Vivian DE CARVALHO AMARAL 医师
皮肤科医师
Vulvar filling with hyaluronic acid
Objectives: Aging causes labia majora volume loss and sagging. Hyaluronic acid fillers restore contour, protection, and confidence when well indicated. Injections (1.5–3.0 mL per side) in the superficial subcutaneous plane using a fan technique produced natural results and high satisfaction. Overcorrection and “testicular” appearance must be avoided, especially in bulky vulvas. In flaccid tissue, combining with biostimulation first enhances outcomes. HA is safe, effective, and anatomically precise when used correctly.
Introduction: Aging leads to loss of volume and elasticity in the labia majora, compromising both aesthetics and protection of the vulvar area. Hyaluronic acid (HA) fillers have emerged as a safe, minimally invasive option to restore contour and comfort. When properly indicated and anatomically precise, vulvar filling enhances appearance, self-esteem, and local functionality.
Materials / method: Patients presenting labial atrophy and minimal flaccidity underwent HA injection (1.5–3.0 mL per side) using a 22G, 5 cm cannula and fan technique in the superficial subcutaneous plane. In flaccid tissue, treatment was preceded by biostimulation to improve support. Procedures were performed under local anesthesia, focusing on natural results and symmetry.
Results: Patients reported significant improvement in labial projection, contour, and overall satisfaction. Results appeared natural and harmonious, with no major adverse events. Overcorrection and “testicular” appearance were prevented by respecting individual anatomy and volume limits. When biostimulation preceded HA injection, texture and tone were further enhanced, optimizing aesthetic outcomes.
Conclusion: Hyaluronic acid vulvar filling is safe, effective, and reproducible when performed with anatomical precision and correct indication. Combining it with biostimulation in flaccid tissue enhances firmness and durability. Avoiding overcorrection is essential for natural results. Proper technique restores function, comfort, and confidence while preserving vulvar harmony.
