While many women are becoming more and more aware of labiaplasty surgery, which is concerned with reducing the size or reshaping of the inner labia, less attention has been paid to labia majoraplasty or surgical rejuvenation of the labia majoraplasty. labia majora, the large outer lips on top. vaginal entrance.

These structures can lose their original firm and well-defined appearance for many reasons. There may be genetic causes for loosening of the supporting connective tissue below the surface. Skin can lose its elasticity and youthful appearance due to aging, childbirth, and weight loss. All of these conditions result in sagging and drooping lips that are aesthetically unpleasant, sometimes sexually embarrassing, and yet another reminder of aging.

So what can a woman do? Many fillers have been used, such as fat extracted from one part of the body and injected into the labia majora, or synthetic fillers such as Restalyne® or Juvederm® are used to avoid the unpleasantness of transferring fat from one part of the body to another. Most recently, Dr. Jennifer Berman, a renowned Los Angeles sex therapist and until recently a vocal critic of vaginal rejuvenation, revealed on the nationally televised show “The Doctors” that she personally underwent labia majora augmentation with the Sculptra® filler because she saw how her sagging labia majora were impacting her own image and sense of youth. Dr. Berman’s courageous public shift from skeptic to avid supporter of vaginal rejuvenation procedures can only further empower women to take control of their bodies.

However, all of these injections and fillers have limitations and are not without risks or side effects. They are expensive, must be redone periodically, and can leave unsightly bumpy areas and bumps if the material is not distributed deep enough or evenly. They provide good results but are only temporary solutions.

The only permanent solution is a lip majoraplasty. This is a surgical procedure in which all the sagging and unsightly skin is removed along with some of the underlying tissue that has lost its ability to maintain elasticity. The remaining connective tissue is shrunk and firmed using specialized surgical techniques, followed by joining the renewed skin edges with thin dissolving sutures. Majoraplasty, when performed by a surgeon trained in this specialized technique, takes just over an hour as an outpatient procedure. The key to a successful healing with a great cosmetic result is adherence to all postoperative instructions and diligent use of prescription medications and anti-aging creams to prevent scar formation.

Lip majoraplasty is often performed in combination with other types of cosmetic surgery, such as vaginal rejuvenation, labiaplasty, vaginoplasty, and hymenoplasty, as well as with traditional plastic surgical procedures.