Female genitalia lose elasticity and volume with age, like other body areas. In the literature several techniques address the redundancy of the labia minora, but only few reports describe the augmentation of labia majora with hyaluronic acid (HA) (Yavagal S, de Farias TF, Medina CA, Takacs P. Normal vulvovaginal, perineal, and pelvic anatomy with reconstructive considerations. Semin Plast Surg. 2011;25:121–9).
Labia majora augmentation appears to be a safe and efficient technique with a high satisfaction rate. Hyaluronic acid infiltration of the labia majora is able to provide a significant rejuvenation with a simple outpatient procedure (Howard W, Jones III. Gynecologic surgery. In: Townsend Jr CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: the biological basis of modern surgical practice. 19th ed. Philadelphia: Elsevier Saunders; 2012. p. 2003–28). The treatment is repeatable and has virtually no complications, and it is reversible. However, further randomized controlled trials are warranted.
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