Resumo

Objectives: Objectives This study aims to analyze safety, effectiveness, an patient satisfaction not just about aesthetics but also regarding improvement of the sexual life and self esteem and eventual symptom related to ageing, by injections of a moderate and adeguate quantity of a cross-linked Ialuronic acid (C-L HA), with rheology specifically studied for reshaping of labia majora (LM).Vulva area remodeling, in some cases, allows us to minimize surgery in all cases in which Labia Minora hypertrophy is coexistent with Labia Majora hypotrophy. Introduction: External female genitalia lose elasticity and volume with age or due tue specific pathological conditions. In the international literature, several techniques address the hypertrophy of the labia minora, but only few reports describe the augmentation of labia majora with fat grafting and filler hyaluronic acid based [1-2-3]. Materials / method: We analyzed 76 patients affected by hypotrophy of the labia majora: 38 Caucasian patients were treated with cross-linked hyaluronic acid (25mg/ml) filler with the rheological characteristic tan-delta close to “zero”, between November 2022 and December 2023. and 38 patients were not treated. The technique used was according with the parameters previously published by the author[3]. Results: The preliminary results achieved on treated patients were analyzed by photography and through GAIS, PSS, LIKERT Scale, FSFI, NRS and VAS questionnaires filled by them were encouraging compared with the patients not treated. No complications were recorded. Conclusion: Hyaluronic acid infiltration of the labia majora is able to provide a significant rejuvenation with a relatively simple outpatient procedure. We achieved significant improvements achieved thanks all investigative methods with one infiltration, in all 39 treated cases. Bibliography 1. Labia Majora Augmentation: A Systematic Review of the Literature - Jabbour S, Kechichian E, Hersant B, Levan P, El Hachem L, Noel W, Nasr M.- Aesthet Surg J. 2017 Oct. 2. VAGINAL REJUVENATION: A Systematic Review of the Literature - Gianna Wilkie- Deborah Bartz-OBSTET. GYNECOL SURV-May 2018 3. The safe practice of