Case # 24928

38 yo mother of two from Denver, Colorado with a greater than 20 year history of undesired cosmetic appearance of her vulva, was referred to Board Certified, Fellowship-Trained Urogynecologist and renowned cosmetic surgeon Dr. Oscar Aguirre by her local OB-GYN. Since she was a teenager she has been bothered by the size of her Labia, which following her pregnancy has become larger and darker, contributing to an aged appearance. She also has physical discomfort with wearing formfitting clothing while exercising as well as discomfort with sex. Dr. Aguirre performed a thorough pelvic examination with patient observing with a handheld mirror. The examination revealed bilateral labial hypertrophy with hyperpigmentation of the labia minora, excess right and left redundant lateral prepuce with ptosis, and excess perineal skin. Dr. Aguirre discussed with the patient all history and findings, surgical and non-surgical options as well as patients desire to proceed with surgery in a couple months. Dr. Aguirre performed an in-office surgical setting Labiaplasty of Labia Minora, Clitoral Hood Reduction with Clitoropexy with PRP (Platelet Rich Plasma) to surgical site, Excision of Excess Perineal Skin and excision of Vulvar Skin Tag. She returned to the office for her regularly scheduled postop appointments, very pleased with her results.