Q: Labial puff injections

Hyaluronic acid–based fillers, like Juvéderm and Restylane , can temporarily plump the labia majora. A 2016 study published in Aesthetic Surgery Journal showed that hyaluronic acid (HA) injections resulted in significant labia rejuvenation in women, with no reported complications. This treatment starts with a local anesthesia injections or numbing cream, to minimize pain. Labia injections can be more painful than facial fillers because the area is so sensitive, so it’s important to make sure the area is sufficiently numb before your procedure starts. Next, your provider will then inject the hyaluronic acid into the outer labia, which takes about 20 minutes. HA filler results can last 4–12 months, depending on the type that’s used and how your body metabolizes it. After that, you’ll need maintenance treatments. Some physicians prefer to plump the labia majora with Sculptra , a poly-L-lactic acid filler that stimulates collagen growth over time, to increase padding and improve tissue elasticity. With Sculptra, an initial series of two to three monthly treatments is needed. Results can last up to two years.

Q: What are the pros and cons of labia puffing?

Pros This labia rejuvenation procedure can improve the appearance of the labia, increase your comfort during high-impact activities, and boost self-confidence. Labia puff reviews show high patient satisfaction: RealSelf members give it a type: embedded-entry-inline id: Ks6V6ARYAktTMUTOEu3el Worth It Rating . Results of labial puffing via fat transfer can last years and even decades, subsiding only with age. Hyaluronic acid filler results are reversible, if you don’t like them or have a complication. Cons Dermal fillers are not yet FDA-approved for labia augmentation, so this is considered an “off-label” use. Some RealSelf reviews report an unexpected level of pain and ongoing discomfort after labia puffing. With Sculptra injections and fat transfer, you’ll have to wait three months or longer to see your final results There is a lack of published studies or standardized protocols for labia majora augmentation. In 2022, the American College of Obstetricians and Gynecologists noted that “women should be informed about the lack of high-quality data that support the effectiveness of genital cosmetic surgical procedures and counseled about their potential complications.”

Question 1

What is labia puffing?

Accepted Answer

Labia puffing surgery augments the labia majora, the outer lips of the vulva. There are two primary labia augmentation techniques: injectable dermal fillers or fat transfer (aka fat grafting).

Ideal candidates for a labial puff treatment are women experiencing reduced labial tissue elasticity and volume deflation, which often happens due to childbirth, weight loss, aging, or menopause. Volume loss can cause discomfort during sexual intercourse or exercise, while plump labia majora can help cushion these impacts.

Some women choose to combine labia puffing with other vaginal rejuvenation procedures, such as a vaginoplasty for vaginal tightening, or labiaplasty surgery, to reduce the size of the labia minora (the inner lips). In certain cases, volumizing the labia majora can minimize the appearance of prominent labia minora, which is why it’s sometimes marketed as a nonsurgical labiaplasty.

During your consultation, you and your provider will discuss your goals and their recommended treatment plan. If you want the most long-lasting result, your doctor will likely recommend a fat transfer procedure.

They may also recommend combining augmentation with a nonsurgical procedure like ThermiVa, which uses radiofrequency energy to stimulate natural collagen production and reduce labial laxity and wrinkling, while improving elasticity.

Question 2

Labia augmentation with fat transfer

Accepted Answer

This two-step, in-office procedure typically takes under an hour.

First, you’ll be given a local anesthetic to numb the labia majora and the area where your surgeon plans to harvest excess fat (often the abdomen or flanks). You may also be given an oral sedative.
Once you’re numb and relaxed, your surgeon will remove the excess fat via liposuction, using a cannula (a thin tube) to suction it out.
The fat will be processed and purified.
Finally, they will inject the purified fat into your labia to create the desired volume, taking care not to overfill (which can reduce the survival rate of the fat cells).

According to a 2017 report in the Aesthetic Surgery Journal, labia majora augmentation with fat transfer has high patient satisfaction and a low complication rate.

Just be aware that fat injection results can be unpredictable because not all of the transferred fat will survive. Dr. Johnny Franco, a board-certified plastic surgeon in Austin, Texas, explains that “There will be some resorption of the fat (about 30%) initially, but what is still present at three months will be there for years to come.”

At the three-month mark, you may decide you want to undergo an additional procedure to further increase the volume.

Question 3

Labial puff injections

Accepted Answer

Hyaluronic acid–based fillers, like Juvéderm and Restylane, can temporarily plump the labia majora. A 2016 study published in Aesthetic Surgery Journal showed that hyaluronic acid (HA) injections resulted in significant labia rejuvenation in women, with no reported complications.

This treatment starts with a local anesthesia injections or numbing cream, to minimize pain. Labia injections can be more painful than facial fillers because the area is so sensitive, so it’s important to make sure the area is sufficiently numb before your procedure starts.

Next, your provider will then inject the hyaluronic acid into the outer labia, which takes about 20 minutes.

HA filler results can last 4–12 months, depending on the type that’s used and how your body metabolizes it. After that, you’ll need maintenance treatments.

Some physicians prefer to plump the labia majora with Sculptra, a poly-L-lactic acid filler that stimulates collagen growth over time, to increase padding and improve tissue elasticity. With Sculptra, an initial series of two to three monthly treatments is needed. Results can last up to two years.

Question 4

What are the pros and cons of labia puffing?

Accepted Answer

Pros

This labia rejuvenation procedure can improve the appearance of the labia, increase your comfort during high-impact activities, and boost self-confidence.
Labia puff reviews show high patient satisfaction: RealSelf members give it a type: embedded-entry-inline id: Ks6V6ARYAktTMUTOEu3el Worth It Rating.
Results of labial puffing via fat transfer can last years and even decades, subsiding only with age.
Hyaluronic acid filler results are reversible, if you don’t like them or have a complication.

Cons

Dermal fillers are not yet FDA-approved for labia augmentation, so this is considered an “off-label” use.
Some RealSelf reviews report an unexpected level of pain and ongoing discomfort after labia puffing.
With Sculptra injections and fat transfer, you’ll have to wait three months or longer to see your final results
There is a lack of published studies or standardized protocols for labia majora augmentation. In 2022, the American College of Obstetricians and Gynecologists noted that “women should be informed about the lack of high-quality data that support the effectiveness of genital cosmetic surgical procedures and counseled about their potential complications.”

Question 5

Labia puffing before and after pictures

Accepted Answer

The labia puffing photos in our gallery have been shared by the provider who performed the procedure, with the patient's consent.

Question 6

How much downtime will you need?

Accepted Answer

Whether your procedure involves dermal fillers or a fat transfer, you can expect to have swelling, bruising, and a dull ache for the first few days afterward.

Most patients can walk around fine, but you’ll probably be more comfortable if you take over-the-counter pain medications for up to a week, especially if you’ve had a fat transfer (which also involves soreness in the area where the lipo was performed).

Avoid sexual activity for a week after your procedure, to let your body heal and the fillers or fat to settle. Some providers also recommend avoiding high-impact exercise for up to six weeks after fat transfer, to reduce the risk of fat cell death.

Once the swelling goes down, you’ll see your final result.

Question 7

Labia puffing side effects

Accepted Answer

A labia puff procedure is considered safe and low-risk in the hands of an experienced provider, especially if you’re having fat grafting. However, it’s good to be aware of these side effects.

Regardless of where they’re injected, all dermal fillers come with these potential risks:

Swelling
Bruising
Infection
Asymmetry
Lumps and bumps
Vascular occlusion, if the filler is accidentally injected into a vein and blocks blood flow

Complications from HA fillers can usually be resolved with a dose of hyaluronidase, an injectable enzyme that melts hyaluronic acid.

Sculptra cannot be reversed, so any problems (like nodules) are harder to treat. Patients either have to wait for them to resolve on their own, which can take years; have the lumps injected with cortisone or 5-Floururacil, to help break them up; or have them surgically removed.

Fat transfer labia augmentation risks include:

Swelling and bruising, which may last as long as six weeks
Hematoma, an especially bad bruise
Infection
Lumps
Fat embolism
Fat necrosis
Asymmetry, if more of the transferred fat survives on one side than the other
Disappointing results; according to one study, “fat reabsorbs in our labia majora much more than when injected in other body parts.”

During your consultation, your provider can explain these potential side effects and how to handle them, if they occur.

LABIA PUFFING

Riannon Westall

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Riannon Westall

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