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Labia Majora Sagginess and Wrinkles:
Non-Surgical Treatments

Many women experience labia majora wrinkles, sagginess, or feel that their labia majora are “loose” and want to know why and if there are any treatment options available besides labia majora reduction surgery. This is completely normal and fortunately, there are non-surgical treatment options available to tighten the labia majora skin and make it less wrinkly and saggy and these are described below.

What Causes the Labia Majora to Become Saggy and Develop Wrinkles?

As women age, the skin throughout their bodies, including the labia majora, undergoes changes. It is common for the labia majora (also known as the outer lips or outer folds) to lose some of their elasticity and become less firm over time. This can lead to what some may describe as "saggy" labia majora. In addition to aging, gravity, weight gain and loss, and hormonal changes can affect the comfort and appearance of the outer labia majora. The skin becomes thinner, wrinkly, and pigmented, and the labia majora can become saggy and loose because of the reduced collagen and elastin, along with shrinking of the fat cells and reduced blood flow. This can cause discomfort with pulling or rubbing of the extra skin or the look of your labia majora and vulvar area is no longer appealing to you.

Treatment Options for Labia Majora Sagginess and Wrinkles

Radiofrequency (RF) Therapies:

Non-invasive procedures using radiofrequency or heat can stimulate collagen and elastin production, increase blood flow, and tighten the skin. These treatments may help to improve the texture and firmness of the labia majora without the need for surgery. (RF does not remove fat. For that, a liposuction procedure could be done prior to using radiofrequency.)

At the Cosmetic Gynecology Center of San Antonio, Dr. Troy Robbin Hailparn offers different types of radiofrequency treatments to tighten loose, wrinkly and saggy labia majora skin. The decision on which treatment to use depends on the person’s anatomy and the results they desire.

  1. ThermiVA: This relatively short, in-office, radiofrequency treatment is applied on the surface of the skin and requires no numbing and no downtime. There are a series of 3 ThermiVA treatments, a month apart. This is often done with a vaginal treatment for urinary leakage or dryness causing painful sex.
  2. AVIVA: Radiofrequency is applied to the labia majora skin via a small paddle and probe handpiece. The probe is inserted under the skin to allow the heat to pass between the paddle and probe which heats up and shrinks the tissues in-between them. You will leave the office with swelling that can last several weeks due to the tumescent anesthesia under the skin and results aren’t apparent for about three to six months. AVIVA requires about two weeks for healing time and then you can resume all routine activities. AVIVA is a one-time treatment that can last 5 years or more.
  3. MorpheusV: To shrink stretched or saggy labia majora skin, heat is applied using micro-needling. Micro-needling penetrates the skin to different levels thereby stimulating deeper collagen production. The skin gets smoother, thicker, plumper and the whole labia majora and vulva area appear tighter and more youthful. This can be used for extra skin on the mons (pubic bone) area as well. MorpheusV treatments are recommended once a month for 3 months but can require up to six treatments depending on the person’s anatomy. The results can last a year or more.

In addition to tightening the labia majora skin and reducing labia majora wrinkles, the benefits of radiofrequency include: no general anesthesia, no facility fee as this is done in the office and no big incisions or excised tissue.

Platelet-Rich Plasma (PRP) Therapy:

PRP therapy involves extracting the patient's blood, processing it to concentrate the platelets, and then injecting the PRP into the labia majora. The growth factors in PRP can stimulate collagen production and tissue regeneration, potentially improving the appearance and texture of the skin. Results of all the radiofrequency treatments can be improved with PRP.

Hyaluronic Acid Fillers to Reduce Labia Majora Wrinkles:

Injectable hyaluronic acid fillers, commonly used for facial rejuvenation, can also be utilized to enhance the appearance of the labia majora. The filler is injected into specific areas to add volume and reduce wrinkles, resulting in a plumper and smoother appearance. This works best in combination with PRP.

How Much Does It Cost to Tighten My Labia Majora Skin?

The cost depends on your anatomy and the results you want to attain.

Our goal is to help you achieve a smoother, more youthful, brighter, and rejuvenated labia majora and mons. (Some women combine labia majora reduction with labiaplasty (aka labia minora reduction) or vaginal tightening (vaginoplasty). If you are interested in labia majora reduction, schedule a consultation online or call us at 210-615-6646. Dr. Hailparn provides a thorough consultation and is happy to address your concerns and answer all your questions. We are here to help you improve the quality of your life.

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