Abstract

Objectives: To assess the outcomes of combining labial fat grafting with vaginoplasty as a comprehensive approach for improving genital aesthetics, restoring functionality, and addressing patient concerns related to self-confidence and sexual well-being. Introduction: Female aging is associated with numerous physical and hormonal changes that impact the entire body, including the external genitalia and vaginal tissues. This leads to thinning of tissues, reduced elasticity, decreased collagen production, and loss of fat volume in the labia majora. Consequently, women may experience vaginal dryness, laxity, sexual dissatisfaction, and aesthetic concerns. These changes often diminish self-confidence and strain intimate relationships. Addressing these concerns through surgical and aesthetic interventions has therefore become an essential aspect of care. Materials / method: A total of 15 patients underwent combined vaginoplasty and labial fat grafting based on clinical assessments of vaginal laxity and labial skin wrinkling. 1.Vaginoplasty Vaginal laxity was corrected through reconstructive surgical techniques tailored to address the specific defects identified in each patient. 2.Fat Harvesting Fat was aspirated from the lower abdominal area using the liposuction technique. The harvested fat was then processed to create micro fat for grafting. 3.Fat Grafting The purified micro fat was meticulously injected into labia majora to enhance volume and improve contour Results: Patients reported improved sexual satisfaction along with a rejuvenated and more youthful appearance of the genital area. Additionally, they expressed enhanced self-confidence and high satisfaction with the aesthetic outcomes of the procedure. Conclusion: Understanding patients’ concerns and raising awareness about available treatment options, including advancements in techniques, provide effective solutions to help women maintain comfort, confidence, and quality of life as they age.