“Intimate hyperpigmentation is a disorder caused by an excess formation of melanin that involves skin darkening around the vulva, inner thighs and groins. This is more noticeable for women who have removed the hair in the genital area, and some will be bothered by an impression of a ‘stained skin’ effect. The trend towards hair removal has influenced the demand for depigmentation treatments. In Australia, depigmentation products are heavily regulated to prevent the use of toxic products which are harmful to health.

The process that leads to hyperpigmentation is dynamic and ongoing. It can be accelerated in certain conditions such as pregnancy due to hormonal changes. The genital area is not the only body part affected as changes can also be seen in the nipple, areola of the nipple and underarms. Surgical and non-surgical treatments for hyperpigmentation may have a role to play depending on the site(s) affected. Non-surgical maintenance therapies should not be ignored if recurrence is to be prevented.”

Dr Onuma is the author of So, You Want A Labiaplasty and The Ultimate V. These books are unique and aimed at women considering their options for labial, vaginal and pelvic floor improvement.

The parts of the vulva that can be affected by hyperpigmentation include the:

  • Mons pubis
  • Labia majora
  • Labia minora
  • Vaginal opening (introitus)
  • Perineum
  • Peri-anal tissues

Depigmentation treatments available with Dr Onuma:


  • Vaginoplasty
    • Perineal body ± perineum reconstruction
  • Labial reduction
    • Labiaplasty (minora/majora)
    • Periclitoraplasty
  • Scar excision
  • Mons pubis reduction


  • Fractional laser skin treatments
  • Hormone management therapies
  • Platelet Rich Plasma (PRP) treatment
  • Medications
  • Chemical peels
  • Cosmeceutical therapies

Excellence in Form and Function. Prevent, Treat and Maintain.

Dr Oseka Onuma will customise the treatments you need based on your personal circumstances and requirements.

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