Vulval fillers: what they do and who they could help

Fiona Clark

Can fillers injected into the labia or vaginal wall help with vaginal dryness, laxity, and improve sex? Dr Sherif Wakil explains how they work

We get a number of calls from women asking about fillers for their labia or G-spot, so we’ve asked Dr Sherif Wakil, founder of the Dr SW Clinics which specialise in sexual aesthetics to run through what these treatments do and who can benefit.

Dr Wakil says there are two main reasons why women may choose to have fillers injected into their external the internal genitalia – one is an aesthetic benefit and the other is functional.


Vulva Anatomy: Shutterstock

As we age our genitalia ages too. Dr Wakil says this means there is a loss of volume in the labia majora, or the outer lips of the vagina.

“We lose fat and the labia can get a bit saggy. It can start protruding which many women don’t like and it also changes in colour. When you puff it up it looks much more contoured.”

He adds that while ‘looks’ may be important to some, it it vital to remember that labia’s come in many different shapes and sizes – there is no ‘look’ that they should conform to. If you are considering having this treatment, it should be about making you happy and comfortable.

Then there are the functional reasons where it can be helpful.


Function over form

“As we age, the labial skin becomes thinner and can tear or be uncomfortable during sex,” Dr Wakil says.


Vaginal Atrophy, Shutterstock

There are also internal changes. The vaginal walls become thinner and the mucosa that produces lubrication may become less efficient.

The result is vaginal dryness which can make sex uncomfortable or painful.

Atrophy of the vagina, usually associated with declining oestrogen levels and menopause, can also mean that the area of highest sensitivity – the illusive G-spot (located on the front wall of the vagina) – is no longer as easily stimulated, meaning less enjoyment during sex.

Localised oestrogen creams and HRT can help with the the dryness and atrophy but for many women fillers or a ‘labial puffing’ may provide some relief and improve quality of life by improving lubrication.

According to Dr Wakil filler injected into the internal walls of the vagina helps “improve the hydration and atrophy of the vagina.

“The filler is hydrophilic – that is,  it attracts water, so when you inject a small amount inside using a mesotherapy technique, it improves the hydration of the muscosa and improves the dryness,” he says. The mesotherapy technique involves a series of very shallow injections.

Vaginal laxity or weakness in the vaginal walls can mean the G-Spot isn’t as prominent as it used to be so it isn’t as well stimulated as it previously had been.

Dr Wakil says injecting a tiny bit of filler into the region can help.

“By injecting the G-spot you’re enhancing it’s mechanical efficiency. With age and atrophy it doesn’t protrude as much so isn’t as well stimulated during sex. By making it protrude more it means it is touched more during sex by the penis, increasing stimulation.”

But it isn’t for everyone.

“This works only if the patient has vaginal orgasms and knows where her G-spot is. This is why patient selection is very important.”



Are there risks?

Dr Wakil says the risk are very small but the quality of the injector and their experience is important. The person should be trained and experienced in the procedure and be a qualified medical practitioner.

“There is always the risk of infection, bleeding and injury,” Dr Wakil says. “I’ve never seen it myself but it can happen.”

He adds it’s important to choose the right filler.

“The right filler is bounce-able – that is, it takes pressure and resumes its shape again. If you choose one that’s mouldable, then after sex then the shape will change shape and be flat.”


Labia Majore

The other thing to consider is longevity – the filler should last a good amount of time – around a year.

The other risk is that it could be injected into a vein and cause vascular occlusion – that is, they block the blood supply which can cause skin death if it isn’t recognised and treated quickly. It avoid this the equipment used when injecting can make a difference.

“I use a cannula which is blunt and doesn’t have a sharp tip [like a needle] so it doesn’t penetrate the blood vessels.”

Other risk include bruising in the area and also granulation or lumps.

“That means that the person who injected it did it in a bolus [or small bumps] and not is a straight line. So it can depend on the skill of the injector,” he says.



Does it work?

This is a relatively new treatment and there is not a large amount of robust evidence around to show that it can make a difference, but small studies on it are starting to emerge are starting to emerge and are showing good results.


Dr Sherif Wakil

In his own clinic Dr Wakil says that he has seen the treatment make a considerable difference the the quality of life of many women.

He adds the fillers may be use effectively in conjunction with certain other non-invasive vaginal treatments such as PRP (the O-Shot) or non-invasive energy based treatments which help to improve laxity, stress incontinence and lubrication.

The important things to remember is that you have this treatment for you.

As the picture above shows, a woman’s genitalia can vary considerably between women and there is no ‘normal’ that to be conformed to.

The price for the treatment depends on the amount of filler used.






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