As seen nationally, our clinic has received a number of calls involving a relatively taboo subject in cosmetic surgery, what can be called intimacy improvement or labio-vaginal rejuvenation. There is no doubt that the vaginal area undergoes undesirable change with aging or pregnancies such as thinning and loss of firmness of the outer labia folds and loss of fullness and padding of the vaginal wall. In addition, there is the occasional childbirth tear that further relaxes vaginal support. I have expanded fat re-injection into the labia area to plump them for more vitality. This plumping can also be combined with the trimming of the labia minora, the inner labia folds, in cases where they have enlarged or sagged excessively.
In the first part of the procedure, fat is extracted from an available site, most often the lower abdomen, and is deposited into the thinned out or deflated outer labia folds and possibly the vaginal wall. The effect is firmer support surrounding the inner folds, and the creation of a more youthful appearance as well as a functionally improved vaginal texture. The procedure results in an improved erotic appearance as well as increased sexual satisfaction for both partners as a result of the firmer and thicker vaginal wall with virtually no downtime.
In some cases, that procedure is accompanied by a "labiaplasty" a correction of sagging or enlarged inner folds. This is a simple trimming procedure usually performed under minor sedation or local anesthesia. The resulting effect can be an aesthetically more pleasant appearance coupled occasionally with lessened discomfort related to panty irritation, etc. A repair of the separated pelvic muscle resulting from a vaginal tear during delivery can also be performed simultaneously, which tends to produce improved vaginal tone and increased satisfaction during intercourse