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ones under 2%."},"contraindications":["Insufficient donor fat","Active genital or skin infection","Pregnancy or breastfeeding","Uncontrolled diabetes or bleeding disorder","Use of blood thinners that cannot be paused","Body dysmorphic disorder","Smoking that cannot be stopped before and after surgery"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually discharged the same day after observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light walking earlier; avoid cycling and intense exercise until cleared."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling settles and transferred fat stabilizes."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After wound check and when swelling allows comfortable sitting."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":7,"unit":"days","qualifier":"Check of donor and recipient sites."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Assess retained volume, often remotely."},"requirement":"routine"}],"indications":["Flattened or volume-depleted labia majora","Age-related labial fat loss","Asymmetry of labia majora","Weight-loss-related volume loss"],"main_risks":["Partial fat resorption","Swelling and bruising","Asymmetry or contour irregularity","Lumps or fat necrosis","Infection","Donor-site irregularities","Temporary numbness or altered sensation"],"pain":"Mild to moderate soreness for several days, mostly at the liposuction donor site; controlled with oral analgesics.","preparation":["Stop smoking and nicotine several weeks before","Pause blood-thinning drugs and supplements as advised by the surgeon","Preoperative blood tests as requested","Fasting before sedation","Arrange compression garment and help at home"],"recovery_timeline":[{"phase":"Days 1-3","description":"Swelling and bruising of labia and donor area; rest with limited sitting.","restrictions":["Avoid sitting directly on the area for long periods","No tight clothing on the vulvar area"]},{"phase":"Days 4-14","description":"Swelling gradually declines; return to light activity; compression garment worn on donor site.","restrictions":["No cycling or intense exercise","No baths or swimming"]},{"phase":"Weeks 3-6","description":"Gradually resume normal exercise and, once cleared, sexual activity.","restrictions":["No sexual intercourse until cleared (about 4 weeks)","Avoid heavy pressure on the area until cleared"]},{"phase":"Months 3-6","description":"Final volume stabilizes after part of fat resorbs.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Return to ordinary daily activity."},"result_longevity":"Surviving transferred fat is long-lasting, but some volume loss is expected in the first months; weight changes and aging affect the long-term result.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Touch-up fat injection for volume loss or asymmetry within 12 months."},"scars":"Tiny puncture scars at the donor-site and labial entry points; usually barely visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One session; touch-up is optional."},"stages":[{"code":"fat_harvest","label":"Liposuction harvest and fat purification","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session."}},{"code":"fat_injection","label":"Fat injection into labia majora","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session."}}],"qualifier":"Single-stage harvest and transfer."},"success":{"metric":"Retained transferred fat volume","value":60,"unit":"percent of injected volume","horizon":"6 months","population":"Adults with volume-depleted labia majora and adequate donor fat","evidence_status":"limited"},"techniques":[{"name":"Liposuction harvest with microfat or nanofat-enriched grafting","suits_whom":"Patients with enough donor fat wanting natural volume in labia majora.","recovery":"Swelling for 1-2 weeks; compression garment on donor area."},{"name":"Fat grafting combined with PRP","suits_whom":"Patients seeking possible improved graft take and skin quality.","recovery":"Similar to standard fat grafting."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Includes fat harvest, processing and injection."},"initial_assessment_documents":["Front and side photos of the genital area","Full-body photos showing donor fat areas","List of blood thinners","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay about 3-7 days until wound check and flight clearance."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=lipofiling-polovyh-gub/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}