54 yo mother of two from Denver, Colorado located the office of nationally renowned Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre located in Englewood, Colorado through an internet search. She has a long history of undesired cosmetic appearance of her vulva who has lately been bothered more due to changes which she feels are associated with aging. She feels her labia have gotten larger and darker. She also reports sexual dysfunction issues consisting of great difficulties achieving an orgasm. After a thorough exam and discussion of all surgery and non-surgical options, she wanted surgery scheduled as soon as possible. She returned to the office where Dr. Aguirre performed Laser Reduction Labiaplasty of the Labia Minora, iPixel CO2 Laser Resurfacing of the Labia Majora plus PRP, Labia Majora Puff with PRP as well as a FemiLift series. She returned to the office for her post-op appointments pleased and stating she “feels tighter and lubrication has improved.” At her 6 week postop visit she had her third FemiLift treatment with O-Shot.