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Side effects are minimal but can include swelling, redness, tenderness and mild pain in the area treated. Some treatments can cause an increase in white discharge from the vagina for a day or two.
Risks are very few, but rarely could include infection and theoretically damage to other tissue in the area such as the urethra (where you urinate) and rectum (where you pass bowel movements) with the use of heat based devices such as laser and radiofrequency.
The use of injectable fillers in the genitals can carry some risks and requires specialist training. This is due to the vast amount of nerves and blood vessels that exist in the area around the clitoris, labia and the urethral opening. Potential risks include nerve paralysis, bleeding, swelling and a loss of sensation during sex. 
A clinical paper from 2010 reported a case in Korea of a pulmonary embolism in a woman as a result of the illegally administered, cosmetic, hyaluronic acid injections performed by a non-medic.

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