Hyaluronic acid injection into the labia majora is an aesthetic medicine treatment designed to restore volume, improve tissue hydration, and correct the sagging or thinned appearance of the vulvar region. The procedure is performed in the medical office, without surgery, and does not require any social downtime. Following an initial consultation, Dr. Romano performs targeted injections.
With age, hormonal changes, menopause, or weight fluctuations, the labia majora may gradually lose volume. This involution of the subcutaneous fatty tissue alters their protective covering function, making the labia minora more visible and potentially causing mechanical discomfort, friction, or changes in the aesthetic appearance of the vulva.
Hyaluronic acid injections restore the volume of the labia majora without surgery. The goal is to restore a natural contour, improve tissue quality, and provide more effective protection for the underlying anatomical structures.
The most common indications are :
Every hyaluronic acid injection into the labia majora is preceded by a comprehensive medical consultation. The clinical examination assesses the vulvar anatomy, tissue quality, the extent of volume loss, and any factors that may influence the outcome.
This assessment aims to confirm that hyaluronic acid is the most appropriate treatment indication and to rule out situations requiring a different therapeutic approach. It also makes it possible to determine the amount of product needed and to explain the expected benefits, the limitations of the treatment, as well as the potential side effects and contraindications.
Standardized medical photographs are taken before treatment. They form an objective part of the medical record and allow the results to be accurately assessed throughout follow-up.
No specific intimate hygiene measures are required before treatment. No particular preparation is generally needed before a hyaluronic acid injection into the labia majora. However, a few precautions can help reduce the risk of bruising or lead to postponement of the procedure in the presence of a temporary contraindication.
The procedure is performed in the medical office under strict aseptic conditions. After careful disinfection, Dr. Romano performs a final assessment of the patient's anatomy to determine the entry points and injection strategy according to the desired volume.
Most hyaluronic acid gels used for this indication contain a local anesthetic, which improves patient comfort during the procedure. Additional local anesthesia may also be administered when necessary.
The product is then injected using a flexible cannula, usually through the anterior and/or posterior end of each labia majora. This technique minimizes the number of injection sites, reduces the risk of bruising, and promotes even distribution of the gel within the deep tissue planes.
The injection is performed progressively, with regular visual and palpation assessments, to achieve harmonious volume restoration while respecting the natural anatomy and symmetry of the vulvar region.
The injection usually takes between 5 and 10 minutes. Its duration varies depending on the extent of volume loss, the presence of any asymmetry, the amount of hyaluronic acid required, and any adjustments made during the procedure.
In the absence of any particular discomfort, daily activities can be resumed immediately.
The amount of hyaluronic acid required is determined on a case-by-case basis, depending on the patient's anatomy, the extent of volume loss, and the desired outcome. Several milliliters may be needed to restore the contour of the labia majora, with the product distributed appropriately on each side to preserve symmetry.
When the volume deficiency is significant, a gradual correction may be preferred. Performed over one or more sessions, this approach allows the treatment to be adapted to the tissue response and helps achieve a natural result without overcorrection.
Like any medical procedure, hyaluronic acid injections into the labia majora may cause certain mild and temporary side effects :
More uncommon complications may also occur. Their risk is minimized when the treatment is performed by a physician with extensive expertise in vulvar anatomy and appropriate injection techniques :
Hyaluronic acid injections into the labia majora are intended for women who wish to improve the appearance or comfort of the vulvar region without undergoing surgery.
They are particularly indicated in cases of :
A hyaluronic acid injection session for the labia majora is a quick medical procedure performed in the medical office and is generally well tolerated. After a thorough assessment of the vulvar anatomy, Dr. Romano performs targeted hyaluronic acid injections to restore lost volume and improve the harmony of the intimate area. Recovery is usually straightforward, results become visible quickly, and may last for more than one year depending on the patient and the product used.
Article written by Dr Romano Valeria
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