Anyone tried hyaluronic acid filler for changes to the outer labia?

[Doreknocker]

Almost 50 and my outer labia are getting a bit deflated.

Can get uncomfortable in tight trousers and also it doesnt look as nice as it used to - have had laser hair removal all over so it does show.

Any insight or recommendations foe intimate filler - I would want hyaluronic acid not fat transfer.....?

Im in London.

Topical oestrogen can help restore sensation yes. But you may need testosterone to increase actual libido and desire in the first place. It’s difficult but not impossible to get testosterone prescription added to an HRT regimen. However, if your oestrogen is too low, the body converts T to O. You need blood tests to ensure your O levels are optimum (usually via systemic HRT patches / gel / spray) before GP will consider adding T to the mix.

There is info here about local oestrogen and breast cancer:

https://www.breastcancer.org/research-news/vaginal-estrogen-safe-for-women-with-breast-cancer

And here specifically about using alongside aromatase inhibitors:

https://www.ruh.nhs.uk/patients/patientinformation/BRU028Vaginaldrynessandbreastcancer.pdf

Link broke above @Chasingsquirrels

https://www.ruh.nhs.uk/patients/patient_information/BRU028_Vaginal_dryness_and_breast_cancer.pdf

Thank you for your reply & links, really appreciate you taking the time.

I'm no longer on HRT (had only been on it about 4 months when I found my breast cancer and had to stop it) and am now taking Letrozole as an estrogen inhibitor. Death of desire has pretty much been in the last 3 months since starting the Letrozole. Very frustrating as I want to want sex, but just feel nothing.

I'll contact the GP.

And to think l once got criticised on MN for saying that l often didn’t wear knickers with long summer dresses in the warm weather.

You’re welcome, we’re all learning! If only these symptoms were talked about as much as hot flushes, eh?

Wishing you all the best x

Or Only Flaps?

Love this thread but being serious for a mo, if you're on an aromatase inhibitor post breast cancer, get your oncologist's advice before using anything that replenishes oestrogen.

Yes, I wouldn't just take something, I typed GP but would definitely ask the Oncologist.
Having read through the leaflet linked, vagina estrogen isn't advised with my medication (Letrozole).

It does mostly seem to be about physical symptoms & dryness, which I don't have an issue with (yet, I seem to be quickly falling apart).

Yrs, that's what I'm on. 4 years down the line, all my flaps have vanished and I get various UTIs. Another bonus from the little devil pill!

That's absolutely not the point I made.

The point was we don't have to pull women down if they choose to do something we wouldn't.

Nothing "rah rah" about that.

I wear cycling underwear, but you can get it particularly for riding, apparently. I've never bought it because I also use it for cycling and it works just as well! Have a look here https://www.cyclinguk.org/cycle-magazine/group-test-padded-pants and see if anything suits!

If you are experiencing pain perhaps surgery to remove the excess skin that is causing the pain might be an option.

@SoScarletItWas can you use the pessaries internally and the cream externally?

I actually think we (aka feminists) should "pull women down" if they are contemplating injecting acid into their flaps. Which they've already had lasered.

Yes. But some GPs will tell you it’s one or the other so you may have to push.

Guidance from the BSSM says to consider combining two local treatments if symptoms don’t improve with one route. Think it’s about page 8 of the guidance.

https://bssm.org.uk/wp-content/uploads/2025/12/Position-statement-for-management-of-genitourinary-syndrome-of-the-menopause-GSM.pdf

Why should we encourage or even be neutral on women injecting shit into their labia to make them look plumper?

Am l wrong from reading this thread that it is a health issue being discussed though? Not a case of looking plumper.

There's no mention of a health issue. The OP has already had one aesthetic procedure on her genitals.

Op says it causes her pain. I would argue pain is a health issue.

This reminds me of that movie called Spread where the lady had baby fat implanted in her vagina to feel tighter for her younger boyfriend!

Thanks @SoScarletItWas - very helpful.

Um no, she says it can get "uncomfortable" in tight trousers.

This is very clearly about aesthetics.

Which is hell. I wish I'd known about this before menopause hit me. It's still not well known - most info out there talk about "dryness" and it's SO much more than that, and much worse.

One person's uncomfortable is another person's severe pain. We all have different thresholds. As the original OP has vanished and the thread has become a useful discussion about vaginal atrophy and it's management, which the OP likely has, maybe it is better to let your views on other people's aesthetic preferences go.

Maybe it's better you don't engage someone in conversation if you don't want to hear their views?

If you have to make up stuff about "severe pain" to justify your point, then you don't have a good point.

I will continue to speak up about women putting themselves at risk with aesthetic surgery.