Lipofilling of labia majora:
increase in volume
and intimate rejuvenation

Lipofilling of labia majora
female intimate surgery

Lipofilling of labia majora
Volume enhancement and intimate rejuvenation with own fat

MADRID | ZURICH

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The lipofilling of labia majora is an intimate surgery procedure that allows to increase the volume of the labia majora by means of the autologous fat infiltration, i.e. fat obtained from the patient's own body.

The labia majora are the outermost part of the vulva and play a protective role as well as contributing to the contour and appearance of the intimate area. Over time, hormonal changes or natural loss of volume can cause a decrease in fatty tissue, which can lead to sagging or loss of tone. Lipofilling allows volume to be restored naturally, using the patient's own fat to improve the contour and rejuvenate the vulvar area.

In some cases, this procedure may be combined with other intimate surgery techniques, such as labiaplasty, liposuction, liposuction of the mons pubis or genital rejuvenation treatments, with the aim of achieving a more balanced result.

  • DURATION 45 – 90 minutes
  • DISCHARGE FROM THE CLINIC Same day
  • RETURN TO WORK 3-5 days
  • DURATION 45 – 90 minutes
  • DISCHARGE FROM THE CLINIC Same day
  • RETURN TO WORK 3-5 days
  • SOCIALLY PRESENTABLE 3 days
  • ANESTHESIA Local or sedation
  • FULL RECOVERY 10 days
  • SOCIALLY PRESENTABLE 3 days
  • ANESTHESIA Local or sedation
  • FULL RECOVERY 10 days

Indications

When can labia majora lipofilling be considered?

Labia majora lipofilling may be considered when there is loss of volume or sagging of the labia majora, which may affect the natural contour of the vulva. This procedure may be considered in situations such as:

  • Loss of volume in the labia majora over time
  • Changes in tissue elasticity
  • Desire to improve the contour or symmetry of the intimate area
  • Thinning of vulvar tissues

The procedure is adapted to each patient's anatomy and treatment goals.

Surgical techniques

Reduction of the labia minora

Lipofilling involves transferring the patient's own fat from a donor area of the body to the labia majora. The procedure is usually performed in three stages:

Fat rendering

Fat is removed by gentle liposuction from areas such as the thighs, abdomen or hips.

Fat graft processing

The fat tissue is carefully processed to obtain high quality micrografts, which favour better integration into the recipient tissue.

In some cases, nanograse, a concentrate rich in regenerative cells, can also be used to improve skin quality.

Infiltration of the labia majora

Purified fat is infiltrated through micro-cannulas into the labia majora to restore volume and improve the contour of the area.

This procedure is minimally invasive and generally leaves no visible scars.

Duration of results

Once the fat graft is integrated into the tissues, the volume obtained is usually maintained permanently. The transferred fat becomes part of the tissue in the area, which allows a natural and stable result to be achieved over time.

However, the natural ageing process of the skin and tissues continues over the years. For this reason, some patients may opt for touch-ups or complementary treatments over time, usually 10-15 years after the procedure, to maintain or improve the result obtained.

Lipofilling of labia majora :
Frequently Asked Questions

It is an intimate surgery procedure that uses the patient's own fat to increase the volume of the labia majora and improve the contour of the vulvar area. 

The incisions used for fat infiltration are very small and are often virtually unnoticeable. 

Once the fat is integrated into the tissue, the volume can be maintained for many years, although natural ageing of the tissues may cause changes over time. 

Discomfort is usually mild and temporary, and is usually controlled with basic medication for the first few days.

Yes, in some cases it can be combined with labiaplasty, liposuction of the mons pubis or other genital rejuvenation treatments. 

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

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