Case # 25356

47 yo mother of one from Westminster, Colorado located the office of Board Certified, Fellowship-Trained Urogynecologist and renowned Cosmetic Surgeon Dr. Oscar Aguirre of Denver, Colorado through an internet search on labia minora reduction. She has a greater than 30 year history of undesired cosmetic appearance of her vulva. Since puberty, she has been bothered by the aesthetic appearance of her large labia as well as by pulling and dragging. She has consulted with another plastic surgeon over the years and presented for a second opinion with Dr. Aguirre. She discussed her history, concerns and desires in a consultation room with Dr. Aguirre at which point she was then taken to an exam room where Dr. Aguirre performed a thorough pelvic examination with a chaperone present and patient observing with a handheld mirror. She was found to have bilateral labial hypertrophy with hyperpigmentation, left side greater than right. There is also redundant lateral prepuce bilaterally with ptosis. There is excess perineal skin as well. Patient was taken back to the consultation room where all findings were discussed in detail along with all surgical and nonsurgical options. She decided to proceed with definitive surgery therapy and scheduled recommended procedures with Dr. Aguirre.  He performed an in-office Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction and Clitoropexy with PRP (Platelet Rich Plasma) to surgical site, and Excision of Excess Perineal Skin. Six months later she and Dr. Aguirre decided on a Revision Labiaplasty in order to perfect the results. Dr. Aguirre performed the revision and she returned to the office for her regularly scheduled postop visits “very, very, pleased”.