Case # 23146

29 yo mother of four from Gillette, WY presents to the office of Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre, bothered by the aesthetic appearance of her vulva since her last vaginal delivery. Over the years she has notice progressively longer and darker labia minora and an aged appearance, which is contributing to being self-conscious with intimacy. She is also bothered by vaginal looseness and increasing difficulty achieving orgasm. Dr. Aguirre performed a thorough pelvic exam which revealed bilateral labial hypertrophy with hyperpigmentation as well as redundant lateral prepuce bilaterally with ptosis and an enlarged genital hiatus. After discussing findings and all surgical and non-surgical options she decided to proceed with an in-office aesthetic vaginal surgery. Dr. Aguirre performed Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction and Clitoropexy with addition of PRP (Platelet Rich Plasma) to surgical wounds and an O-Shot at her six week postoperative examination. She decided to address the vaginal looseness with Femilift laser vaginal resurfacing, at a later time.  At 3 months post-op there was mild labial asymmetry that was bothersome to her and so she elected to proceed with a Labia Tag Revision. The post op photos in this gallery are 6 weeks following her original Labiaplasty, and 1 week following her revision surgery.  Dr. Aguirre honored his revision policy with no additional surgeon’s fees to make her transformation perfect.