Why inject hyaluronic acid into the labia majora ?
With age, hormonal changes, menopause or weight fluctuations, the labia majora can gradually lose volume. This involution of subcutaneous fatty tissue alters their covering role, making the labia minora more apparent and potentially causing mechanical discomfort, a feeling of friction or changes in vulvar aesthetics.
Hyaluronic acid injections can restore labia majora volume without surgery. The aim is to restore natural fullness, improve tissue quality and re-establish more effective protection of the underlying anatomical structures.
The most common indications are :
- Age-related volume loss.
- Sagging or laxity of the labia majora.
- Mild to moderate asymmetry.
- Dehydration of the vulvar region.
- Aesthetic discomfort when wearing fitted clothing or swimwear.
- Anatomical changes after significant weight loss.
Medical consultation before labia majora injections
Every hyaluronic acid injection in the labia majora is preceded by an in-depth medical consultation. The clinical examination assesses vulvar anatomy, tissue quality, the extent of volume loss and any factors that may influence the result.
This assessment aims to verify that hyaluronic acid is the most appropriate indication and rule out situations requiring another approach. It also determines the amount of product needed and presents the expected benefits, treatment limitations and any potential adverse effects and contraindications.
Standardised medical photographs are taken before treatment. They form an objective part of the medical record and allow the evolution of results to be assessed during follow-up.
Preparation before a labia majora injection session
No specific intimate hygiene measures are necessary before treatment. No particular preparation is generally required before a hyaluronic acid injection in the labia majora. However, a few precautions help limit the risk of bruising or postpone the session if there is a temporary contraindication.
- Avoid, when medically possible and after advice from the prescribing doctor, medicines likely to increase the risk of bleeding.
- Limit alcohol consumption during the 24 to 48 hours before treatment.
- Report any local infection, skin lesion or unusual symptom that has appeared before the session.
- Inform the doctor of pregnancy, breastfeeding or any current medical treatment.
How is hyaluronic acid injected into the labia majora ?
The procedure is performed in the medical practice in accordance with strict aseptic rules. After careful disinfection, Dr Romano analyses the patient's anatomy one last time to determine entry points and the injection strategy according to the desired volume.
Most hyaluronic acid gels used for this indication contain a local anaesthetic, improving comfort during the session. Additional local anaesthesia can also be administered when necessary.
The product is then introduced using a flexible cannula, generally through the anterior and/or posterior end of each labium majus. This technique limits the number of injection points, reduces the risk of bruising and promotes an even distribution of the gel in the deep planes.
The injection is performed gradually, with regular visual and palpation checks, to achieve harmonious volume restoration while respecting the natural anatomy and symmetry of the vulvar region.
How long does the session last ?
The injection generally lasts between 5 and 10 minutes. This varies according to the extent of volume loss, any asymmetry, the amount of hyaluronic acid needed and adjustments made during the session.
In the absence of particular discomfort, everyday activities can be resumed immediately.
How much hyaluronic acid is needed ?
The amount of hyaluronic acid needed is determined individually according to anatomy, the extent of volume loss and the desired result. Several millilitres may be necessary to restore the fullness of the labia majora, with distribution adapted to each side to preserve symmetry.
When the volume deficit is marked, gradual correction may be preferred. Performed in one or more sessions, this approach allows treatment to be adapted to tissue changes and achieves a natural result without excessive correction.
What are the possible risks and side effects ?
As with any medical procedure, hyaluronic acid injections in the labia majora involve certain minimal, transient side effects :
- Temporary swelling.
- Redness.
- Local tenderness.
- Bruising.
- Small transient irregularities.
Rarer complications can also occur. Their risk is limited when treatment is performed by a doctor with thorough mastery of vulvar anatomy and appropriate injection techniques :
- Infection.
- Prolonged inflammatory reaction.
- Nodule formation.
- Asymmetry requiring correction.
- Vascular complications.
Who is this treatment for ?
Hyaluronic acid injections in the labia majora are intended for women wishing to improve the aesthetics or comfort of the vulvar region without surgery.
They are particularly indicated in cases of :
- Vulvar ageing.
- Menopause-related fat loss.
- Volume loss after losing weight.
- Moderate asymmetry.
- Mild to moderate tissue laxity.
- Aesthetic dissatisfaction with labia majora volume.
Conclusion : how a labia majora injection session proceeds
A hyaluronic acid injection session in the labia majora is a quick medical procedure performed in the practice and generally well tolerated. After a precise analysis of vulvar anatomy, Dr Romano injects hyaluronic acid in a targeted manner to restore lost volume and improve the harmony of the intimate region. Recovery is usually straightforward, results appear quickly and may last for more than a year depending on the patient and product used.
