Labia Majora Deflation: Understanding Causes and Treatment Options By Shareef Jandali M.D. on September 07, 2023

The labia majora, or outer lips of the vulva, play a crucial role in both the aesthetics and functionality of a woman's genital area. As women age, they may experience changes in the appearance and texture of the labia majora, including a loss of volume and sagging. This condition is known as labia majora deflation. In this blog post, we will explore what labia majora deflation is, its potential causes, and the impact it can have on a woman's physical, emotional, and sexual well-being.


Defining Labia Majora Deflation and Labia Majora Laxity

Labia majora deflation refers to the loss of volume and fullness in the outer lips of the vulva. Some women refer to this area as the outer vagina, although it is not the vagina. It is characterized by a flattened or sagging appearance of the labia majora, which may affect the symmetry and contour of the genital area and can give an aged appearance. The condition can vary in severity and may be accompanied by other signs of aging, such as thinning skin and reduced elasticity.

Causes of Labia Majora Deflation and Wrinkling

Several factors can contribute to labia majora deflation, including:

1. Natural Aging Process: As women age, the production of collagen and elastin in the skin decreases, leading to a loss of volume and elasticity in various areas of the body, including the labia majora.

2. Hormonal Changes: Fluctuations in hormone levels, particularly during menopause, can contribute to tissue changes in the labia majora, leading to deflation.

3. Weight Loss: Significant weight loss can cause the labia majora to lose fat tissue, resulting in deflation and sagging.

4. Pregnancy and Childbirth: The stretching and hormonal changes during pregnancy, as well as the physical trauma of childbirth, can contribute to labia majora deflation.

5. Genetic Predisposition: Some individuals may be genetically predisposed to have thinner or less voluminous labia majora, making them more prone to deflation.

Impact of Labia Majora Deflation and Wrinkles

Labia majora deflation can have physical and emotional implications for women:

1. Aesthetic Concerns: Deflated labia majora can lead to self-consciousness and dissatisfaction with the appearance of the genital area, impacting body image and sexual confidence.

2. Physical Discomfort: Reduced volume in the labia majora can result in discomfort during sexual activity as there is less padding in this area.

3. Clothing Fit: Labia majora deflation can affect the fit and comfort of underwear, swimwear, and tight clothing, leading to discomfort and self-consciousness.

4. Sexual Well-being: Women may experience self-consciousness about the appearance of the labia majora, affecting overall sexual confidence and satisfaction.

Labia majora deflation and wrinkles

Treatment of Labia Majora Deflation with Labial Puff Injections

Fortunately, there are treatment options available to address labia majora deflation and restore volume, symmetry, and contour. The best option is labia majora augmentation, also referred to as labial puff injections. This procedure involves the use of an injectable filler like Restylane, Versa, or Sculptra. This procedure is quick with minimal downtime, recovery, and risk. 

All labia puff injections are performed by our feminine rejuvenation specialist. Before the treatment, the area will be cleansed, and a topical numbing cream may be applied to minimize discomfort during the injections. The injections are typically performed using a very fine needle or cannula to minimize any potential discomfort. After the injections, patients may experience temporary swelling, redness, or mild bruising at the injection sites. However, these side effects usually subside within a few days. We ask patients to avoid strenuous activities and sexual activity for a short period of time.

Labial puff injections ConnecticutLabial puff injections Connecticut

Visit our gallery for more before and after photos of labial puff.


Labia majora deflation is a condition that can occur as a result of natural aging, hormonal changes, weight loss, childbirth, or genetic predisposition. It can impact a woman's physical comfort, self-esteem, and sexual well-being. Understanding the causes and effects of labia majora deflation is the first step in exploring suitable treatment options. Call us for a consultation to discuss options to restore the youthful appearance of the area.

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