What are options to enhance my deflated and wrinkly labia majora? (photo)
Doctor Answers 11
Deflated labia majora
Saggy, wrinkly labia majora and darkening coloration: what can I do??!
I have looked carefully at your photo and understand your concerns regarding the aging process in your genital area. You're still 36; how can you coax your labia (minora & majora) to join the party? There are two good options that will relieve both of your concerns:
1. Fractional pixillated CO2 laser bleaching and shrinkage in a decent non-invasive method for both minimizing labial redundancy and modestly lightening the color. It could be a good less-expensive starting point. The down side it that this method has little long-term evidence-based research behind it (like... does it really work, and how long does it last? Most docs charge in the range of $2000-2500 for a combined bleaching/labial majora shrinkage.
2. your other option is more expensive (est. ~ $5000-5500) but more certain: a surgical reduction of the redundant labia majora which at the same time would diminish the darkened coloration of the redundant majora. At the same time if you wished you could have a very minor "trim" (not full labiaplasty) of the edges of the labia minora; the cost would be modest if combined with the majora.
Best wishes! Access the weblink below if you wish; the photos are mainly of labia minoraplasties, but there are at least a dozen majoraplasties sprinkled about...
Michael P Goodman MD
Improvement in aesthetics of labia
A surgical majoraplasty to remove the excess laxity of the majora can help reduce the deflated look of your labia majora. In your case, a small amount off added volume ( fat/ filler) may be added to the majora once you have healed if needed to enhance the volume as well. A conservative trim minoraplasty can help with the dark edges of your minora. This can be performed at the same time . To enhance healing and skin quality , PRP injection in the area, which I perform at the time of my labiaplasties is beneficial .
In terms of nonsurgical options for the majora laxity, RF treatments with no down time like ThermiVA can be a good option, however it is not a long term solution.
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Labia Majora Fat Injection for Fuller Vaginal Area
Fat grafting first involves liposuction to the tummy and/or inner thighs, and fat injection or grafting into the labia majora. About half of the fat stays and half gets reabsorbed after fat grafting.
The photo above also demonstrates mild excess of the labia minora (in addition to atrophy of the majora) and clitoral hooding. I would perform a clitoral hood reduction with a very small component of a trim labiaplasty in order to remove the hooding and also restore a normal coloration to the edge of the labia.
The ThermiVa radiofrequency device has shown some promise in tightening the vaginal opening and providing a fuller vulva. This is still somewhat experimental but very low risk, and I would use this as well as part of your treatment.
Labiaplasty can help address loose skin
Labial fillers for the labia minora and majora
What are options to enhance my deflated and wrinkly labia majora?
I hope oped that this helps and good luck,
Member of RealSelf 100
Labia Majora rejuvenation
Some things can be fixed....
The problem with the labia major in loss of the natural fatty tissue that is typical with the youthful body. Although skin can be trimmed when needed, the real solution is add back the volume. This can be done with fat grafting, which is a technique that allowed taking fat (with small needles) from one part of the body (usually the tummy) and transferring it (with even smaller needles) to area where we need it (typical areas are breast and face, but this has been done by plastic surgeons for the labia major also).
There are no good solutions at this time to the color problem however, so I would not want to see someone in your shoes waste their hard-earned dollars on treatments that won't work. I think it's just as important to tell patients what's likely to work, as it is to tell them what is NOT likely to work.
Just be sure to see a surgeon who's not only experienced with labiaplasty work, but also with fat grafting. Also beware that the most common problem with fat grafting is that not all the transferred fat "takes," so it sometimes has to be repeated until enough volume takes for a good result that will make the patient happy.
Reza Momeni, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.