Clinical Review & Disclaimer
- 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.
- MEDICAL EMERGENCY: If you are experiencing a medical emergency, call 911 immediately.
About the Author
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
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
The Foundation of Our Care
Our approach combines evidence-based medicine with compassionate care, ensuring every woman receives individualised assessment and realistic expectations.
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 & GSMDeclining oestrogen during perimenopause leads to tissue atrophy and fat loss.
- Genitourinary Syndrome (GSM)
- Surgical Menopause
- Reduced Collagen
Life Stages
Postpartum / AgingPregnancy, significant weight loss, and natural aging affect tissue elasticity.
- Postpartum hormone shifts
- Rapid weight loss
- Natural fat redistribution
Daily Impact
SymptomsFunctional 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.
Medical Note: Information is educational only. Diagnosis requires clinical assessment.
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.
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 AssessmentEvidence-Informed, Clinician-Led Care
We combine medical expertise with compassionate care to restore comfort and confidence.
How HA Filler Works
Evidence Base
Comprehensive Care Plan
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
Transparent Costs – No Hidden Fees
Labia Majora Augmentation (HA)
2ml total volume (typically 1ml per side)
treatment
- Initial consultation & assessment
- 2ml Medical-grade HA Filler
- Local anaesthetic & Aftercare
Additional Options
Volume choice is individual and determined collaboratively.
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 OptionsNot 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
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:
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?
If you have specific medical concerns, these must be disclosed during your consultation so we can assess suitability appropriately.
Common Questions
Answers to your concerns about labial filler.
Is labial filler only "cosmetic"?
Can menopause cause these changes?
How long does labial filler last?
Will it change sensation?
What is the downtime after treatment?
Is it reversible?
What if I've had other genital procedures?
Can I have filler if I'm on HRT or vaginal oestrogen?
Will my GP need to be informed?
How do I know if I need 2ml or more?
What if I'm not happy with the results?
Have more questions?
A calm, clinician-led consultation can help you understand your options.
Book ConsultationMyths & 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.
Deep Dive: Science, Support & Self-Care
Genitourinary Syndrome of Menopause (GSM)
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
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
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
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
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
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
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
About Our Clinical Team

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
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
Clinical Director
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
Clinical Oversight
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
Director of Relationships
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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- 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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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.
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