Venus Clinic is a hospital where only liposuction and fat transplant surgery is performed, minimizing the incidence of complications and always ready for the best results.

# Fat Grafting - Vaginal Fat Grafting

Restoring vulvar and vaginal volume lost to childbirth and aging with your own fat

Illustration of the vaginal fat grafting area shown on a pelvic diagram

This illustration was created with AI to aid understanding and does not show an actual surgical result.

After childbirth, menopause and with aging, the fat of the vulva, including the labia majora, can decrease so that the area looks wrinkled or deflated, and some women feel that the tissue around the vaginal opening has become thin and loose. Vaginal fat grafting takes your own fat from the abdomen or thighs, purifies it, and transfers it in small amounts to the labia majora or around the vaginal opening and wall to restore volume and firmness.

Anatomy and symptoms in this area differ greatly between individuals. We first examine the current condition and discuss the change you would like, then decide together whether fat grafting is appropriate or whether another approach would suit you better.

Who May Consider It

Women whose labia majora look deflated or wrinkled after childbirth or with aging
Those who feel discomfort when wearing underwear because of reduced vulvar volume
Those who feel the tissue around the vaginal opening has become thin and loose
Those whose vulva looks relatively hollow after weight loss

How the Procedure Is Performed

STEP 1. Examination and consultation

We check the vulva and vaginal opening, left–right differences and any symptoms, and plan the areas and amounts to be grafted. A gynecological examination may be recommended before surgery when needed.

STEP 2. Fat harvesting

Under tumescent local anesthesia, the required amount of fat is harvested from the abdomen or thighs with a fine cannula.

STEP 3. Purification

Blood, anesthetic fluid and free oil are removed to prepare the fat for grafting.

STEP 4. Small-volume injection

Using a fine blunt cannula, the fat is placed in very small portions in the planned areas.

Safety Principles

1. Small amounts, injected slowly. The area around the vagina and vulva has a dense network of veins. Although rare, the medical literature reports a case of pulmonary fat embolism immediately after fat grafting to this region. We therefore avoid injecting large volumes at once, avoid layers where veins are concentrated, and inject slowly with low pressure.

2. Extra caution when combined with other procedures. A study of labia majora fat grafting performed together with body-contouring surgery reported that complications need closer attention as more procedures are combined. When other surgery is planned at the same time, the extent and duration of the operation are decided carefully.

3. Absorption and additional grafting. Part of the fat grafted to the labia majora may be absorbed, and some patients in the literature needed an additional session. Because graft survival differs between individuals, additional grafting is considered, if needed, after the volume has settled.

Frequently Asked Questions

Q. Will it improve sexual satisfaction?

Some studies report improved questionnaire scores after fat grafting, but most involve small numbers of patients and no control group. Rather than promising a specific effect, we explain the change you can reasonably expect based on your examination.

Q. Are labia majora fat grafting and vaginal fat grafting the same procedure?

Labia majora grafting restores the volume of the outer vulva, while vaginal fat grafting addresses the tissue around the vaginal opening and wall, so the areas and volumes differ. The two are sometimes performed together, and the areas are decided after examination.

Q. When can I return to daily life?

Light daily activities are usually possible after a few days, while activities that press on or irritate the grafted area are resumed gradually over several weeks depending on your recovery.

Recovery

Swelling, bruising and tightness of the vulva may last from several days to a few weeks. During recovery, please postpone tight clothing, cycling, sitz baths and sexual intercourse as instructed. If you experience shortness of breath or chest tightness after surgery, contact the clinic immediately.

※ Possible side effects include bleeding, infection, hematoma, variable fat graft survival, asymmetry, calcification and swelling. Results may vary from person to person.