Evidence map›Paper›PMID 40013509›Full record

ReviewJournal of cosmetic dermatology2025

Labia Majora Rejuvenation With Hybrid Filler: A Narrative Review of the Literature and Report of Two Cases.

Andrea Acevedo, Andrea Marcela Parra, Andreina Martinez Amado, Valentina Dicker, Desiree Castelanich, Lina Velasquez, Luis Alberto Parra

Abstract readCase ReportsReview
In one paragraph

Review in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. High-Frequency Ultrasound Assessment of Female Genital Rejuvenation.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Observational
  2. Article
  3. Article
  4. Article
  5. Chemical Biostimulation of Labial Majora: First Clinical Insights.Clinical, cosmetic and investigational dermatology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andrea AcevedoAesthetic Medicne, University Del Rosario, Cali, Colombia.ORCID https://orcid.org/0009-0003-1611-781X
Andrea Marcela ParraOculoplastic Surgery- Ophthalmologist, Sociedad Internacional De Rejuvenecimiento Facial no Quirúrgico (SIRF), Barranquilla, Colombia.
Andreina Martinez AmadoAesthetic Medicine, Clinical Research, Universidad De Salamanca, Bogota, Colombia.ORCID https://orcid.org/0009-0003-1162-6914
Valentina DickerAesthetic Medicne, University Del Rosario, Bogota, Colombia.ORCID https://orcid.org/0009-0004-9301-2138
Desiree CastelanichDermatologist, Sociedad Argentina De Dermatologia, Buenos Aires, Argentina.
Lina VelasquezDermatologist, Sociedad Colombiana De Dermatología, Cali, Colombia.
Luis Alberto ParraAesthetics Medicine, Sociedad Internacional De Rejuvenecimiento Facial no Quirúrgico (SIRF), Barranquilla, Colombia.ORCID https://orcid.org/0000-0003-3908-3440

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsthetic gynecology addresses the growing demand for treatments covering functional and esthetic concerns of the external genitalia, significantly impacting women's confidence and sexual relationships. While hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) have shown promise in vaginal rejuvenation, data on hybrid filler applications remain limited.

objectiveThis narrative review examines the anatomical, structural, and psychological aspects of labia majora rejuvenation, outlining available treatment options and presenting the authors' experience with a novel HA/CaHA hybrid filler.

methodsThis paper combined a narrative literature review using online databases PubMed and Google Scholar, between 2015 and 2024, with the keywords: "labia majora," "rejuvenation," "aesthetic treatments," and "fillers" with a case series of two patients treated with a hybrid CaHA/HA (Radiesse and Belotero Balance Merz Pharmaceuticals GmbH) filler for labia majora volume loss and laxity.

resultsSixty-day follow-up evaluations by four experienced physicians revealed substantial improvements in labia majora esthetics. A marked improvement in skin coloration was observed in both patients, with skin appearing more even and less hyperpigmented. Both patients showed noticeable volume restoration, resulting in a fuller appearance of the labia majora. Overall aesthetic improvement was evident, as confirmed by the patients' perception. Patient-reported genital appearance satisfaction, as measured by the GAS score, improved by a mean of 41% (pretreatment mean: 28/33; posttreatment mean: 15/33).

conclusionThese two case reports and a narrative literature review suggest that a combined HA/CaHA filler may be a safe and effective treatment for labia majora rejuvenation.

Indexed as

Cosmetic TechniquesDermal FillersDurapatiteHyaluronic AcidRejuvenationVulvaAdultEstheticsFemaleHumansMiddle AgedSkin AgingTreatment OutcomeDermal FillersDurapatiteHyaluronic Acidcalcium hydroxyapatitecase reporthyaluronic acidhybrid fillerlabia majoravaginal

Identifiers

PMID40013509
PMCPMC11866467

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.