Injections of hyaluronic acid for rehydration of the vulva and vaginal areas in women suffering with dryness or irritation and the ‘labial puff’ procedure to enhance the appearance of laxity and deflation and reshape the labia majora (outer lips of the vulva). DESIRIAL® by Laboratoires Vivacy is an antioxidant hyaluronic acid based gel specifically formulated to preserve women’s intimate health.

Who is it suitable for?

For women who suffer a lack of oestrogen during menopause, following cancer treatment or after weight loss. When there is a lack of oestrogen secretion, there is thinning of the skin in the genital area with dryness of the vaginal mucosa with flaccidity, fragility and loss of elasticity. HA injections around the vagina can help with rehydration and they promote suppleness of the tissue. With increasing age or weight loss, the labia majora can appear flaccid or deflated. HA injections can reshape the labia majora to give a rejuvenated appearance, conceal the labia minora and give a better appearance in proportions between the labia.

What does it involve?

Injection of cross-linked hyaluronic acid DESIRIAL® into the labia majora (labial puff) or around the vagina (for irritation and dryness). Before the procedure, a local anaesthetic cream is applied to the area to be treated, followed by a local anaesthetic injection for added comfort. DESIRIAL® HA filler is then injected into the area to be treated.

Frequently asked questions

How do I know if this procedure is right for me?

It is important for you to be fully assessed and understand the likely outcome, whether your expectations can be achieved, possible unwanted effects, risks, costs and downtime before making a decision about having any treatment. Please discuss what you wish to achieve during your consultation.

How long does the procedure take?

From half an hour.

How much does this procedure cost?

From £500.

Are there any potential side effects?

Common side effects are initial redness, swelling (lasts for a few days) and mild bruising.

Risks of HA fillers are rare. They include bruising, skin necrosis from injection into a blood vessel, overfilling, asymmetry, infection and lumps.

Caution: Tissue fillers are not given to women who are pregnant or breast feeding or to those under the age of 18 years. Avoid blood thinners for at least one week before treatment to reduce bruising. These include aspirin, warfarin, dipyridamole, clopidogrel, nonsteroidal anti-inflammatory drugs (NSAIDs), fish oil, vitamin E supplements, St John’s Wort, garlic tablets, gingko biloba, and ginseng. HA fillers are not given to those with a history of hypersensitivity or allergy to lignocaine (local anaesthetic), or where there is evidence of broken skin or an infection.

It is necessary to avoid: sexual intercourse, touching or massaging the treated area, extremes of temperature such as excessive heat (sauna or steam bath, hot drinks) or cold (swimming), alcohol, smoking and vigorous exercises for at least 24 hours after the procedure.

In those who have a history herpes simplex infection, there is a risk of reactivation of infection with injections to that area. Please discuss this with your practitioner.

Find out more

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Related Procedures


Surgical reduction of labia minora (inner lips of the vulva) when they are overly large and cause problems with irritation, hygiene, sport, sexual intercourse and clothing. Less commonly labia majora (outer lips of the vulva) reduction is advisable if there is excess tissue.

Platelet Rich Plasma

For adults with vaginal dryness, to enhance lubrication and sensation with improvement of the quality of the vaginal wall. Also for women with mild stress urinary incontinence or who suffer with pain on sexual intercourse or for women who wish enhanced sensitivity in the clitoral complex.

Vaginal Rejuvenation

For treatment of vaginal dryness, enhancement of sexual function and satisfaction and treatment of stress urinary incontinence.


Based in London, Dr Lewis is a highly respected surgeon, with over 30 years experience in helping women feel good about their bodies.

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