42 yo mother of three from Denver, Colorado located the office of Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre through an internet search. She presented to the office with undesired appearance of her vulva. After a thorough consultation and pelvic exam she was found to have bilateral asymmetric hypertrophy with hyperpigmentation of the labia minora and redundant lateral prepuce on the left side. After discussing all surgical and nonsurgical options she desired to move forward with an in-0ffice surgical procedure. Dr. Aguirre performed Laser reduction Labiaplasty of the Labia Minora, Excision of left redundant Prepuce and PRP (Platelet Rich Plasma) injection to the surgical wounds. She returned to the office for regularly scheduled postop visits with excellent results and has decided that she would like to proceed with the recommended Laser Vulvar Tightening of the Labia Majora at a later date.