I perform fat grafting on the labia majora to restore volume and firmness.

Do your labia majora look shrivelled or lacking in volume?

Intimate aesthetics are increasingly important for female self-esteem, and in my experience, in the vast majority of cases where a patient is bothered by some detail of their intimate parts, they are right. If you feel that your labia majora deserve more volume, autologous fat grafting — also called labial lipografting — is the solution I consider to be the most natural and effective.

Labia majora with little volume leave the intimate area looking aged and lacking vitality. This hypotrophy can occur due to natural ageing, weight loss, genetic predisposition, or even after pregnancies. In addition to the aesthetic issue, fat in the labia majora acts as a protective cushion for the entire area. Fat grafting is the ideal filler: I use fat from your own body, which eliminates any risk of rejection or allergic reaction. The result is natural, the fat does not migrate, and after the graft stabilisation, the result is long-lasting.

I perform fat grafting on the labia majora, restoring a youthful appearance and firmness to your intimate parts. The procedure is quick, with minimal discomfort, and can be associated with other treatments in the intimate area, such as labiaplasty, labia majora reduction, or pubic liposuction.

Indications

I recommend fat grafting on the labia majora for patients who present moderate to significant volume loss — whether due to ageing, weight loss, or never having had adequate volume in this area. It is also an excellent option for correcting asymmetries between the labia majora. When the need for volume is very small, I can use hyaluronic acid fillers in the office, without the need for surgery.

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Watch my explanation about the fat grafting to the labia majora

The surgery

I begin the surgery by collecting the fat. I make a small incision in the skin, approximately 1 cm, and through a Klein needle, I infiltrate the donor area with a solution of saline and adrenaline, to ensure minimal bleeding. After the adrenaline achieves its vasoconstrictor effect, I introduce a small cannula connected to a syringe with vacuum. The fat is aspirated and the syringe, when full, is left standing so that the fat separates from the saline with adrenaline. I discard the saline and the fat undergoes a homogenisation process, preparing it for infiltration into the labia majora.

The next step is the grafting itself: I use a microcannula to infiltrate the fat into the labia majora in multiple planes, distributing the material evenly. Then, I gently massage the area to ensure uniformity of the result.

Finally, upon reaching the desired volume, I close the opening of the donor area with a stitch and apply a small dressing with gauze and micropore.

Absence of changes in the donor area

I consider it important to emphasise that the amount of fat removed for the graft is small — about 40 to 60 ml — and there is practically no change in the appearance or volume of the donor area.

Book your consultation for fat grafting in the labia majora

Get in touch and book your consultation with me in Londrina, Brazil. I hold international specialisation in intimate surgery and use the most modern techniques to perform fat grafting to the labia majora safely and with natural results.

Also learn about clitoral hood reduction, clitoroplasty, mons pubis lift, perineoplasty, and vaginoplasty. See information about pricing and online consultation.

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Frequently asked questions about fat grafting to the labia majora

Where is the fat taken from for grafting to the labia majora?

Most of the time, I take the fat from the infraumbilical region — just below the navel — as it is an area with good quality fat for grafting. I can also use fat from the flanks or love handles, depending on the availability for each patient. I avoid areas such as above the navel, where the fat contains a lot of connective tissue and can clog the cannula during infiltration.

Is the result of fat grafting to the labia majora permanent?

In my experience, the result is long-lasting. In the first few months, the body naturally reabsorbs between 30% and 50% of the grafted fat — and that is exactly why I graft a slightly larger volume during the surgery. After approximately four months, the fat stabilises and the result can be considered definitive. It is important to know that the grafted fat behaves like that of the donor area: if you lose weight, the volume decreases slightly, and if you gain weight, it increases.

Is fat grafting to the labia majora safe?

I consider this procedure to be quite safe. As I use fat from the patient's own body — called autologous fat — there is no risk of rejection or allergic reaction. Additionally, I perform the surgery in a hospital, under total intravenous general anaesthesia, which provides additional safety and comfort.

Is it possible to combine fat grafting with other intimate surgeries?

Yes, and in my practice, this is the most common situation. The most common association is with labiaplasty — the reduction of the labia minora. I can also combine it with the reduction of the labia majora, liposuction of the mons pubis, or prepucioplasty, depending on the needs of each patient. When performed together, the procedures provide a more harmonious result.

When can I see the final result of the graft?

The immediate result is already visible right after the surgery, but there is swelling and the volume is increased due to the compensation I make. The definitive result appears around four months, when the fat has stabilised and the natural reabsorption has occurred. I recommend that my patients wait this period before evaluating the final result.

What is the amount of fat needed for the graft?

I generally take between 40 and 60 ml of fat from the donor area, which is a small amount. For this reason, there is practically no change in the appearance or volume of the area from which the fat was taken. It is a sufficient amount to restore the desired volume to the labia majora naturally.

What is the recovery like after fat grafting to the labia majora?

The recovery is quick and with minimal discomfort. The swelling is discreet and there is hardly any need for lymphatic drainage or endermology in the donor area. It is also not necessary to perform massages on the labia majora after the procedure. I recommend one month without physical activity and six weeks without sexual intercourse. The donor area should be protected from the sun for about three months to avoid stains.

What is the difference between fat grafting and hyaluronic acid filling in the labia majora?

When the need for volume is very small, I can use hyaluronic acid filling in the office, without the need for surgery. However, for moderate to significant volume loss, I recommend fat grafting, which offers a more natural and long-lasting result. Autologous fat is the ideal filler: it does not migrate, does not cause rejection, and, after stabilisation, the result is definitive.

Does the fat grafting surgery to the labia majora hurt?

I perform the procedure under total intravenous general anaesthesia, so the patient feels absolutely nothing during the surgery. In the postoperative period, the discomfort is minimal and easily controlled with common analgesic medication. In my experience, patients report much less pain than they imagined before the surgery.

What tests are necessary before fat grafting to the labia majora?

I request a complete blood count, coagulation profile (PT with INR and aPTT), urea, creatinine, fasting blood glucose, total proteins and fractions, vitamins D and C, urinalysis, electrocardiogram, and surgical risk assessment with cardiological evaluation. These tests are essential to ensure the safety of the procedure and identify any condition that needs attention before the surgery.

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