Gynaecological Fat Transfer

• Cosmetic Surgery
• Gynaecology
• Gynaecological Fat Transfer

Medically Reviewed 17th May 2024, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons

Fat Transfer can be used to address a number of functional and aesthetic concerns which arise in the female genital area. The regenerating properties within the fat can be used to reconstruct and rejuvenate skin and tissue, improving a number of issues including scarring, menopausal concerns and conditions arising after Radiotherapy treatment.

Which Conditions Can Gynaecological Fat Transfer Treat?

Gynaecological Fat Transfer is a highly versatile surgical technique and can be used to improve and address a number of conditions.

Lichen Sclerosus 

Lichen Sclerosus is an autoimmune condition which causes itchy white patches of skin around the genitals. It can affect people of any age, but is most common in women over the age of 50. The main symptoms are patches of skin which are:

• Itchy 
• Pale 
• Have an unusual texture (such as very smooth or crinkled) 
• Easily damaged and can crack or bleed

If left untreated, over time these patches can lead to tightness and irritation or the vulva shrinking. This can result in discomfort when urinating or during sexual intercourse. This can affect a woman’s quality of life and put strain on intimate relationships as the appearance of the patches, as well as discomfort can impact confidence and make people feel self-conscious. 

Lichen Sclerosus is not contagious and is caused by the immune system mistakenly attacking the skin, leading to damage. The reasons this occurs are not always understood.

To soften the patches, improve the appearance and tone of the skin, and also restore the shape of the vulva, if this has been affected, nano fat can be injected which has properties which are able to repair and rebuild the tissues.

Menopausal Concerns 

The menopause can lead to a number of physical concerns in the genital area for women. When combined with hormonal fluctuations and other changes they are experiencing, this can lead to a drop in confidence and loss in quality of life. By addressing these concerns, the menopause can feel less overwhelming, and confidence can be maintained.

Labia Atrophy 

Labia Atrophy is caused by the loss of oestrogen during menopause, which can result in dryness and inflammation in the labia majora and the receding of the labia minora. This can cause discomfort when urinating or during sexual intercourse and some women also experience self-consciousness, affecting intimate relationships.

These symptoms can be improved by injecting nano-fat into the labia area, rejuvenating the quality and appearance of the tissue. This reduces dryness and restores the shape of the labia, addressing the discomfort and increasing confidence.

Vaginal Dryness 

Also caused by a drop in oestrogen, vaginal dryness is a common concern associated with the menopause. It can be uncomfortable, and also cause pain or discomfort when urinating or during sexual intercourse. This can impact a woman’s quality of life, affecting intimate relationships and exacerbating emotional and mental health concerns which can also occur with the menopause.

By injecting nano-fat into the walls of the vagina, the tissue can be rejuvenated and the dryness can be addressed, increasing comfort and addressing pain. This allows women to continue their normal activities and lifestyle, with confidence.

Post-Childbirth 

Many women experience gynaecological issues following childbirth. Both Caesarean and vaginal delivery can lead to changes in the surrounding tissue which can result in a loss in confidence or potential discomfort during sexual intercourse or activities such as sport. Considering these issues occur alongside the life changing event of having a baby, this can exacerbate emotional distress as well as physical afflictions.

C-Section Scarring 

Following Caesarean Section surgery, a scar forms, where the incision is made. This is a horizontal line, usually 10-20 cm long running along the lower abdomen. In some instances, there may also be a vertical line, running up towards the belly button, forming a T shape.

This scar will start off as red and may look quite ‘angry’. Over time, it will fade and become white. However, in some cases as the scar heals, it remains raised (known as a hypertrophic scar). This can lead to the scarred area looking unappealing, resulting in women feeling self-conscious about this area. The scar tissue can also become hard and tight, known as scar fibrosis, which can feel uncomfortable and rub against clothing, causing further discomfort.

By injecting nano-fat into the scarred area, the reconstructive properties of the fat can rejuvenate and reconstruct the tissue. This results in a softer scar area and a more even skin tone. This improves comfort and quality of life as well as aesthetics and can improve confidence following C-Section surgery.

Episiotomy or Perineal Tear Scarring 

An Episiotomy is a medical procedure which is sometimes required during a vaginal birth. This involves a small incision being made between the vaginal opening and the perineum to make the vagina wider. This can be needed due to:

• The baby’s heart rate increasing to a dangerous level (known as foetal distress) 
• Having a breech birth 
• Difficulty in giving birth 
• Preventing a more serious perineal tear from occurring

A perineal tear occurs naturally between the vagina and perineum. Although the perineum is usually able to stretch effectively to allow the baby to pass through the vagina, it can sometimes become strained and tear. This is more common in women who haven’t given birth before. There are a few ways you can prevent perineal tears (which can also prevent the need for an Episiotomy) which your midwife will discuss with you during your pregnancy.

Following an Episiotomy or a perineal tear, the area will be closed with stitches to allow it to heal. For most women, the area heals well with no further issues. However, in some cases, scar tissue can overdevelop and harden, leading to discomfort during sexual intercourse or active exercise. This can cause rubbing in the area which can be painful.

For women experiencing these concerns, nano-fat can be injected into the area to rebuild the tissue and soften the scarring. This restores the texture of the perineal tissue reducing discomfort and rubbing to restore the quality of life. 

The Cost of a Gynaecological Fat Transfer

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