Labia majora hypotrophy

The labia majora involve with modification of fat ( lipodystrophy). It can appear very young after lose of weight. But often is appeared with pre-menopause near 35/40 years or during menopause.

The diminution of labia majora is feel unaesthetic for ol lot of women like very old sex appearance.
Also, the labia majora can be unable to perform their physiological fonction of protection of the vulvar region and vaginal introits.

Treatments:

1) Lipofilling :
The best technique is to inject fat in the labia Majora with local anesthesia. We need only 10 to 20 cc of fat that we can take from leg or abdomen in surgery room. The volume of fat injected reduces by 20-50% in the weeks following injection and need to injecte more in the first session or to do a touch up.

2) Hyaluronic acid injection :
This technique is more simple and can be perform in office with simple local anesthesia. The volume injected is immediately visible. We can use a canula to have less trauma of labia (bruises, oedema...)
The quantity injected is near 5 ml and can stay for 6 months to 1 year.

3) Skin reduction of labia Majora :
In some cases, we can reduce the skin with a little scar when the excess of skin and flattening is important.