Case # 27326

45 yo mother of two from Casper Wyoming referred to the office of Board Certified, Fellowship-Trained Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre of Denver, Colorado by a friend. She has decreased vaginal sensation, has only ever been able to achieve orgasm with self-stimulation, and has never experienced pleasure with intercourse. She has a long history of undesirable cosmetic appearance of her vulva. She is bothered by her labia minora as well as labia majora and multiple anal skin tags. After discussing all surgical and non-surgical options, patient decided to move forward with recommended surgical procedures. Dr. Aguirre performed, in an out-patient surgical setting, Vaginoplasty, Laser Reduction Labiaplasty of the Labia Minora, Clitoral Hood Reduction, Clitoropexy with PRP (Platelet Rich Plasma) Injections to Incision Sites, and Excision of Anal Skin Tags. She returned to the office for her regularly scheduled postop appointments well healed and with excellent results. She will return in the coming weeks for an O-Shot to help address issues with sensation and inability to achieve orgasm during intercourse.