Case # 24634

27 yo mother of 2 located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado, from an internet search on RealSelf. She has a 4 year history of decreased vaginal sensation and a 1 year history of undesired cosmetic appearance of her vulva. She states that since she was in middle school she has been bothered by the size of her labia, but this worsened with her 2 pregnancies. She feels that her labia now hang lower and are darker. Sex is problematic. She has decreased sensation, decreased pleasure, decreased orgasms and her husband’s penis will fall out easily. Dr. Aguirre preformed a thorough examination which revealed vaginal relaxation attributing to vaginal looseness, labial hypertrophy with hyperpigmentation and redundant lateral and excess prepuce with ptosis, orgasmic dysfunction, vaginal dryness and introital laxity. Patient examination was performed with a chaperone present and her observing with a handheld mirror. All surgical and non-surgical options were discussed in detail with patient. She was found to be an excellent candidate for a in office aesthetic vulvar surgery in the form of a Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood reduction and Clitoropexy along with Excision of Vulvar Skin Tag. Surgical and nonsurgical vaginal rejuvenation options were discussed as well. She was more interested in nonsurgical options due to minimal downtime. Patient was eager to move forward and scheduled to have Dr. Aguirre perform the recommended aesthetic vulvar procedures as well as Laser Vaginal Resurfacing of the Vagina with FemiLift series and O-Shot. She was very pleased and returned to the office for her regularly scheduled postop appointments with excellent results.