
Labia majora augmentation in Frankfurt
Labia majora augmentation:
At a glance
Cost
Hyaluronic acid from €450
Fat transfer from €2,000 plus anesthesia and clinic
Duration
Hyaluronic acid 20 to 30 min., fat transfer 60 to 80 min.
Anesthesia
Local anesthesia, if needed twilight sedation or general anesthesia
Hospital stay
Outpatient
Back to social life
Hyaluronic acid immediately, fat transfer after 2 to 3 days
Sports
after 2 to 3 weeks depending on the sport
Aftercare
No suture removal required, regular check-ups as agreed
Volume building of the outer labia with fat transfer or hyaluronic acid with Dr. Nichlos
The intimate area plays an important role in the well-being of many women. The area of the outer labia is a particular focus, as it matters both for aesthetic appearance and for the natural protection of the vulva. If a marked loss of volume occurs here, for example during menopause, after weight loss, or for genetic reasons, it can affect the aesthetics of the intimate area and cause problems such as infections and painful inflammation.
With a labia majora augmentation, Dr. med. Nichlos can rebuild this missing or lost volume, give your intimate area a firmer look, and restore the protective function of the labia. Depending on your findings, the specialist in plastic and aesthetic surgery can also perform a labiaplasty of the inner labia in this context, to achieve a harmonious overall result with which you feel comfortable and confident.
What is a labia majora augmentation?
Labia majora augmentation (also called labial augmentation) is an intimate surgery procedure. Its purpose is to fill outer labia (labia majora) that are naturally too small or have become sunken and slack for other reasons (for example weight loss or hormonal changes with age) by introducing your own fat (lipofilling) or a filler such as hyaluronic acid, and so give you more volume again.

Experiences with labia majora augmentation
What are the benefits of a labia majora augmentation in Frankfurt?

Specialist for labia majora augmentation in Frankfurt
Dr. med. Emmanouil Nichlos has specialized in labia majora augmentation for more than 17 years and has comprehensive experience in aesthetic intimate surgery.
Through the targeted use of fat transfer or hyaluronic acid, Dr. Nichlos achieves more volume and a harmonious appearance. Dr. Nichlos looks after freshly treated patients personally. In the first 24 hours after the treatment, he is available to them for questions or problems.
What reasons speak for a labia majora augmentation?
The majority of procedures are performed for aesthetic reasons. Many women who come to our practice wishing for a labia correction are unhappy with the appearance of their intimate area and feel uncomfortable as a result. In most patients, the labia have lost volume through hormonal influences, major weight loss, or the natural aging process, have sunken as a result, and look wrinkled, which affects women’s aesthetic perception.
In some patients, however, the loss of labial volume also leads to physical discomfort, as the labia can no longer fulfill their natural protective function. Normally, the outer labia cover the inner labia, the urethral opening, and the vaginal entrance, protecting them from outside irritation. With outer labia that are too small, this is not fully possible, which can lead to pain and inflammation that can affect well-being and self-confidence.

Which methods of labia majora augmentation does intimate surgery offer?
Two procedures are available for enlarging the outer labia: lipofilling (fat transfer method) and injection with hyaluronic acid. Which one is used in the intimate procedure depends, among other things, on the result you want.
Labia majora augmentation with fat transfer
Enlarging the labia with your own fat is an established method with which Dr. med. Nichlos can give the intimate area a harmonious shape with clear contours. The procedure takes place in two steps: first, the specialist uses liposuction to harvest small amounts of fat from another area of the body (for example the hips or thighs). This fat is medically prepared and then injected into the outer labia with very fine cannulas.
Labia majora augmentation with hyaluronic acid
Building volume in the outer labia with hyaluronic acid is less involved and less expensive. In this outpatient injection, Dr. med. Nichlos injects small amounts of hyaluronic acid under the skin. This lets him contour the labia precisely and give the pubic area an aesthetic look. Because the hyaluronic acid is broken down by the body after about 6 to 12 months, a repeat injection is necessary.
What happens before the labia majora augmentation?
Before the procedure, we invite you to a personal consultation at our practice in Frankfurt. In a discreet one-on-one conversation with Dr. Nichlos, you can talk about the reasons for your wish for a labia correction and ask questions.
An important part of the consultation is the physical examination, so that the specialist can get a picture of the area to be treated and present suitable treatment options. He then explains the exact course of the procedure, what to watch for before and after, and what risks and possible complications are associated with enlarging the outer labia.
If you decide on the labia correction, Dr. Nichlos schedules a date for the operation or, for filler injection, the outpatient procedure. Dr. med. Nichlos performs operations in the modern operating rooms of the affiliated clinic in Frankfurt, where a friendly team welcomes you and you are in the best hands from the first minute.
Labia majora augmentation in Frankfurt: how does the operation work?
Injecting hyaluronic acid into the labia takes about 20 to 30 minutes and is performed by Dr. Nichlos as an outpatient procedure at his practice in Frankfurt. Before injecting the filler, we disinfect the area thoroughly and, if needed, apply a local anesthetic cream so that you feel the injections less. Dr. Nichlos then begins injecting the hyaluronic acid and contouring the labia into the desired shape. Right after the procedure you can leave the practice and are immediately socially presentable again.
Dr. Nichlos performs the fat padding of the labia as an outpatient procedure under local anesthesia, twilight sedation, or general anesthesia. The procedure itself takes between 60 and 80 minutes. Once the areas to be treated have been disinfected and the anesthesiologist has induced anesthesia, the specialist makes fine skin incisions and injects a tumescent solution into the areas for liposuction. This numbs on the one hand and helps loosen the fat cells on the other.
Dr. Nichlos then suctions out the loosened fat and has it purified. He then injects the purified fat with very fine cannulas into the tissue of the labia and contours them so that they form an aesthetic unit with the mons pubis. Finally, he closes the skin incisions with adhesive strips. Later suture removal is therefore not required.
Healing and aftercare following labia majora augmentation: what to keep in mind
In the first days after the procedure on your labia, you should allow yourself some rest and avoid physically strenuous activities. Swelling and mild pain are normal both after injection with hyaluronic acid and after augmentation of the labia with fat transfer, and usually subside within 1 to 2 weeks.
You can treat mild pain well yourself with over-the-counter pain relievers. Gentle cooling helps against the swelling. You can shower the next day, but after lipofilling you should avoid full baths for about two weeks.
It can take several weeks to months, depending on the type of procedure, until the final result of the labia majora augmentation is visible. After implantation of fat cells, for example, it takes time until they have fully grown in and firmed up. Dr. Nichlos is happy to explain more about this during the consultation.
What risks does a labia majora augmentation involve?
Enlarging the labia is a relatively common procedure in intimate surgery. As with any surgical procedure, certain risks can never be ruled out 100%, even when it is performed professionally and strict hygiene and safety measures are followed. These mainly include the general risks of anesthesia and infection.
In addition, circulatory and wound healing disorders or scarring in the area of the liposuction can occur after the procedure. In very rare cases, embolisms (so-called fat embolisms) can occur during the injection of fat. The risk of this can be kept low, however, through careful technique.
How much does a labia majora augmentation cost in Frankfurt?
In addition, particularly for a labia majora augmentation with fat transfer, the following costs may apply:
For procedures at our affiliated clinics, these services are billed directly by the respective clinic.
To financingWhat is included in the price?
The total cost of a labia majora augmentation consists of several medical services. These usually include:
- detailed consultation (€100, fully credited if you go ahead with treatment)
- examination of the intimate area and individual treatment planning
- performance of the intimate correction by the specialist in plastic and aesthetic surgery
- medical care during the treatment
- aftercare and follow-up appointments
The cost of a labia majora augmentation depends primarily on the method chosen. Intimate surgery offers two procedures for this: volume building with hyaluronic acid or labia majora augmentation with fat transfer (lipofilling). The two methods differ in effort, longevity, and the scope of treatment.
At our practice, the cost of a labia majora augmentation usually starts at:
- Labia majora augmentation with hyaluronic acid: from €450
- Labia majora augmentation with fat transfer: from €2,000
The final price depends, among other things, on your individual findings, the amount of filler or fat required, and the duration of the procedure. After a personal examination, Dr. med. Nichlos prepares an individual treatment and cost plan that lists all services transparently.
Can you finance a labia majora augmentation?
Because a labia majora augmentation is planned individually and the scope of treatment can vary, financing in monthly installments is generally also possible.
Financing is arranged through an external financing partner and, depending on creditworthiness, can be designed flexibly. This lets you spread the cost of treatment conveniently over a monthly installment.
We are happy to inform you about financing options in a personal consultation.
Finance your desired treatment flexibly
You have the option of paying your treatment costs conveniently in monthly installments, tailored to your financial situation. The application is straightforward, and processing is handled by our financing partner.
Your benefits at a glance:
- Flexible monthly installments for medical and cosmetic services
- Terms of up to 72 months to choose from
- Financing also possible for smaller amounts
- Desired amount and installment size freely selectable
- Attractive terms with an effective annual interest rate of 9.90% and a fixed nominal interest rate of 9.48%
- Apply conveniently online or submit the form as a PDF
- Financing only with participating partners, subject to creditworthiness
Non-binding sample calculation from a financing amount of €300 with an effective annual interest rate of 9.90% and a fixed nominal interest rate of 9.48%. Financing only with participating partners, subject to creditworthiness.
To the installment calculator
Medically reviewed by Dr. med. Emmanouil Nichlos
Dr. med. Emmanouil Nichlos is a specialist in plastic and aesthetic surgery in Frankfurt and has specialized for more than 17 years in labia majora augmentation and aesthetic treatments of the intimate area.
The content of this page has been personally reviewed by him and reflects the current medical knowledge and the specialist standards of plastic and aesthetic surgery.



Frequently asked questions about labia majora augmentation in Frankfurt
Who is suitable for a labia majora augmentation?
Suitable patients are women whose outer labia have lost volume due to age, genetics, or weight loss, or who want more protection and fullness in the intimate area.
Is a labia majora augmentation painful?
Thanks to fine cannulas and local anesthesia, treatment with hyaluronic acid is usually well tolerated. The fat transfer is performed, as you prefer, under local anesthesia, twilight sedation, or general anesthesia. After the procedure, swelling and mild pain are normal and usually subside within 1 to 2 weeks. Mild pain can be treated with over-the-counter pain relievers, and gentle cooling helps against the swelling.
How long does the result of a labia majora augmentation last?
With hyaluronic acid, about 6 to 12 months, depending on your individual metabolism. Fat transfer usually offers a permanent result, as a large part of the transplanted fat remains in the long term.
Does sensitivity in the intimate area change after the procedure?
In the short term, slight changes in sensation can occur, which usually subside after a few days. Sexual sensitivity is usually fully preserved.
When can I exercise again?
Light physical activity is possible after 2 to 3 weeks. Horseback riding, cycling, or other sports with direct intimate contact should be paused for at least 6 weeks.
When is sexual intercourse possible again after the procedure?
Once healing is fully complete, usually after about 4 to 6 weeks, sexual intercourse is possible again. This is discussed individually during aftercare.
What disadvantages and risks does a labia majora augmentation have?
Swelling, bruising, or a feeling of pressure are possible temporarily. General risks include the risks of anesthesia and infection as well as circulatory and wound healing disorders. With fat transfer, a scar can form at the donor site, and in very rare cases fat embolisms are possible. Dr. Nichlos explains the risks to you personally before the procedure.
Can it be combined with other procedures?
Yes, labia majora augmentation can be combined, for example, with a labiaplasty, vaginal tightening, or a mons pubis correction, depending on the overall result you want.
Does health insurance cover the cost of a labia majora augmentation?
Dr. Nichlos runs a private practice without statutory health insurance accreditation and bills privately. Billing through statutory health insurance is therefore not possible. Please check with your insurer in advance whether private insurance covers the cost in full or in part. Treatment with hyaluronic acid starts at €450, with fat transfer at €2,000 (plus anesthesia and clinic). You can find more under Prices.
Your practice in Frankfurt’s Westend
At our practice on Grüneburgweg, Dr. Nichlos takes the time for your personal consultation. Bright rooms, short distances and a calm atmosphere help you feel well looked after from your first appointment.
Preliminary examination, consultation and aftercare take place here. Dr. Nichlos performs the surgery itself at the affiliated clinic in Frankfurt.
Plastic Surgery Dr. Emmanouil Nichlos
Grüneburgweg 95, 60323 Frankfurt am Main





Schedule a consultation now
If your labia have lost volume or have always been small and you are unhappy with their appearance or suffer from problems, intimate surgery with hyaluronic acid or fat injection offers a solution. As a specialist in plastic and aesthetic surgery, Dr. Nichlos is experienced with procedures in this sensitive area and performs the correction on its own or, if you wish, in combination with a reduction of the inner labia. Schedule a consultation appointment now!
- 1Send your inquiry via the form
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- 3Personal consultation with Dr. Nichlos at the practice







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