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 A professional portrait photo of Livia Berkei wearing a white doctor's coat and smiling with folded arms against a bright background.

Livia Berkei

Resident doctor for plastic, aesthetic and reconstructive surgery

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Intimate

Intimate rejuvenation without surgery: labia injection & Mons pubis treatment

22.9.2025
Frankfurt am Main, Germany
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Frontal view of the lower, undressed abdominal area of a young woman

Intimate rejuvenation without surgery: labia injection & Mons pubis treatment

The desire for a harmonious body feeling does not stop at the genital area. More and more women want a gentle, aesthetic optimization of the outer labia or the Venus mound, completely without the use of a scalpel. It is not just about appearance, but above all about well-being, self-confidence, and a new sense of femininity.

Thanks to modern procedures such as hyaluronic acid injections, autologous fat transfer or minimally invasive liposuction with endolaser, visible changes can be corrected gently and discreetly, on an outpatient basis, effectively, and with a short downtime. Particularly in focus: increasing volume in the case of sunken outer labia or the targeted reduction of adipose tissue on the Mons Pubis.

In our practice, we place particular importance on naturalness, medical precision, and sensitive advice. Whether after pregnancy, age-related changes, or simply out of a desire to feel more comfortable in your own body again, genital rejuvenation without surgery can be a valuable step towards a better quality of life.

What does intimate rejuvenation actually mean?

Intimate rejuvenation is aesthetic medical measures to improve the shape, volume and firmness of the outer female genital area, in particular on the labia majora and the Venus mound (Mons pubis).

With increasing age, after pregnancies or due to genetic predisposition, there may be a loss of volume in the labia area or fat accumulation on the pubic mound. Many women find this aesthetically annoying, and some also complain of changes in body awareness, for example when exercising or wearing tight clothing.

The aim of modern intimate rejuvenation is to compensate for these changes as discreetly and individually as possible. Completely without surgery, targeted injections or minimally invasive techniques can be used to restore harmonious proportions that are not only aesthetically convincing but also functionally convincing.

Visible changes in the genital area: typical starting situations

The non-surgical genital treatments are aimed at women who want a more harmonious, youthful appearance in their genital area without having to accept surgery. The focus is not only on aesthetic reasons, but often also on functional and emotional aspects.

The treatments are particularly suitable for:

  • Volume loss of the outer labia after pregnancy, weight loss, or as you get older

  • Disturbing protrusion of the inner labia, which is emphasized by an empty outer tissue portion

  • A desire for more firmness and fullness in the outer genital area

  • Prominent or arched Venus hillthat appears under clothing or is considered annoying

  • Slight loss of elasticity, e.g. after menopause

  • Feeling unwell or insecure, for example during sports, in a bikini or in intimate situations

Our minimally invasive methods offer a gentle solution, individually tailored to your anatomy and needs. During a personal consultation, we will clarify which treatment suits your wishes and which options are available to you.

Overview of non-surgical options

In our practice, we offer various minimally invasive methods for genital rejuvenation. All procedures aim to restore volume, strengthen tissue or make proportions look more harmonious, without a scalpel and with short downtime in our Frankfurt practice.

1. Hyaluronic acid injection of the labia majora

A loss of volume in the outer labia can result in the inner labia becoming more visible or the outer shape losing youthful fullness. By specifically injecting hyaluronic acid, an endogenous moisture binder, this loss of volume can be gently compensated for.

Benefits of hyaluronic acid treatment:

  • Immediate visible effect

  • Natural volume and shape

  • Improving skin structure through moisture retention

  • No downtime

  • Effect approx. 6—12 months, depending on product and metabolism

2. injection of the labia with autologous fat (lipofilling) or

For patients who prefer a longer-lasting solution, autologous fat injection is ideal. The body's own fat is gently sucked off, processed and used to volume up the pubic area.

Benefits of autologous fat treatment:

  • Long-term effect, as part of the transplanted fat heals permanently

  • Biocompatible and allergy-free

  • Harmonious outline due to natural softness

  • Combination with body contouring is possible (e.g. through liposuction on the waist or thighs)

3. Endolaser liposuction on Venus hill

A prominent or downwardly curved Venus hill can be seen as a nuisance, particularly in tight clothing or swimwear. With the help of a special endolaser procedure (minimally invasive with microcannulas), the excess fat on Mons Pubis can be specifically liquefied and broken down.

Benefits of laser liposuction:

  • Precise contouring of the pubic mound

  • Tightening effect through laser energy

  • Barely visible punctures

  • Quick recovery with little downtime

Hyaluronic injection of the outer labia

Over time, the outer labia (labia majora) lose volume, which can not only impair the aesthetic balance of the genital area, but also visually increases the protrusion of the inner labia. A targeted injection with hyaluronic acid can counteract this.

In our practice, we use high-viscosity hyaluronic gels specially developed for the genital area, which are particularly suitable for building up volume. The result: a subtle filling that gently contours, protects and visually harmonizes the outer labia.

The treatment is carried out on an outpatient basis, takes only a few minutes and is almost painless thanks to local anesthesia. The effect is immediately visible and lasts around 3 to 8 months, depending on the product and metabolism.

Own fat instead of filler: natural alternative with long-term effect

Lipofilling is an ideal solution for patients who want particularly natural results or are sensitive to foreign materials.

Here, the body's own fat, for example from the abdominal or thigh region, is gently removed, processed and then injected into the outer labia. The injected adipose tissue integrates harmoniously into the surrounding tissue and can be retained permanently.

A major advantage: autologous fat treatments usually lead to very long-lasting results and improve not only the volume but also the skin quality through the regenerative cells they contain.

Streamlining Mons Pubis: Endolaser Liposuction

A prominent Venus hill (Mons Pubis) can be seen as annoying, particularly in figure-hugging clothing or swimwear. If the tissue bulges out, dieting often doesn't help, as it can be a genetic distribution of fat.

The solution: targeted endolaser liposuction. This involves using fine cannulas to remove excess fat from the Venus mound and at the same time tighten the tissue using laser energy. By heating the deep layers of skin, the connective tissue contracts for a smoother, firmer silhouette of the female genital area.

The treatment is performed under local anesthesia or twilight sleep, saves scarring and requires only a very short recovery period.

Healing & aftercare — what you should consider

After treatment, you should refrain from sports and intensive exercise for 2 to 3 days. Slight swelling or a feeling of tightness is possible, but usually subsides quickly. Cool compresses, loose cotton underwear and protection promote healing.

After hyaluronic acid or autologous fat:

  • No sexual intercourse for approx. 5 to 7 days

  • No sauna sessions or hot baths in the first week

  • Check-up after 1—2 weeks

After endolaser liposuction:

  • Wearing lightweight compression pants for 5-7 days

  • Showering possible after 24-48 hours

  • Check-ups for the first 2 weeks in our practice in Frankfurt am Main

Our patients appreciate the personal atmosphere, the discreet environment and many years of experience in intimate aesthetics. In our practice in Frankfurt, we combine medical expertise with sensitivity and aesthetics.

What sets us apart:

  • Specializing in female intimate aesthetics

  • Minimally invasive high-end procedures

  • Tailored treatment concepts

  • Personal advice from Dr. Berkei and her team of experienced doctors

  • Absolute discretion and trust on equal terms

FAQ — Frequently asked questions about genital rejuvenation without surgery

How long does the result last with hyaluronic acid?

Depending on the product and individual metabolism, around 9 to 15 months. Refreshments are possible at any time.

Is the treatment painful?

Thanks to local anesthesia, all procedures are almost painless. Mild sensitivity is normal after treatment but is easy to control.

Can you also enlarge the inner labia with hyaluronic acid?

No The treatment is only suitable for the outer labia. A surgical procedure would be required for the internal labia.

How much own fat do you need for a labia injection?

Even small quantities are sufficient. In very slim patients, fat can be removed from several places.

When will I be socially acceptable again?

Usually the same day or the next day, depending on the procedure. However, sports, sauna and sexual intercourse should be paused for a short time.

More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate

Change starts now

Whether it's fine corrections or comprehensive changes — The path to a new body feeling, more radiance or youthful freshness starts right now. The practice clinic of Dr. med. Julia Berkei focuses on your wishes — with the highest level of expertise, an eye for natural results and a treatment concept that is as individual as you are.

Get personal advice and discover how modern aesthetic medicine can change the way you feel about life in the long term.

Dr. Julia Berkei stands in a white doctor's coat with slightly outstretched hands and a friendly smile against a neutral background.

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