55 yo woman from Broomfield, Colorado located the office of renowned Cosmetic Surgeon and Board Certified, Fellowship-Trained Urogynecologist Dr. Oscar Aguirre of Denver, Colorado through an internet search on Labiaplasty. She has a lifelong history of undesired cosmetic appearance of her vulva. She the past 10 years she has noticed a progressive change and unhappiness with her long labia minora. Dr. Aguirre performed a thorough pelvic examination which revealed bilateral labial hypertrophy with hyperpigmentation and redundant lateral prepuce and ptosis. All history and findings were discussed in detail with the patient along with her surgical and nonsurgical options. She and Dr. Aguirre discussed her long, dark labia and aged appearance, for which she was found to be an excellent candidate for an in-office Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction with Clitoropexy and PRP (Platelet Rich Plasma) to Surgical Site. She scheduled the procedure with Dr. Aguirre to be performed after the completion of a project at work. She returned to the office for her regularly scheduled postop visits very happy with her results.