Lipofilling of the labia majora

The lack of shape of the labia majora, often due to age, is usually accompanied by a flattening of the pubis. These faults can be corrected by a voluminising lipofilling treatment using fatty tissue (injecting your own fat) to restore the contour and tone to these anatomical regions.

When this problem occurs after the menopause, depending on the case and in the absence of contraindications, it may be appropriate to use hormone replacement therapy. This will be prescribed in collaboration with your gynaecologist.

In addition to aesthetic discomfort, there are also psychological repercussions, which can alter the patient's image of her femininity and create a complex, leading to particular discomfort when naked.

During the first consultation, it is essential that you openly express what bothers you and what you would like to improve. Do not be afraid to ask any questions, including expressing your fears and expectations. Everyone has a different body shape, psychology and expectations. These are not the same and there is no standard to apply.

After you have explained your motivations, I will examine you and offer one or more solutions, taking into account your expectations, your anatomy and, if necessary, collaborating with your gynaecologist for any associated medical treatment.

So you can visualise the desired result, I will show you photos of surgical results from cases similar to yours to enable you to understand the objective of the intervention.

It is essential that you and I have a good understanding when deciding to operate and to determine the technique to use from among those I can offer.

I will then give you all the information on the techniques proposed along with the information sheets from the Société Française de Chirurgie Plastique Reconstructrice et Esthétique (French Society of Plastic, Reconstructive and Cosmetic Surgery) as well as a detailed estimate of the costs for the options chosen. You will then be able to move your project forward and get ready for a second consultation when you will be able to ask any additional questions to help you make a decision and prepare for the operation.

No examination is usually necessary, unless you are having a general anaesthesia (where you may need a blood test).

In the case of a general anaesthetic, you will need a consultation with the anaesthetist in the weeks preceding the operation and at least 48 hours before.

No medications containing aspirin or anti-inflammatories can be taken within 10 days of the procedure.

For a general anaesthetic, you will have to fast strictly for 6 hours before the operation (do not eat anything, chew gum, eat sweets or smoke).

Smoking can cause scarring problems.

Your stay in hospital is usually limited to half a day in a day clinic.

The procedure lasts about 30 minutes.

The anaesthetic is usually local or deep local (neuroleptanalgesia). It can be general at the patient's request.

Before you go to the operating theatre, in your room, I will go over the precise goals with you as we agreed during the consultations. You can then always make recommendations and ask any questions. I will then draw the lines and marks on your skin to guide the operation.

The technique used is lipofilling (injecting your own fatty tissue):

The fatty tissue to be re-injected is taken from a place where there is body fat, often on the hip where the fat is of excellent quality and will support re-implantation. In fact, with lipofilling, part of the transplanted fatty tissue is re-absorbed and part is maintained and revascularized as normal local fatty tissue. The percentage of this fatty tissue graft taken varies according to each case and between 30-80% of the volume of fatty tissue injected. Therefore, a greater volume of fatty tissue must be taken to overcorrect the area that needs to be filled by at least 30% (a total overcorrection of 130%).

Re-injection is carried out using a 1.5mm micro cannula and small strokes so that the graft does not accumulate in a single place but is distributed evenly over the entire area to be filled.

There are no scars because the micro-cannulas are introduced through needle puncture holes that leave no marks.

During the night and days following the operation, there may be a painful sensation of tension in the area that was operated on, which may impede your mobility. These post-operative pains will diminish and disappear within a few days of the operation.

Swelling (oedema) and bruising can be more or less significant, depending on the case and usually completely disappear after about 3 weeks.

• Daily washing with gynaecological emollient soap.

• An antiseptic moisturising cream must be applied.

• A panty liner must be worn.

• Wear loose-fitting clothing.

• Avoid long walks.

• You may gradually resume sexual intercourse 3 weeks after the operation.

You will be able to appreciate the result after any swelling has disappeared, i.e. after about 3 weeks, and this will improve in the following weeks.

In the long term, the result will be stable and sustainable.

The improvement is aesthetic and rejuvenates the external genital organs, but this procedure also has a beneficial impact on the personal well-being, behaviour and patient development as they are relieved of their complex.

The cost of the operation will depend on the procedure to be carried out, the duration of the operation, the type of anaesthetic and any hospital charges.

This procedure does not entitle the beneficiary to reimbursement through Social Security.

A detailed estimate is given to you during the first consultation following the options you have chosen. You then have a minimum legal period of 15 days to consider your options and move your project forward.

The first consultation costs €50. The follow-up consultations before and after the operation are free.