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  • Verified Content: Approved by the Women’s Health Clinic Clinical Team.
  • Educational Use: This is not a substitute for professional medical advice, diagnosis, or treatment.
  • Clinical Assessment: Individual suitability is determined by a clinician; results may vary.
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About the Author
Dr Farzana Khan

Dr Farzana Khan

Verified

Dr Farzana Khan qualified as an MD from the University of Copenhagen in 2003. She has worked in dermatology and obstetrics & gynaecology across the North of England and completed her MRCGP (CCT, 2013) and the Diploma of the Faculty of Sexual & Reproductive Health (2013). Her clinical focus is vaginal health—including dryness/GSM, sexual function concerns, lichen sclerosus, and comfort or volume changes. She offers careful assessment, discusses medical and conservative options first, and considers selected regenerative or aesthetic treatments where appropriate. Dr Farzana also trains clinicians as a KOL/Trainer with Neauvia, Asclepion Laser, and RegenLab (since 2023). Ongoing CPD includes IMCAS, CCR, ACE and expert training in women’s intimate fillers, PRP, and polynucleotide injectables. Her approach is simple: clear explanations, realistic expectations, and shared decision-making. Authored and medically reviewed by Dr Farzana Khan.

MD MRCGP DFFP
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Medical Insight: Labial Volume Restoration

Deflated Labia & Labial Volume Loss Treatment UK Labia Majora Filler (HA) “Labial Puff"

Quick Answer: Labial volume loss causes thinning and reduced cushioning. We offer clinician-led hyaluronic acid (HA) filler to restore volume and protection.

If your outer labia feel thinner, flatter, or less "cushioned" than they used to, you're not imagining it. Volume loss affects women from postpartum through menopause, leading to friction and discomfort.

Why Women Choose Our Clinic

CQC-regulated medical clinics GP-led women's health care Evidence-informed counselling

Practitioner-Led Care

Dr Farzana Khan, Women's Health Specialist.

Medical Oversight

Clinical governance & safety protocols.

Treatment at a Glance

Condition

Labial Volume Loss / Deflation

Method

Labia Majora Filler (HA)

Primary Aim

Restore cushioning & protection

Downtime

Mild swelling (2-5 days)

Evidence-Informed

Peer-reviewed techniques

Labial volume loss assessment
Medical Insight: Labial Volume Restoration

The Foundation of Our Care

Our approach combines evidence-based medicine with compassionate care, ensuring every woman receives individualised assessment and realistic expectations.

What? - Condition Overview

Understanding Labial Volume Loss

Labial volume loss is a reduction in the natural fatty padding of the outer labia. It isn't just cosmetic; the labia majora protect delicate inner structures from friction and irritation.

Hormonal Changes

Menopause & GSM

Declining oestrogen during perimenopause leads to tissue atrophy and fat loss.

  • Genitourinary Syndrome (GSM)
  • Surgical Menopause
  • Reduced Collagen

Life Stages

Postpartum / Aging

Pregnancy, significant weight loss, and natural aging affect tissue elasticity.

  • Postpartum hormone shifts
  • Rapid weight loss
  • Natural fat redistribution

Daily Impact

Symptoms

Functional changes that impact comfort, confidence, and quality of life.

*Symptoms vary significantly per person.

Why Deflated Labia Cause Discomfort

When volume is lost, the protective padding is gone. This leads to increased friction from underwear, chafing during exercise, and sensations of exposure or vulnerability.

Friction Sensitivity Exposure Discomfort

Medical Note: Information is educational only. Diagnosis requires clinical assessment.

Who? Ideal Candidates

Is This Treatment Right For You?

This treatment is for women seeking functional improvement, protection, and comfort—not just aesthetic changes.

Menopause & GSM

Women experiencing atrophy or structural changes due to oestrogen decline.

Friction & Chafing

Those experiencing rubbing from underwear or discomfort during exercise.

Reduced Protection

Women feeling "exposed" or vulnerable to irritation due to loss of padding.

Weight Loss

Volume loss following bariatric surgery or significant lifestyle changes.

Natural Approach

Those seeking reversible options that can be adjusted over time.

Post-Medical Treatment

Women experiencing changes after chemotherapy or hormonal treatments.

Medical consultation

Not Just "Cosmetic"

Many women seek treatment primarily for comfort and protection. We approach this as a quality-of-life conversation, focused on your physical wellbeing.

Book Specialist Assessment
Why? The Clinical Advantage

Evidence-Informed, Clinician-Led Care

We combine medical expertise with compassionate care to restore comfort and confidence.

How HA Filler Works
A trained clinician places medical-grade hyaluronic acid (HA) into the subcutaneous tissue to restore volume and cushioning. HA attracts water, creating hydration and fullness.
Evidence Base
Labia majora augmentation is described in peer-reviewed literature. We use specific HA products with proven safety profiles for soft tissue restoration.
Comprehensive Care Plan
If symptoms suggest Genitourinary Syndrome of Menopause (GSM), we discuss wider comfort strategies, including moisturisers or HRT, alongside filler.

Safety First

Medically Trained Injectors

Comfort-First Approach

Focused on physical protection and relief from friction, not just aesthetics.

Practitioner-Led

Delivered by Dr Farzana Khan, ensuring safe and appropriate clinical outcomes.

Realistic Expectations

We discuss limitations and individual suitability honestly before treatment.

Adjustable Results

HA fillers are temporary and reversible, allowing for adjustments as your body changes.

Self-Care Options

Before medical treatment, consider seamless underwear, barrier creams, and gentle hygiene. If these aren't enough, we are here to help.

Discuss Options
[FEATURE_IMAGE_ALT]
Price? Investment

Transparent Costs – No Hidden Fees

Prices are indicative. Final plan confirmed after assessment.
Clinical Standard

Labia Majora Augmentation (HA)

2ml total volume (typically 1ml per side)

£995
per
treatment
  • Initial consultation & assessment
  • 2ml Medical-grade HA Filler
  • Local anaesthetic & Aftercare
Book Consultation

Additional Options

Additional ml (if needed) £295
Clinical Consultation Included
Follow-up Review Included
Local Anaesthetic Included

Volume choice is individual and determined collaboratively.

Holistic Care

Combined Approach

For some women, a combination approach addressing both tissue health through HRT (via GP) and volume restoration through filler provides comprehensive improvement.

Bespoke

Discuss Options

Not sure if you need 2ml?

Volume requirements are determined collaboratively during your consultation. We start conservatively – it's always easier to add more volume at a follow-up appointment than to remove excess.

Book Assessment
Consultation
Risks? Safety

Safety, Contraindications & Informed Consent

No responsible clinic pretends filler treatment is risk-free. We believe in fully informed consent.

Contraindications

We typically avoid or delay treatment if you have:

  • Active Infection: Inflammation, herpes, or yeast infections requiring treatment first.
  • Pregnancy/Breastfeeding: Treatment is not performed during pregnancy or breastfeeding.
  • Undiagnosed Bleeding: Unusual discharge or lesions requiring investigation.
  • Unrealistic Expectations: Goals that cannot be safely achieved medically.

Risks & Side Effects

Common temporary effects include:

Swelling/Bruising Typically resolving within 2-5 days.
Tenderness Normal in the first few days.
Lumps/Bumps Usually settle naturally over 2-4 weeks.
Vascular Occlusion Rare but serious risk managed by trained clinicians.

Our Safety Principles

Strict aseptic technique, conservative dosing, and immediate access to hyaluronidase (reversal agent).

Disclaimer: Risks, benefits, alternatives, and individual suitability are discussed fully during your consultation.

Unsure about suitability?

Clinical Image

If you have specific medical concerns, these must be disclosed during your consultation so we can assess suitability appropriately.

FAQ

Common Questions

Answers to your concerns about labial filler.

Is labial filler only "cosmetic"?
Not necessarily. Many women pursue labia majora augmentation primarily for comfort, protection, and functional improvement rather than cosmetic reasons. It often provides relief from friction discomfort and restores the cushioning lost over time.
Can menopause cause these changes?
Yes. Menopause-related oestrogen decline can cause atrophy, thinning, and reduced tissue elasticity as part of Genitourinary Syndrome of Menopause (GSM). Additionally, the labia majora can progressively lose subcutaneous fat due to hormonal changes and ageing.
How long does labial filler last?
Longevity varies by individual metabolism and lifestyle, but results typically last between 12-18 months. Some studies show outcomes extending to 52 weeks. We typically recommend planning for annual reviews.
Will it change sensation?
The intention is to restore cushioning, not to alter sensation in the clitoral or vaginal area. Most women report no change, though some report improved comfort. Temporary altered sensation may occur during the settling period.
What is the downtime after treatment?
Most women return to normal routines quickly. We advise avoiding tight underwear and pressure for 3-5 days, and avoiding vigorous exercise, sexual activity, and hot baths for approximately one week to allow initial swelling to settle.
Is it reversible?
Yes, HA fillers are generally reversible using hyaluronidase. However, dissolving filler is a medical procedure with its own considerations, so we emphasise conservative initial treatment rather than relying on reversibility as a safety net.
What if I've had other genital procedures?
Previous procedures don't automatically exclude you, but must be discussed during consultation. We need to assess your surgical history and healing patterns to ensure safe treatment planning.
Can I have filler if I'm on HRT or vaginal oestrogen?
Yes. Many women use a combination approach: HRT or local oestrogen to address underlying tissue health, alongside filler to restore lost volume that hormones alone may not fully replace.
Will my GP need to be informed?
We recommend informing your GP for continuity of care, but it is your personal decision. You are not obligated to tell your GP if you prefer privacy regarding elective procedures.
How do I know if I need 2ml or more?
We determine this collaboratively based on your anatomy and goals. We start conservatively (typically 1ml per side); it is easier to add volume at a follow-up than to remove it.
What if I'm not happy with the results?
We prioritise realistic expectations. If unsatisfied, we review the results to see if adjustment is needed. In cases where removal is desired, hyaluronidase can dissolve the HA filler.

Have more questions?

A calm, clinician-led consultation can help you understand your options.

Book Consultation
Fact vs Fiction

Myths & Misconceptions

Clarifying common misunderstandings about labial volume restoration.

Myth: "This is only for women who care about appearance."

Reality: While some have aesthetic goals, many seek treatment primarily for comfort. Women report relief from friction, better protection, and restored cushioning.

Myth: "Volume loss is just normal ageing you should accept."

Reality: "Normal" doesn't mean you must tolerate discomfort. Medical treatments exist because women's health has evolved beyond telling women to just "put up with it."

Myth: "It will look fake or unnatural."

Reality: The goal is to restore natural, comfortable volume consistent with your anatomy. We actively avoid overfilling or creating artificial results.

Myth: "If it's hormonal, HRT will fix everything."

Reality: HRT improves tissue health, but may not restore significant fat loss. A combination approach often provides the most comprehensive improvement.

Myth: "Treatment is permanent."

Reality: HA fillers are temporary (12-18 months). This allows for adjustments over time as your body and needs change.

Extended Clinical Context

Deep Dive: Science, Support & Self-Care

Genitourinary Syndrome of Menopause (GSM)
[cite_start]

Menopause-related oestrogen decline can significantly affect vulval and urogenital tissues[cite: 130, 152]. [cite_start]This condition, known as GSM, can cause atrophy, thinning, and reduced elasticity in tissues including the vulva[cite: 131, 257]. [cite_start]While hormone therapy addresses underlying tissue health, it may not fully restore lost volume once significant atrophy has occurred[cite: 189, 244].

Hyaluronic Acid Mechanism
[cite_start]

Hyaluronic acid (HA) is a naturally occurring substance that attracts and holds water, creating volume and hydration within the tissue[cite: 209]. [cite_start]In labia majora augmentation, medical-grade HA filler is placed into the subcutaneous tissue to restore fullness and protective cushioning[cite: 207]. [cite_start]Its safety profile is well-established through decades of clinical use[cite: 210].

Anatomy & Ageing
[cite_start]

As part of the natural ageing process, the labia majora can progressively flatten and lose subcutaneous fatty padding[cite: 133, 151]. [cite_start]This anatomical change reduces the protective function of the outer labia, making delicate structures more susceptible to friction and external irritation[cite: 149, 173]. [cite_start]This process is driven by universal changes in collagen density and skin elasticity[cite: 157, 158].

Medical Treatments & Hormone Changes
[cite_start]

Certain medical interventions, such as chemotherapy, pelvic radiation, or breast cancer treatments like aromatase inhibitors, can induce rapid changes in hormone levels[cite: 166, 167]. [cite_start]These changes often lead to accelerated tissue atrophy and volume loss in the vulval area[cite: 156, 166]. [cite_start]For these women, non-hormonal restoration options like HA filler provide a targeted solution[cite: 135].

Genetic Factors & Natural Variation
[cite_start]

Individual anatomy varies considerably[cite: 165]. [cite_start]Some women naturally have less subcutaneous fat in their labia majora, while others may be genetically predisposed to earlier or more significant volume loss over time[cite: 164]. [cite_start]Understanding that "normal" looks different for every woman is a cornerstone of our clinical assessment[cite: 165].

Self-Care: Clothing & Lifestyle Adjustments
[cite_start]

Choosing softer, seamless underwear made from breathable natural fabrics can reduce friction and irritation[cite: 177]. [cite_start]Avoiding tight clothing, particularly during exercise or extended wear, minimises pressure on the area[cite: 178]. [cite_start]Some women benefit from using moisture-wicking fabrics during physical activity and switching to looser daily wear to improve comfort[cite: 179].

Self-Care: Barrier Protection & Hygiene
[cite_start]

Regular use of vulval moisturisers can help maintain tissue hydration and create a protective barrier against friction[cite: 180]. [cite_start]It is important to use products specifically formulated for external vulval use that are free from harsh chemicals or fragrances[cite: 181]. [cite_start]Proper hygiene, including using gentle cleansers and pat drying the area gently, helps prevent further irritation[cite: 183, 185].

Clinical References & Citations
  • 1. British Menopause Society - Genitourinary Syndrome of Menopause (GSM)
  • 2. Imperial College Healthcare NHS Trust - Vulval Disease
  • 3. PMC - Evaluation of the Efficacy and Safety of Hyaluronic Acid for Labia Majora Augmentation
  • 4. OUP Academic - Labia Majora Augmentation: A Systematic Review
Medical Excellence

About Our Clinical Team

Book your free consultation and discover how O-Shot®, G-Shot®, Exosomes, vaginal HA Fillers & Skin Boosters, can help you with your confidence. Individual experiences vary. (we offer a generic PRP approach (no brand affiliation).
Dr Farzana Khan

Dr Farzana Khan

BSc (Hons), MD, DFFP, RCGP


Qualifications

  • MD, University of Copenhagen (2003)
  • MRCGP, CCT (2013)
  • Diploma of the Faculty of Sexual & Reproductive Health (2013)

Clinical focus

Vaginal dryness/GSM
Sexual function and comfort
Lichen sclerosus
Vulval skin
Volume concerns

How she works

  • Listens first. Conservative and medical options discussed before procedures
  • Clear, balanced counselling on benefits, limits, risks, and alternatives
  • Shared decisions, realistic expectations, written aftercare

Training & teaching

  • KOL/Trainer: Neauvia, Asclepion Laser, RegenLab (since 2023)
  • Ongoing CPD: IMCAS, CCR, ACE, and intimate HA/PRP/Polynucleotide training

Authored and medically reviewed by Dr Farzana Khan. Last updated: [November 2025]

Katy Pitt Allen

Katy Pitt Allen

Clinical Director

Registered Nurse, BMS
Katy brings exceptional clinical expertise and international experience to her role as Clinical Director, with specialized knowledge in oncology, gynaecology, and palliative care developed through over a decade of nursing excellence. Her proven leadership skills, demonstrated through her progression from staff nurse to junior ward sister and her current international oncology practice, ensure our clinic maintains the highest clinical standards while delivering compassionate, evidence-based care to all patients.
Dr Kamaljit Singh

Dr Kamaljit Singh

Clinical Oversight

BSc (Hons), MBChB, MRCGP
Dr. Kamaljit Singh provides medical oversight for our clinical team, bringing over 25 years of comprehensive healthcare experience to ensure the highest standards of patient care. A graduate of Leeds Medical School with distinction, Dr. Singh holds his MRCGP qualification and served as a senior partner at Leicester Medical Group for 16 years. His expertise spans both traditional medicine and aesthetic procedures, with specialized training in cosmetic treatments and 18 years of membership with the British Association of Aesthetic Plastic Surgeons. Dr. Singh's background includes roles as an FY2 trainer and GP assessor, demonstrating his commitment to medical education and professional standards that ensure our clinical team operates with rigorous oversight and excellence.
Jill Crowe

Jill Crowe

Director of Relationships

RN BSc
Jill brings over two decades of nursing excellence and exceptional relationship-building skills to her role as Relationship Manager at our women's health clinic. With her proven expertise in communication, team leadership, and inter-agency collaboration, she seamlessly coordinates between practitioners, patients, and partners to ensure the highest quality of care and service delivery.

Deflated Labia: Causes, Symptoms & Treatment Options

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Reviews

Experiences Shared by Women Like You

Verified patient feedback from across our services.
- Educational and informational only. Individual experiences vary.
- Patient feedback reflects personal experiences, not clinical outcomes.
- Reviews relate to overall care and service experience.
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How? - Our process

How we work?

Your journey to renewed confidence and intimate wellness in simple steps. Educational only. Suitability is individual; results and timelines vary.
Warts and skin tags

1

Free Telephone Consultation —Deflated Labia: Causes, Symptoms & Treatment Options

Every journey begins with a private conversation with one of our nurse specialists. This is a relaxed, no-obligation opportunity to discuss your symptoms, goals, and medical history. We’ll assess your initial suitability and answer any questions you have about the process.

2

Preparation & Clinical Guidance —Deflated Labia: Causes, Symptoms & Treatment Options

Once you’re ready to move forward, we’ll provide you with necessary medical questionnaires and preparation guidance. This ensures our practitioners have a complete understanding of your health—including any gynecological or sexual health history—before we meet in person to ensure we use your time effectively.

3

Face-to-Face Consultation —Deflated Labia: Causes, Symptoms & Treatment Options

During this in-depth assessment, your practitioner will perform a physical examination to assess your specific condition. We discuss all medical and conservative options openly, providing clear, balanced counseling on the benefits, limits, risks, and alternatives. No treatment proceeds until you feel fully informed and have provided your signed consent.

4

Evidence-Based Treatment —Deflated Labia: Causes, Symptoms & Treatment Options

Your procedure is carried out in a comfortable, clinical environment using advanced, evidence-based technology. Whether it involves laser application, PRP, or specialized therapy, the focus is always on your comfort and safety. Most sessions are efficient, typically lasting between 15–30 minutes with minimal discomfort.

5

Immediate Aftercare & Comfort —Deflated Labia: Causes, Symptoms & Treatment Options

Following your treatment, we provide clear instructions on how to support your healing. We’ll confirm your immediate comfort and discuss what to expect in the coming days—such as mild soreness or spotting—so you feel fully supported the moment you leave the clinic.

6

Review & Expectation Management —Deflated Labia: Causes, Symptoms & Treatment Options

True clinical results take time to develop as your body heals and regenerates. We monitor your early progress and discuss whether your initial results align with our shared expectations. If needed, we adjust your personalized plan to ensure we are on the right path toward your goals.

7

Long-Term Care & Follow-Up —Deflated Labia: Causes, Symptoms & Treatment Options

We believe in lasting wellness rather than quick fixes. This final stage involves scheduled follow-ups and progress tracking through digital questionnaires. We’ll decide together if maintenance sessions or lifestyle adjustments, such as routine pelvic floor exercises, are needed to sustain your results for years to come.
Ready to Restore Your Comfort?

Get in Touch and Take the First Step Today

Book your free consultation and discover how O-Shot®, G-Shot®, Exosomes, vaginal HA Fillers & Skin Boosters, can help you with your confidence. Individual experiences vary. (we offer a generic PRP approach (no brand affiliation).
We’ll listen, assess, and explain options—conservative, medical, and (if suitable) procedural.
Ask a question first
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