done about this now?

Mehmet Bekir Sen, MD · Answer

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"

E. Jacob Simhaee, MD, FACOG · Answer

Dear patient:
If you are concerned about wrinkles of labia the best treatment is the same doctors are doing to treat the wrinkles of the face or other organs of the body.

Morpheus 8 has been considered by a lot of patients as a great treatment for resolving wrinkles and plumping the treated area with minimal to no down time specially for Labia area.

Good luck and Best of health

Marco A. Pelosi III, MD, FACOG, FACS · Answer

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.

Burcak Tok, MD · Answer

After fat transfer, a large portion of the fat administered, 70%, is absorbed and the remaining fat remains permanent for life. You can achieve the fuller appearance of the labia majora with fat retransfer or the easier Hyaluronic acid filling.

David Ghozland, MD · Answer

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.

Esra Ozbasli, MD · Answer

Unfortunately labial filling with either fat or hyaluronic acid after a certain time the material dissolves and the procedure needs to be repeat. In some patients laser application before labial filling can help with that wrinkly appearance.

Michael P. Goodman, MD, FACOG · Answer

Aahhh... The "hype" of Labial Puffing. Same as the hype of all of the "minimally invasive"/ transfer/ "non-invasive approaches. You have to keep coming back! Every 6 months, every year, every couple of years. Practitioners should accurately inform their patients as to length of effectiveness, and many do. But in my opinion, most do not. Women (& men) are used to "coming back" for therapies (look at Botox!). Labial puffing is not permanent. If nanofat + PRP is utilized, perhaps the results are greater than simple fat transfer; both are greater than "fillers." But (as of course in a surgical approach), the practitioner's experience is also key. So: what to do after you've deflated? 3 choices: leave things as they are; be "re-puffed;" or undergo a permanent surgical fix. The re-puffing will cost you less, but needs to be re-done & re-done (again, lasts longer with nanofat + PRP + experienced practitioner.) Re: surgery, the procedure is called a "labia majoraplasty." There are several techniques: Classical; Modified Classical/"teardrop;" simple "Labial Lift;" and the "Unified" labia minora/majoraplasty techniques described by Alinsod (vertical approach) and Goodman (wedge approach). I would be happy to give you my opinion re: your personal best approach if provided with a photograph. Check out Cosmetic Gnyecologists and P.S's websites for lots of B&A photos... Very Best, Michael P Goodman, MD, FACOG, IF; AAACP. Davis/Sacramento, CA, USA

David Janssen, MD, FACS · Answer

Our patients and those of Real Self like Thermi-Va which uses radiofrequency waves to tighten the skin has a high "Worth it" rating on this site!

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

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