How can I fix an indent above the labia? (Photos)

Question

I have always had this indent above my labia. It casts a shadow and makes it look like my labia has a mustache. The indent can also be seen thru underwear and bathing suits. How can this best be fixed? Filler or a mini lift? One Dr. Is suggesting vulvalase but i just want the simplest, hopefully permanent solution. Suggestions and have you ever seen this before?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and describing your concern so clearly. What you're describing is not uncommon, and I do see variations of this anatomy in practice. The area above the labia, often referred to as the mons pubis, can naturally have contour irregularities, depressions, or volume deficiencies that create shadows and make the area appear more pronounced through clothing or swimwear.

Based on your description, the key question is whether the issue is primarily due to a lack of volume (an indentation) or skin laxity/tissue descent. In many patients with a localized depression and otherwise good skin quality, a small amount of filler or fat grafting can be very effective because it directly addresses the volume deficit that is creating the shadow.

Filler is generally the simplest and least invasive option. It can provide immediate improvement and help determine whether restoring volume gives you the appearance you're seeking. The downside is that it is not permanent and may require maintenance treatments over time.

Fat grafting is often considered when patients desire a longer-lasting solution. Fat can be harvested from another area of the body and placed into the depression to smooth the contour. While some of the transferred fat is naturally reabsorbed, the fat that survives can provide long-term improvement.

A lift procedure is typically more helpful when there is significant excess skin or sagging tissue rather than an isolated indentation. If the primary issue is a hollow area rather than drooping skin, a lift alone may not fully correct the contour.

As for VulvaLase and similar energy-based treatments, these are generally aimed at improving skin quality, tightening, and collagen stimulation. They may offer subtle improvements in texture and firmness, but they are usually not my first choice for a well-defined indentation caused by volume loss.

If I were evaluating this concern, I would first determine whether the shadow is created primarily by a volume deficit. If so, volume restoration—either with filler or fat grafting—would generally make the most sense. Of those options, fat grafting is the one that comes closest to a potentially permanent correction.

The encouraging news is that this appears to be a contour issue rather than anything medically concerning, and there are several effective ways to improve it depending on your goals for longevity, downtime, and invasiveness.

How can I fix an indent above the labia? (Photos)

Answers (1)

More Vaginal Rejuvenation Questions

REVISED: Is a bladder sling necessary for 20% prolapse when getting a vaginal tightening procedure?

Vaginal tightening with incontinence surgery - is the bladder sling necessary?

Is this Urethrocele? (Photo)

Urethrocele and Redundant Vaginal Tissue - what can be done to improve my quality of life?

How can I treat severe hyperpigmentation on genital area?

Labiaplasty/vaginal rejuenation - Wedge, trim or laser? (Photos)

WE SEND PRETTY
EMAILS