What precautions should be taken before a hyaluronic acid injection in the labia majora ?
Preparation begins several days before the appointment. The aim is to reduce factors likely to increase bleeding or promote an excessive inflammatory reaction.
During the prior consultation, Dr Romano systematically checks for possible contraindications and takes the patient's medical history. This step identifies, in particular, anticoagulant treatment, active autoimmune disease, an ongoing infection or a history of reaction to an injectable product.
In the days before the session, it is generally advisable to avoid substances likely to promote bruising when they are not medically essential. This includes certain non-steroidal anti-inflammatory drugs, aspirin taken as self-medication and certain dietary supplements known for their blood-thinning properties (omega-3, ginkgo biloba, ginseng, concentrated garlic, curcumin, ginger, high-dose vitamin E, grape seed extract, bromelain, dong quai, white willow, meadowsweet, nattokinase, serrapeptase).
Excessive alcohol consumption in the 24 to 48 hours before treatment is also discouraged. Alcohol promotes vasodilation and may increase the risk of bruising after the injection.
Good general hydration is recommended before treatment. Hyaluronic acid has a strong water-retention capacity, and the quality of tissue hydration contributes to product integration.
Should certain medicines be avoided before the injection ?
It is essential never to stop prescribed treatment without the agreement of the doctor who initiated it. Anticoagulants, antiplatelet medicines or cardiovascular treatments must never be stopped on one's own initiative solely to undergo an aesthetic injection.
However, certain medicines taken occasionally may increase the risk of bruising. During the consultation, the doctor specifies any adjustments to consider according to each patient's medical situation.
Can an injection be performed in the presence of an intimate infection ?
No, any active infection of the genital region is a temporary contraindication to treatment.
A vulvar fungal infection, bacterial vaginosis, active genital herpes or any other local infection must be treated before considering a hyaluronic acid injection.
Injecting into inflamed or infected tissue increases the risk of complications and compromises the quality of the result.
It is also recommended to report any unusual irritation, pain, burning or lesion that has appeared in the days before the appointment.
What hygiene measures should be followed before a labia majora injection ?
Simple, usual intimate hygiene is more than sufficient before the procedure.
Harsh products, antiseptics used without a medical indication or irritating care products are unnecessary before the procedure. They may even disrupt the natural balance of the vulvar flora.
On the day of the session, gentle intimate washing with an appropriate product is generally sufficient. The necessary medical disinfection will then be performed in the practice before the injections.
Can you have your period on the day of the injection ?
Menstruation is not a contraindication to injecting the labia majora.
However, some patients experience increased sensitivity in the genital region during this stage of the cycle. Others are more prone to bruising or discomfort.
Where possible, some women prefer to schedule their session outside their menstrual period for comfort. This decision is essentially a personal preference rather than a medical necessity.
What should you do immediately after a hyaluronic acid injection in the labia majora ?
Recovery after labia majora injections is straightforward.
After the procedure, Dr Romano explains the post-treatment recommendations.
- Avoid touching or excessively manipulating the injected area during the first few hours.
- Maintain gentle, usual intimate hygiene.
- Wear comfortable, non-compressive underwear.
- Avoid very tight clothing likely to cause friction.
- Stay well hydrated in the hours and days following treatment.
- Limit significant pressure on the vulvar region during the first 24 hours.
- Avoid sexual intercourse for approximately 5 to 7 days.
- Avoid intense exercise for at least 24 to 48 hours.
- Avoid heat, saunas, steam rooms and sun exposure during the first few days.
- Avoid alcohol and anti-inflammatory drugs for 48 hours, as they can promote bruising and swelling.
Should sexual intercourse be avoided after a labia majora injection ?
Yes, temporary sexual abstinence is generally recommended for 48 hours after the injection.
This period limits friction, local microtrauma and inflammatory phenomena likely to interfere with good product distribution.
Sexual intercourse can then be resumed gradually once local tenderness has disappeared.
Can you exercise after a hyaluronic acid injection in the labia majora ?
Moderate physical activities can usually be resumed immediately.
However, intense exertion is generally discouraged during the first 24 to 48 hours.
The significant increase in blood circulation caused by certain sports can worsen oedema or promote bruising.
Activities involving repeated friction in the perineal area (cycling, horse riding or certain fitness exercises placing substantial demands on the pelvic region) should be suspended for around ten days.
Why should sources of heat be avoided after the injection ?
Heat causes vasodilation that can intensify the local inflammatory reaction.
During the first few days, it is generally advisable to avoid saunas, steam rooms, very hot baths and prolonged exposure to intense heat.
This simple precaution helps limit swelling and often improves post-treatment comfort.
A moderately warm shower remains entirely permitted.
Should the labia majora be massaged after a hyaluronic acid injection ?
Unless specific instructions are given, it is preferable not to manipulate the injected area excessively.
Products used for labia majora augmentation are specifically designed to integrate gradually into the tissues without requiring particular manipulation.
Massages performed without a medical indication can disrupt product distribution or cause unnecessary irritation of recently treated tissues.
If massage or particular mobilisation is necessary, Dr Romano gives precise instructions adapted to the technique used.
What signs are normal after a labia majora injection ?
Certain reactions are expected and should not cause concern.
For a few days, it is common to observe :
- Moderate swelling.
- A feeling of tightness.
- Tenderness to touch.
- Small bruises.
- Slight transient asymmetry associated with oedema.
How long should you wait to see the final result ?
The volume observed immediately after the session does not correspond to the final result. The tissues must absorb procedure-related oedema, gradually integrate the hyaluronic acid and regain their natural suppleness.
In most cases, the result becomes truly representative between two and four weeks after treatment.
Only at this stage is it possible to assess the correction achieved precisely and determine whether a touch-up is needed.
Key points to remember
Hyaluronic acid injections in the labia majora are not restrictive, but certain simple precautions optimise treatment safety and results. Before the session, it is important to report medical treatments, avoid factors promoting bruising and postpone the procedure in the presence of an intimate infection. After injection, a temporary period of relative rest for the treated area and avoidance of sexual intercourse, intense exercise and sources of heat promote optimal recovery. These recommendations contribute to good integration of hyaluronic acid and a natural, harmonious and lasting result.
