Labia majora surgery restores volume to the outer labia that have deflated with age, weight loss or hormonal change, or reduces them where they are too full — a discreet, well-established intervention performed with either fat transfer, injectable filler or direct reduction, with a female surgeon available on request at no additional charge. At Aylan Clinic it is carried out over a five-to-seven-day stay, with a chaperoned examination, nursing visits covering both the treatment and donor areas, and complete confidentiality, for up to 60% less than Canadian private prices.
This guide sits within our intimate surgery in Turkey category, part of our wider aesthetic surgery in Turkey section. Because there is no separate procedure page for this treatment, the intimate surgery hub is where you will find the full range of related interventions and how a plan is built. Below you will find what labia majora surgery actually addresses, the distinction most patients get wrong, the techniques for augmentation and reduction, how transferred fat settles, the assessment, a day-by-day trip, recovery, scars, pricing and detailed FAQ. At any time you can see our pricing in Turkey, with no obligation.
The Short Answer
Labia majora surgery at Aylan Clinic allows patients from Toronto, Montreal, Vancouver, Calgary, Ottawa and across Canada to restore volume to the outer labia, or reduce them where they are too full, with a stay of five to seven days, for up to 60% less than Canadian private prices.
This is the procedure that addresses the outer lips, and it works in two opposite directions depending on what bothers you.
- Augmentation, usually with your own fat, restores volume to labia majora that have deflated with age, weight loss or hormonal change. It is the more common request, and it comes with a second benefit: the donor area is contoured by the same operation.
- Reduction addresses labia majora that are too full or bulky, producing a visible fullness in fitted clothing and swimwear that many patients find bothersome.
Three things to know before reading further. A female surgeon is available on request, at no additional charge. This is the procedure most patients have not heard of, and a number arrive asking for a labiaplasty when the outer labia are actually their concern — the section below sets out the difference clearly. And augmentation with fat involves settling: a proportion of the transferred fat is reabsorbed over the first months, which is normal, planned for, and the reason your result is judged at six months rather than at one.
1. Understanding Labia Majora Surgery
What the Labia Majora Are
The outer lips — the fuller, hair-bearing folds on either side of the vulva. They sit outside the labia minora and they provide the outer contour and cushioning of the area. They are made largely of fat and connective tissue, which is why they respond to weight change and to hormonal change in a way the labia minora do not.
What Changes Them
- Weight loss, sometimes dramatically. Substantial weight loss deflates the labia majora as it deflates fat elsewhere, and after bariatric surgery this is a common and rarely discussed change.
- Age and hormonal change, particularly after menopause, which reduces both fat volume and tissue elasticity.
- Childbirth, which can stretch the tissue.
- Genetics, which determines your baseline — some women have naturally full labia majora and some have naturally minimal ones.
What Augmentation Achieves
- Restored volume and a fuller outer contour, which is the structural change.
- Better coverage of the labia minora. Where the outer lips have deflated, the inner lips become relatively more prominent and more exposed — and a number of patients who think they need a labiaplasty actually need the outer lips filled. This is the most useful distinction on this page.
- Reduced friction, because fuller outer labia cushion the area and reduce contact with clothing.
- A smoother appearance in fitted clothing and swimwear.
- Reduced dryness and irritation in some patients, where deflation had left the area more exposed.
- The appearance patients describe as looking like it did, which for those who have lost significant weight is frequently the point.
What Reduction Achieves
- Reduced bulk and projection, addressing visible fullness in leggings, swimwear and fitted trousers.
- Less friction and chafing where the fullness rubs.
- Improved comfort with exercise and cycling.
- Improved hygiene in some patients, where excessive folds trap moisture.
What Neither Addresses
- The labia minora — that is a labiaplasty.
- The vaginal canal — that is a vaginoplasty.
- The mons pubis, the fatty area above the pubic bone — that is a monsplasty, covered in its own guide and frequently combined with this one.
2. The Distinction Most Patients Get Wrong
This is the most useful section on this page, and it is worth reading carefully.
The Situation
A patient notices that her labia minora — the inner lips — are more visible or more prominent than they used to be. She concludes she needs a labiaplasty. But in a meaningful proportion of these patients, the labia minora have not changed at all. What has changed is that the labia majora have deflated, so the inner lips are no longer covered.
Why It Matters
Because the two situations need opposite operations. Reducing the labia minora when the real problem is deflated outer lips removes tissue that was not the problem, and it leaves the area looking flatter and more deflated rather than restored. Augmenting the labia majora restores the coverage and the inner lips sit where they used to.
How to Tell
Two things to consider. Has anything changed, and when? If your inner lips have always projected, that is your anatomy and a labiaplasty addresses it. If they have become more prominent following weight loss, menopause or over time, the more likely change is deflation of the outer lips. And look at the outer lips themselves: are they full, or do they look deflated and loose? A deflated outer lip is a strong indication that augmentation rather than reduction is what you need.
What We Do
Assess both at consultation, and tell you honestly which is the issue. Frequently the answer is both — a modest labiaplasty combined with augmentation of the outer lips — and the combination produces a considerably better result than either alone. This is why we ask you to describe what has changed rather than name a procedure. A patient who arrives asking for a labiaplasty and leaves with an augmentation plan has been properly assessed, and it happens regularly.
3. Techniques for Augmentation
Fat Transfer (Lipofilling)
The most common approach, and the one we recommend for most patients. Fat is harvested by gentle liposuction from a donor area — usually the abdomen, flanks or inner thighs — purified, and injected into the labia majora in fine droplets.
Advantages: it is your own tissue, so it feels entirely natural, there is no foreign material, and the donor area is contoured by the same operation.
The consideration: a proportion of the transferred fat is reabsorbed over the first months. The settling section below explains this, and it is planned for rather than a surprise.
Hyaluronic Acid Filler
Injectable filler placed into the labia majora, without surgery.
Advantages: no operation, no donor area, immediate result, and it is reversible.
Considerations: it is temporary, typically lasting some months to a year or more depending on the product, so it requires repeating. And it involves injecting a product rather than your own tissue.
Where it suits: patients who want a modest change without surgery, or who want to see what more volume looks like before committing to a fat transfer. We offer it, and we will tell you honestly that for a durable result fat transfer is the better option for most patients.
Which Suits You?
| Consideration | Fat transfer | Hyaluronic acid filler |
|---|---|---|
| Best for | A lasting result, adequate donor fat, comfortable with a short operation | A temporary or trial result, minimal donor fat, or preferring to avoid surgery |
| Material | Your own tissue | An injectable product, reversible |
| Durability | The fat surviving at six months is permanent | Temporary, requires repeating |
| Donor area | Contoured by the same operation | None |
Do you have enough donor fat? Most patients do — the volume required for labia majora augmentation is small compared with a breast or buttock fat transfer, so even slim patients frequently have adequate reserves. Where you genuinely do not, filler is the practical option and we will say so.

4. Techniques for Reduction
Direct Excision
An ellipse of excess tissue is removed from each labium majus and the edges are closed. The incision is placed in the natural crease between the labia majora and the labia minora, or along the hair-bearing border, where the scar is least visible.
Liposuction Alone
Where the fullness is fatty rather than involving excess skin, liposuction alone can reduce the volume without an incision beyond the small liposuction ports. This suits patients with good skin quality — where the skin will retract onto the reduced volume. Where the skin is already loose, liposuction alone leaves it looser.
Combined
Liposuction to reduce volume with a limited excision to address skin excess. Frequently the right answer where both are present.
How the Decision Is Made
From your examination — the proportion of fat to skin excess, and your skin quality. Your plan specifies the approach with the reasoning.
5. Settling: What Happens to Transferred Fat
Worth understanding properly, because it explains the timeline and prevents unnecessary worry.
What Happens
Transferred fat cells survive by acquiring a new blood supply from the surrounding tissue. A proportion do not, and those are reabsorbed by the body over the first months. The fat that does survive becomes permanent living tissue with its own blood supply.
Why Your Surgeon Over-Corrects
Deliberately more fat is placed than the target volume, knowing that some will settle. This is why you will look fuller at one month than at six — and the volume at six months is your genuine result.
The Timeline
| Period | What happens |
|---|---|
| Weeks 1 to 3 | Swollen and over-full. Not assessable at all. |
| Weeks 3 to 8 | Swelling resolves and the shape begins to appear. |
| Months 2 to 6 | Settling occurs. The volume reduces gradually. |
| Month 6 onward | Your genuine result. |
Judging before six months is misleading, and patients who know this in advance find the intervening months entirely comfortable.
Will I Need a Second Session?
Most patients are satisfied after one, because the volume required here is modest and the labia majora take fat reasonably well. Where more volume is wanted, a second session at six months adds further — and it frequently takes better, because the previously grafted tissue is well vascularised. Your consultation gives you a realistic expectation from your donor reserves.
Weight Change Afterwards
Grafted fat behaves like the rest of your body fat. Lose weight and it reduces; gain weight and it increases. Practically: if you are planning significant weight loss, complete it before surgery. Otherwise you would be transferring fat you are about to lose. For a patient whose deflation was caused by weight loss in the first place, this is worth stating clearly — have the augmentation once your weight is stable.
6. Assessment: Building Your Plan
The Online Consultation
You send your details, and — if you are willing — photographs. Your surgeon reviews them and provides a plan and quote.
What to send: your age and menopausal status, whether anything has changed and when — weight loss, childbirth, menopause — how much weight you have lost if applicable and whether it is stable, what specifically bothers you, whether you also have concerns about the inner labia, previous surgery in the area, all conditions and medications, and whether you would prefer a female surgeon.
Photographs, if you are comfortable sending them: from the front, lying with the legs apart, in good light, unfiltered. Plus photographs of your potential donor areas — abdomen, flanks, inner thighs — if augmentation is what you are considering. The donor area photographs are the ones most often forgotten.
If You Would Rather Not Send Photographs
Entirely reasonable, and a number of patients prefer it. We can provide a preliminary discussion and a range, with the definitive plan made at your on-site assessment.
On-Site Assessment
- Clinical examination with a chaperone present.
- Your surgeon assesses the labia majora volume and skin quality, the labia minora and whether they are a separate concern, the mons pubis, and — for augmentation — the donor areas by pinch test.
- Blood work and pre-operative assessment.
- Anaesthetic review.
The Consultation
Your surgeon will discuss whether augmentation or reduction is appropriate, the technique, whether the inner labia should be addressed as well, whether a monsplasty would improve the overall contour, and the recovery. Where the assessment finds that your concern about the inner labia is actually about outer deflation, that conversation happens here — and it changes the plan. Ask to see one-year photographs. For fat transfer specifically, images at six months or later are the informative ones.
7. Anaesthesia and Your Trip, Day by Day
Five to seven days, and seven where a fat transfer with a larger donor harvest or a combined procedure is involved.
The Anaesthesia
Local anaesthesia with sedation for a straightforward filler or a small procedure. General anaesthesia for fat transfer, since it involves a donor site, or where procedures are combined. Many patients prefer general anaesthesia simply because they would rather be unaware, and that is a reasonable basis for choosing.
Day 1 — Arrival
Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today.
Day 2 — Assessment
Clinical examination with a chaperone including donor area assessment, blood work, anaesthetic review, and your surgeon consultation. By the end of the day your plan is confirmed — augmentation or reduction, technique, donor areas, and anything combined.
Day 3 — Surgery
Marking of both the treatment area and the donor sites, standing. Then the procedure — forty-five minutes to two hours depending on the technique and the donor harvest. You are in recovery for a few hours. Most patients return to their hotel the same day. You will have a compression garment on the donor area and ice for the treatment area — and the compression section below explains why the labia majora themselves are not compressed after fat transfer.
Days 4 to 5 — Recovery with Nursing Visits
A nurse visits to check both areas, review your medication and answer questions. Swelling peaks around days two to three, and after a fat transfer the area will look considerably fuller than the intended result. This is expected. The donor area is frequently more uncomfortable than the treatment area, which surprises patients — the recovery section covers it.
Day 6 — Surgical Review
Your surgeon reviews both areas. Many patients feel well enough for a gentle outing by this point.
Day 7 — Final Check and Departure
Final review, wound care instruction, and your documentation: operative report describing the donor sites and the volume placed on each side, written aftercare guidance including what the first months will look like, and compression garment guidance. Then your transfer to the airport.
8. Recovery: Two Areas After a Fat Transfer
The Thing That Surprises Patients
The donor area is frequently more uncomfortable than the labia. Liposuction produces a deep muscular ache across the treated zones — comparable to significant bruising or a very hard workout. The labia majora, by contrast, feel swollen and tight rather than painful. Knowing this in advance changes the first week considerably.
Days 1 to 3
- Swelling in the labia majora, peaking around days two to three. After a fat transfer the area looks markedly fuller than the intended result — deliberately so.
- Bruising in both areas, sometimes extensive in the donor site.
- Donor area ache at its most noticeable. Movement is stiff, and sitting is uncomfortable if the flanks or thighs were harvested.
- Ice for the labia, twenty minutes at a time with a cloth barrier.
- Some fluid leakage from the small liposuction incisions in the first day or two is normal — pads are provided.
Days 4 to 7
- Both areas improving noticeably. Donor ache easing markedly from around day four or five.
- Walking gently is fine and encouraged.
- Most patients move from prescribed analgesia to over-the-counter pain relief around day four or five.
Weeks 2 to 4
- Labial swelling reducing steadily. Donor bruising resolving.
- Desk work at seven to ten days, with a cushion.
- Compression garment on the donor area continues.
Weeks 4 to 8
- Most swelling resolved in both areas. The labia beginning to look like the intended shape rather than a swollen version of it.
- Donor area contour improving as swelling resolves and skin retracts — a slower change than patients expect, continuing to around three months.
Months 2 to 6
Settling occurs and labial volume reduces gradually — normal, expected, and the reason for the over-correction.
Month 6 Onward
Your genuine result in both areas. This is when to assess and to decide whether a second session interests you.
9. Compression: A Rule Specific to This Procedure
The Labia Are Not Compressed After Fat Transfer
This is the opposite of what patients expect, and it matters. Compressing newly grafted fat applies pressure that interferes with the blood vessel ingrowth the graft depends on. Ice, yes. Compression, no. Loose cotton underwear, nothing tight, and no compression garment over the treatment area. If you have had other surgery and own compression garments, do not use them here.

The Donor Area Is Compressed
Here compression is essential. A garment is worn for four to six weeks to limit swelling, encourage skin retraction and produce an even contour. Wearing it properly is the single thing most within your control regarding the donor area result. Patients who wear it consistently get a smoother contour, and the difference is visible. A second garment is included so you can launder one.
After a Reduction
Different rule. Where tissue has been excised, light support may be recommended rather than compression — your surgeon specifies.
Sitting
Uncomfortable in the first week, and more so if the donor area involved the flanks or thighs. A cushion helps, and standing periodically matters.
10. Wound Care and Daily Life
Keeping the Area Clean
Rinse with warm water after urinating and pat dry. A peri bottle is genuinely useful — buy one before you travel. No soap directly on any incision in the first weeks. No baths, swimming or hot tubs until confirmed, usually three to four weeks. Showers are fine from day one or two.
Underwear and Clothing
Loose cotton underwear, nothing tight, nothing synthetic, no compressing seams. Loose clothing — no leggings or tight jeans for the first weeks.
Ice
Twenty minutes at a time, several times a day, for the first three to four days, always with a cloth barrier. The most effective thing you control in the first days.
Sanitary Protection
Pads for the first days, for light discharge and any leakage from liposuction ports. Nothing internal until confirmed.
What to Buy Before You Travel
A peri bottle. Loose cotton underwear, several pairs. Pads. Ice packs. A cushion. Your compression garment is provided.
11. Returning to Activity
| Activity | Typical timing |
|---|---|
| Walking | From day one, gently, and encouraged |
| Desk work | Seven to ten days, with a cushion |
| Physical work | Two to three weeks |
| Driving | Three to five days, once off strong analgesia and comfortable sitting |
| Light exercise | Three to four weeks |
| Running | Six weeks |
| Cycling, spinning, horse riding | Six to eight weeks. Direct pressure on grafted tissue waits longest, and it matters more after augmentation than after reduction |
| Swimming | Three to four weeks, once healed and confirmed |
| Intercourse | Four to six weeks, on your surgeon’s confirmation. Longer after a fat transfer than after a filler, because grafted tissue needs to establish |
| Tampons | After your surgeon confirms |
One Consideration Specific to Fat Transfer
Substantial weight loss in the first year will reduce your grafted volume, since grafted fat responds like all your other fat. Return to activity for health by all means — simply be aware of the trade-off if you are planning a significant body composition change. Many patients time this procedure for after such a change rather than before.
12. Scars and Sensation
After Augmentation with Fat
Two or three liposuction ports of a few millimetres on the donor area, placed in concealed positions. Injection sites on the labia, which are punctures rather than incisions and heal without visible scarring. This is one of the least scarring procedures in genital surgery.
After Augmentation with Filler
No scars. Injection punctures only.
After Reduction
An incision in the natural crease or along the hair-bearing border, which matures over three to six months and becomes inconspicuous. The area heals well, and mature scars here are generally difficult to see.
Sensation
Neither procedure involves the clitoris, and clitoral sensation is not affected. Sensation in the labia majora may be temporarily altered — numbness or heightened sensitivity in the first weeks — and it generally settles. A small proportion of patients report a lasting minor change. It is uncommon.
Hair
The labia majora are hair-bearing. Augmentation does not affect hair growth. After a reduction, tissue removal means slightly less hair-bearing area, and the incision line may have a small area without hair. Worth knowing rather than concerning.
13. The Flight Home
The Interval
Five days minimum, and seven where a larger fat harvest or combined procedure was involved.
Making It Manageable
- Book an aisle seat, and get up and walk every hour.
- Bring a cushion — the practical tip patients most appreciate, and more so if your donor area was the flanks or thighs.
- Wear your compression garment on the donor area for the flight, and graduated compression stockings.
- Loose clothing and loose cotton underwear.
- Bring pads and your peri bottle in your cabin bag.
- Take your analgesia before boarding.
- Hydrate, and avoid alcohol.
- Avoid a same-day domestic connection where you can.
14. Aylan Clinic Across Canada: 50 Cities We Serve
Aylan Clinic works with patients from every province and territory in Canada. Wherever you live, the process begins the same way: a free, confidential online consultation, with an honest assessment of whether augmentation, reduction or something else is what you actually need. Below are the fifty Canadian cities from which we most frequently receive enquiries, with practical notes on travelling to Istanbul from each region.
Greater Toronto Area and Southern Ontario
Toronto is our single largest source of Canadian patients, and Pearson offers the most direct connections to Istanbul of any Canadian airport — and for a short trip that convenience is considerable. Across the wider Greater Toronto Area we regularly work with patients from Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario we see patients from London, from the Waterloo region — Kitchener, Waterloo and Cambridge — and from Guelph, Windsor and Barrie. Being driven to Pearson is more comfortable than a domestic connection after liposuction.
Eastern and Northern Ontario
Ottawa patients typically connect through Toronto or Montreal. Kingston patients generally drive to either. In northern Ontario we work with patients from Sudbury, Thunder Bay and Sault Ste. Marie. Journeys involve a domestic connection, which means additional sitting — an overnight stay near your arrival airport is worth building in, particularly after a fat harvest. Sudbury and Thunder Bay both have substantial francophone populations, and those patients are served in French from first contact onward.
Montreal and the Surrounding Region
Montreal is our second-largest Canadian source, with excellent connections to Istanbul from Trudeau. Patients from Laval, Longueuil and Brossard are all within easy reach. Because this is a short trip, a number of Montreal patients treat it as a week away.
Quebec City and Across the Province
From Quebec City and the Capitale-Nationale region including Lévis, most patients connect through Montreal — as do patients from Trois-Rivières, Sherbrooke, Drummondville and Saint-Jérôme, all within driving distance of Trudeau. Gatineau patients depart from Ottawa or drive to Montreal. From Saguenay, a domestic connection through Montreal is the norm. All Quebec patients are served in French throughout. The distinction above — whether your concern is the inner or the outer labia — is a conversation to have in your own language, and it changes the plan. Your consultation, examination, nursing visits and written aftercare are all available in French.
Vancouver and British Columbia
Vancouver patients connect through European hubs, typically one connection and a full day of travel. We schedule assessment for the day after arrival. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, patients cross by ferry or short flight — the ferry is considerably more comfortable on the return leg after liposuction. Kelowna, Abbotsford and Kamloops patients connect through Vancouver or Calgary. Given the journey and the sitting involved, British Columbia patients frequently stay a day or two longer, and we suggest it.
Alberta
Calgary and Edmonton both offer good European connections. Red Deer and Lethbridge patients generally drive to Calgary. We schedule Alberta patients with the same rest-day approach as British Columbia.
Manitoba and Saskatchewan
Winnipeg patients connect through Toronto or Montreal. Saint-Boniface and Franco-Manitoban patients are served in French. From Saskatoon and Regina, journeys involve a domestic connection followed by a transatlantic flight. An overnight stay on the return is worth building in.
Atlantic Canada
Halifax patients typically route through Toronto or Montreal. In New Brunswick: Moncton, Fredericton and Saint John, with Moncton and surrounding Acadian communities served in French. Most connect through Montreal, which for francophone patients means French-language service throughout. From Charlottetown and St. John’s, journeys involve one or two connections, with an overnight in between advisable.
Northern Canada
We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. This procedure suits northern patients well, for a specific reason: it requires no lifelong follow-up, no ongoing medication and no supervised rehabilitation. The commitment is one short trip and a compression garment for the donor area. Discretion is frequently part of why northern patients contact us, and it is entirely respected. We plan northern itineraries with buffer days at both ends, given the sitting involved on the return.

How We Handle the Logistics
Whichever city you are travelling from, your coordinator arranges airport transfers at both ends in Istanbul, confirms your hotel before you depart, and builds your schedule around your arrival time. Five recommendations: describe what has changed rather than naming a procedure; send donor area photographs if you are considering augmentation; request a female surgeon if you would prefer one; complete any planned weight loss first; and bring a cushion for the flight home.
15. What the Package Includes
- Free, confidential online consultation, with an honest assessment of whether the inner or outer labia are your actual concern.
- A female surgeon on request, at no additional charge.
- On-site clinical examination with a chaperone present, including donor area assessment by pinch test.
- Blood work and pre-operative assessment.
- Anaesthetic review.
- Surgeon consultation with six-month and one-year result photographs.
- Standing surgical marking of treatment area and donor sites.
- The procedure and anaesthesia.
- Fat harvesting, purification and placement, or filler, or reduction as planned.
- Labiaplasty, monsplasty or other procedure where combined.
- Compression garment for the donor area, with a second for laundering.
- Ice packs and wound care supplies during your stay.
- Nursing visits covering both areas throughout your stay.
- Surgical review before departure.
- Written aftercare guidance in English or French, including what the first six months will look like.
- Operative report recording the donor sites and the volume placed on each side.
- Discreet documentation and invoicing in the form you prefer.
- 5-star hotel accommodation, full board.
- A companion at no extra cost, accommodated and fed in the same room.
- Airport–clinic–hotel transfers.
- A personal coordinator from arrival to departure.
- English and French-speaking Canadian patient liaison available on request.
The Clinical Team
- Plastic surgeon experienced in genital surgery and autologous fat grafting.
- Female plastic surgeon — available on request.
- Anaesthetist — sedation and general anaesthesia.
- Dedicated nurse — post-operative care of both areas, female nursing staff.
16. Results by Patient Profile
After Substantial Weight Loss
A patient who had lost thirty-eight kilograms after bariatric surgery, with markedly deflated labia majora and consequent exposure of the labia minora. Her weight had been stable for ten months. Fat transfer from her abdomen and flanks, restoring volume and coverage. She had assumed she needed a labiaplasty because her inner lips had become prominent. In fact they were unchanged — the outer lips had deflated around them. This is the distinction above in practice, and it is our most common presentation.
After Menopause
A patient in her late fifties with progressive deflation and associated dryness and irritation. Fat transfer with a modest volume. She reported both the appearance and the comfort improved, and the reduced irritation surprised her.
A Patient Who Needed Both
A patient with genuine labia minora projection and deflated outer lips. A modest labiaplasty combined with augmentation — and the combination produced a considerably better result than either alone would have. Reducing the inner lips without filling the outer ones would have left the area looking flatter.
Reduction Rather Than Augmentation
A patient with naturally full labia majora producing visible fullness in leggings and swimwear, with chafing during exercise. Liposuction with a limited excision, since she had both fatty bulk and some skin excess. The change in how fitted clothing sat was, in her words, the thing she noticed daily.
Filler as a Trial
A patient uncertain how much volume she wanted, and reluctant to commit to surgery. Hyaluronic acid filler first, which showed her what more volume looked like. She liked it, and returned nine months later for a fat transfer for a durable result. A sensible sequence, and one we are happy to support.
A Patient We Asked to Wait
A patient planning to lose a further twenty kilograms who wanted augmentation now. We explained that grafted fat responds like all her other fat and would reduce with the loss. She completed the weight loss first, then had the augmentation once stable. The right order, and she is glad of it.
Combined with a Monsplasty
A patient with deflated labia majora and a fatty mons pubis producing a visible bulge. Both addressed in one procedure, and the overall contour improved considerably more than either alone would have. Worth asking about.
17. Questions Worth Asking Any Clinic
- “Is my concern the inner or the outer labia?” — the most useful question on this page, and the distinction above explains why a number of patients get it the wrong way round.
- “Would augmentation be better than reduction of the inner labia in my case?” — a surgeon who considers this is assessing you rather than quoting for what you named.
- “Fat transfer or filler, and why?” — fat for a durable result, filler for a temporary or trial one.
- “Do I have enough donor fat?” — most patients do, since the volume needed here is modest.
- “How much settling should I expect, and when will I see my result?” — six months, and a clinic that says otherwise is not describing fat transfer accurately.
- “Is a female surgeon available?” — a reasonable preference, at no extra charge.
- “Will a chaperone be present at examination?” — standard practice.
- “Is the labia compressed afterwards?” — no, after a fat transfer. A clinic that says yes is not handling grafted tissue correctly.
- “Would a monsplasty improve the overall contour?” — worth asking, and frequently combined.
- “Can I see six-month photographs?” — for fat transfer, earlier images show swelling and over-correction rather than the result.
18. Practical Points to Know
What to Expect
- Swelling peaking around days two to three. After a fat transfer the area looks markedly fuller than the intended result — deliberately.
- The donor area more uncomfortable than the labia, which surprises nearly everyone.
- Desk work at seven to ten days. Cycling at six to eight weeks. Intercourse at four to six weeks.
- Volume reducing gradually between months two and six as settling occurs. Your genuine result at six months.
Recognised Points
These are well-established procedures. Your surgeon will discuss the considerations relevant to you.
For fat transfer: variable settling, the defining characteristic, which is why the result is judged at six months and why a second session is occasionally wanted. Asymmetry, since the two sides may take fat differently — usually minor and correctable with a small top-up. Benign oil cysts or firm nodules where a parcel of fat did not survive, uncommon here given the modest volumes, usually resolving on their own. Donor area contour irregularity, reduced by consistent compression garment use. Infection, uncommon.
For filler: temporary result requiring repetition, lumpiness or asymmetry which is usually correctable, and — rarely — reaction to the product. Hyaluronic acid filler is reversible, which is one of its advantages.
For reduction: over-resection, producing a flattened or deflated appearance, which is why the assessment matters. Wound edge separation, uncommon and usually healing without intervention. Scar tenderness, settling over months. Under-correction, addressable with a small revision.
Across all: altered sensation, usually temporary; and bleeding or haematoma, uncommon and most likely in the first days.
Stopping Smoking
Genuinely relevant for fat transfer specifically. Graft survival depends on new blood vessels growing into the transferred fat, and nicotine constricts exactly those vessels. Four weeks before and after makes a measurable difference to how much fat survives. Canadian provincial quitlines are free.
Timing Around Your Cycle
Schedule so that your period is not due in the first week after surgery. Tell your coordinator your dates.
Weight
Complete any planned weight loss before augmentation, since grafted fat reduces with weight loss. For reduction, stable weight for six months is ideal.
Who This Suits
Adults whose labia majora bother them — deflated or too full — in good general health, with stable weight, and for augmentation with adequate donor fat or willingness to use filler.
Pregnancy
Surgery is not performed during pregnancy or breastfeeding.
19. Long-Term
After Fat Transfer
The fat surviving at six months is permanent living tissue. It responds to weight change like the rest of your body fat, and it ages with you — which a number of patients cite as the reason they chose fat over filler. Normal ageing and hormonal change continue, so gradual deflation over many years is possible. A small top-up addresses it if it bothers you.
After Filler
Temporary by design, typically some months to over a year depending on the product. Repeating maintains the result.
After Reduction
Removed tissue does not return. Weight gain can increase the remaining volume, and normal ageing continues.

Ongoing Care
Nothing specific. Once healed, the area needs no more attention than before. Continue your cervical screening according to the guidelines for your age. Neither procedure affects it.
If Something Concerns You Later
Contact us. A photograph is usually enough for us to advise, and most late concerns turn out to be normal.
20. Price: How It Is Built and How to Compare It
Why We Quote Per Case
Because augmentation and reduction are different operations, fat transfer and filler are different products, and whether anything is combined changes the procedure. Your quote is built from your description and photographs, itemised, and fixed once you approve it.
What Determines Your Price
Five factors. Augmentation or reduction. Fat transfer or filler, where augmentation — fat transfer involves a donor harvest and general anaesthesia; filler does not. Whether procedures are combined — labiaplasty, monsplasty, or other. The length of your stay, since accommodation and full board are included. Whether you request a female surgeon, which we accommodate at no additional charge.
What Is Included in Your Quote
The confidential online consultation with an honest assessment of inner versus outer. On-site examination with a chaperone including donor area assessment. Blood work and pre-operative assessment. Anaesthetic review. Surgeon consultation with six-month photographs. Marking of both areas. The procedure and anaesthesia. Harvesting, purification and placement, or filler, or reduction. Any combined procedure. Compression garment plus a second for laundering. Ice packs and wound care supplies. Nursing visits covering both areas. Surgical review. Written aftercare guidance. Operative report recording donor sites and volume per side. Discreet documentation. Your 5-star hotel with full board. Transfers. Your coordinator. A companion is accommodated and fed at no additional cost.
What Sits Outside It
Flights, travel insurance, the items above you buy before travelling, filler repetition where you chose filler, and — where you want it — a second fat transfer session.
How to Compare Quotes Properly
Five checks. Does the assessment consider whether the inner or outer labia are your concern? The most important check, because the wrong operation makes the appearance worse rather than better. Fat transfer or filler, and is the difference explained? Two different products at different prices with different durability. Is the donor harvest included, and from how many areas? Is a compression garment included, and is a second provided? How many nights, and how many nursing visits?
Why the Lowest Quote Is Rarely the Best Value
On fat transfer specifically, the savings available concern the harvesting and purification technique — the elements determining how much fat survives. Fat harvested aggressively and purified poorly does not take, which means less volume and possibly a second session you would not otherwise have needed. And on the assessment: a clinic that quotes for what you named rather than assessing what you need may perform a labiaplasty when you needed an augmentation. That is not a saving.
Insurance in Canada
Labia majora surgery is generally classified as cosmetic in Canada and is not covered by provincial plans, so this is a private expense either way. Travel medical insurance is worth arranging, and read the exclusions — many policies exclude complications of elective surgery. Ask in writing.
Payment
A deposit confirms your dates. The balance is settled on site, under terms set out in full when you approve your plan. There are no additional charges once accepted.
Getting Your Figure
Send your age and menopausal status, whether anything has changed and when, your weight history and whether it is stable, what specifically bothers you, whether the inner labia are also a concern, previous surgery, conditions and medications, and whether you would prefer a female surgeon. Photographs are optional — and if you are considering augmentation, include your donor areas. You will receive a plan and quote within 24 to 48 hours, including whether augmentation, reduction, or something else is what your assessment points to. For an overview of costs, see our pricing in Turkey page.
21. Glossary
| Term | Meaning |
|---|---|
| Labia majora | The outer, hair-bearing lips |
| Labia minora | The inner lips; a different procedure |
| Fat transfer / lipofilling | Augmentation using your own fat |
| Donor area | Where fat is harvested; abdomen, flanks or inner thighs |
| Settling | Reabsorption of grafted fat that does not acquire a blood supply |
| Over-correction | Deliberately placing more than the target volume |
| Hyaluronic acid filler | A temporary injectable alternative, reversible |
| Monsplasty | Reduction of the mons pubis; frequently combined |
| Direct excision | Reduction by removing a strip of tissue |
| Compression garment | Worn on the donor area for four to six weeks |
22. How Canadians Search for This
- “Labia majora augmentation cost” — the most common search among patients who know the term.
- “Deflated labia after weight loss” — very common after significant loss and after bariatric surgery, and rarely discussed.
- “Labia minora more visible than before” — frequently caused by outer deflation rather than inner growth. The distinction above is the most useful thing on this page.
- “Fat transfer to labia majora” — the durable option, with the donor area contoured at the same time.
- “Filler for labia majora” — temporary, reversible, and useful as a trial before committing to fat.
- “Labia majora reduction” — for fullness producing visible bulk in fitted clothing and chafing.
- “Labia majora after menopause” — deflation with hormonal change is common, and augmentation addresses both appearance and dryness.
- “How long does labia majora fat transfer last” — the fat surviving at six months is permanent, and it responds to weight change.
- “Labia majora augmentation recovery” — desk work at a week, cycling at six to eight weeks, result at six months.
- “Do I need labiaplasty or augmentation” — ask what has changed and when. Recent prominence of the inner lips points to outer deflation.
- “Labia majora and mons pubis” — frequently combined, and the overall contour improves more than either alone.
- “Is labia majora surgery covered in Canada” — generally not, as it is classified as cosmetic.
In Summary: A Discreet, Honestly Assessed Intervention
Labia majora surgery at Aylan Clinic combines an honest assessment of whether the inner or outer labia are your actual concern, fat transfer with careful harvesting and placement or reduction as appropriate, a female surgeon on request, a chaperoned examination, nursing visits covering both areas across a five-to-seven-day stay, and complete confidentiality — with 5-star accommodation and a companion at no extra cost, for up to 60% less than Canadian private prices.
Five things worth holding onto:
- Ask what has changed and when. If your inner lips have become more prominent after weight loss or menopause, the likely problem is deflation of the outer lips — and reducing the inner ones would make it worse.
- Send donor area photographs if you are considering augmentation. They are the images most often forgotten and they allow a realistic answer.
- Judge at six months. The volume reduces from its one-month peak as settling occurs, and that is exactly how fat transfer works.
- The labia are not compressed after a fat transfer — ice yes, compression no. The donor area is, for four to six weeks, and wearing it properly is what makes that contour even.
- Complete any planned weight loss first. Grafted fat reduces with weight loss, and for a patient whose deflation was caused by weight loss this matters particularly.
Because this treatment has no separate procedure page, the intimate surgery in Turkey hub is the place to explore the full range of related interventions and how a plan is built around your concern. Send your description — photographs optional — and you will have a confidential plan within 24 to 48 hours. To go further, see our pricing in Turkey and explore the wider aesthetic surgery in Turkey section.


