46 yo female from Boulder, Colorado searched the internet for Labiaplasty and found Urogynecologist and internationally renowned cosmetic surgeon, Dr. Oscar Aguirre. 14 years prior she underwent a Labiaplasty in another state but was never fully satisfied with the outcome. Even though the labia are smaller than they were originally, she is still bothered by the asymmetry and the excess clitoral hood skin making it very difficult to orgasm. After initial consultation and exam, Dr. Aguirre suggested an in-office, awake, aesthetic vaginal procedure to include revision Labiaplasty of the Labia Minora as well as Clitoral Hood Reduction with Clitoropexy. She returned to the office to proceed with surgery as recommended. At scheduled postop exam she was found to be doing great with excellent results.