Pubic mound reduction
The intimate area plays an important role in the well-being of many women. The area around the labia minora is a particular focus, as it is important for both the aesthetic appearance and the natural protection of the vulva. If there is a significant loss of volume here, for example during the menopause, after weight loss or for genetic reasons, this can affect the aesthetics of the intimate area and cause problems such as infections and painful inflammation.
With labia augmentation, Dr. Nichlos can rebuild this missing or lost volume, giving your intimate area a firmer appearance and restoring the protective function of the labia. Depending on the findings, the specialist in plastic and aesthetic surgery can also perform a labia minora reduction to achieve a harmonious overall result that makes you feel comfortable and self-confident.
Labia augmentation (also known as labia augmentation) is an intimate surgery procedure. Its purpose is to fill in labia minora (labia majora) that are naturally too small or sagging for other reasons (e.g. weight loss or hormonal changes with age) by inserting autologous fat (lipofilling) or a filler such as hyaluronic acid to give you more volume again.

Dr. Emmanouil Nichlos has specialized in labia augmentation for over 17 years and has extensive experience in aesthetic intimate surgery.
Through the targeted use of autologous fat or hyaluronic acid, Dr. Nichlos achieves greater volume and a harmonious appearance. During the healing phase, patients who have recently undergone treatment receive personalized care, and Dr. Nichlos is available at any time if needed.
The majority of procedures are performed for aesthetic reasons. Many women who visit our practice seeking labiaplasty are dissatisfied with the appearance of their genital area and therefore feel uncomfortable. In most patients, the labia have lost volume due to hormonal influences, severe weight loss or the natural ageing process, making them look sunken and wrinkled, which disturbs women’s aesthetic perception.
In some patients, however, the loss of volume in the labia also leads to physical discomfort as they can no longer fulfill their natural protective function. Normally, the labia minora cover the labia minora, the urethral opening and the vaginal entrance to protect them from external irritation. This is not fully possible if the labia minora are too small, which can lead to pain and inflammation that can affect your well-being and self-confidence.
We have two procedures available for augmenting the labia minora: lipofilling (autologous fat method) and hyaluronic acid injections. Which of these is used for intimate surgery depends, among other things, on your desired result.
The augmentation of the labia with autologous fat allows Dr. Nichlos to achieve a very natural and long-lasting result and to give the genital area a harmonious shape with clear contours. The procedure is performed in two steps: In the first step, the specialist removes small amounts of fat from another area of the body (e.g. hips or thighs) using liposuction (liposuction). This fat is medically processed and then injected into the labia minora using very fine cannulas.
Increasing the volume of the labia minora with hyaluronic acid is less time-consuming and cost-intensive. Dr. Nichlos injects small amounts of hyaluronic acid under the skin during outpatient injections. This allows him to sculpt the labia in a targeted manner and give the pubic area an aesthetic appearance. As the hyaluronic acid is broken down by the body after around 6 to 18 months, a new injection is necessary.
Before the procedure, we invite you to a personal consultation at our practice in Frankfurt. Here you can talk to Dr. Nichlos about the reasons for your desire for labiaplasty and ask questions in a discreet one-on-one consultation.
An important part of the consultation is the physical examination so that the specialist can get an idea of the area to be treated and present you with the appropriate treatment options. He will then explain the exact procedure to you, what to look out for before and after the procedure and what risks and possible complications are associated with labia majora augmentation.
If you decide to undergo labiaplasty, Dr. Nichlos will make an appointment for the operation or, in the case of filler injections, for the outpatient procedure. Dr. Nichlos performs the operations in the modern operating theatres at the Berger Klinik in Frankfurt, where you will be welcomed by a friendly team and will be in the best of hands from the very first minute.
The injection of hyaluronic acid into the labia takes about 20 to 30 minutes and is performed by Dr. Nichlos on an outpatient basis in his practice in Frankfurt. Before injecting the filler, we thoroughly disinfect the area and, if necessary, apply a local anesthetic cream so that you hardly feel the punctures. Dr. Nichlos then begins to inject the hyaluronic acid and sculpt the labia into the desired shape. You can leave the practice immediately after the procedure and are ready for social life again straight away.
Dr. Nichlos performs labiaplasty under general anaesthetic and with a short inpatient stay (usually one night). The actual procedure takes between 60 and 80 minutes. As soon as the areas to be treated have been disinfected and the anaesthetist has induced anaesthesia, the specialist begins to make fine incisions in the skin and inject a tumescent solution into the liposuction sites. This has an anesthetic effect and also helps to loosen the fat cells.
Dr. Nichlos then aspirates the loosened fat and has it cleaned. He then injects the purified fat into the tissue of the labia using very fine cannulas, sculpting them so that they form an aesthetic unit with the mons pubis. Finally, he treats the skin incisions with staple plasters. This means that subsequent stitches are not required.
In the first few days after the procedure on your labia, you should take it easy and avoid physically strenuous activities. Swelling and slight pain are normal after both hyaluronic acid injections and labia augmentation with autologous fat and usually subside within 1 to 2 weeks.
You can treat mild pain yourself with over-the-counter painkillers. Careful cooling helps against swelling. You can shower the very next day, but you should avoid full baths for about two weeks (in the case of lipofilling).
Depending on the type of procedure, it can take several weeks to months before the final result of labia augmentation can be seen. When fat cells are implanted, for example, it takes time for them to grow in completely and solidify. Dr. Nichlos will be happy to explain this to you in more detail during your consultation.
Labia augmentation is a relatively common procedure in intimate surgery and is low-risk if performed correctly and in compliance with strict hygiene and safety measures. Nevertheless, as with any surgical procedure, certain risks can never be 100% ruled out. These include, above all, the general risk of anesthesia and infection.
In addition, circulatory and wound healing disorders or scarring in the liposuction area may occur after the procedure. In very rare cases, embolisms (so-called fat embolisms) can occur when injecting autologous fat. However, the risk of this can be kept very low by the surgeon’s high level of expertise.
The cost of labia augmentation depends primarily on the method chosen. In cosmetic genital surgery, two procedures are available: volume augmentation with hyaluronic acid or labia augmentation with autologous fat (lipofilling). Both methods differ in terms of the procedure involved, the duration of results, and the scope of treatment.
At our practice, the cost of labia augmentation generally starts at:
The final price depends, among other factors, on the individual findings, the amount of filler or autologous fat required, and the duration of the procedure. Following a personal consultation, Dr. Nichlos will create a customized treatment and cost plan that transparently lists all services.
The total cost of labia augmentation consists of several medical services. These typically include:
In addition, the following costs may apply—particularly for labia augmentation using autologous fat:
For procedures performed at our partner clinics, these services are billed directly by the respective clinic.
Since labia augmentation is planned on an individual basis and the scope of treatment may vary, there is generally also the option of financing through monthly installments.
Financing is provided by an external financing partner and can be structured flexibly, depending on your credit rating. This allows the cost of treatment to be conveniently spread out over monthly payments.
We would be happy to discuss your financing options with you during a personal consultation.
In labia augmentation, the labia minora are plumped up with autologous fat or hyaluronic acid filler to achieve volume, symmetry and a more harmonious intimate aesthetic.
It is suitable for patients whose labia minora have lost volume due to age, genetics or weight loss, or who want more protection and fullness in the genital area.
Autologous fat offers a natural, permanent solution. Hyaluronic filler is well tolerated, but is broken down by the body over time and must be retreated regularly.
First, autologous fat is harvested from another part of the body, processed and then injected into the labia minora – usually on an outpatient basis and under local anesthesia.
Thanks to fine cannulas and local anesthesia, treatment with hyaluronic acid is generally well tolerated. Slight swelling or feelings of tension subside within a few days.
With hyaluronic acid, around 6 to 12 months, depending on the individual metabolism. Autologous fat offers a long-lasting result, as a large proportion of the transplanted fat remains in place in the long term.
Slight short-term changes in sensitivity may occur, which usually subside after a few days. Sexual sensitivity usually remains completely intact.
Light sporting activities are possible after 3-4 weeks. Horse riding, cycling or other sports with direct intimate contact should be avoided for at least 6 weeks.
As soon as healing is complete – usually after around 4 to 6 weeks – sexual intercourse is possible again. This will be discussed individually as part of the aftercare.
As with any treatment, temporary swelling, bruising or feelings of pressure may occur. Serious complications are very rare if the procedure is carried out correctly.
Yes, labia augmentation can be combined with labia reduction, vaginal tightening or mons pubis correction, for example – depending on the desired overall result.
Dr. Emmanouil Nichlos, MD, is a board-certified specialist in plastic and aesthetic surgery in Frankfurt and has specialized in labiaplasty and aesthetic treatments in the genital area for over 17 years.
The content of this page has been personally reviewed by him and is in accordance with the current state of medical knowledge as well as the professional standards of plastic and aesthetic surgery.
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If your labia have lost volume or have always been small and you are unhappy with their appearance or suffer from problems, intimate surgery with hyaluronic acid or autologous fat injections offers a solution. As a specialist in plastic and aesthetic surgery, Dr. Nichlos is a specialist in procedures in this sensitive area and performs the correction alone or, if desired, in combination with a reduction of the labia minora. Make an appointment for a consultation now!
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