50 yo mother of two from Thatcher, Arizona found nationally renowned Urogynecologist and master cosmetic surgeon Dr. Oscar Aguirre of Englewood, Colorado through an internet search for “Vaginal Rejuvenation.” During her initial exam and consultation she expressed a two year history of undesired vaginal looseness as well as noticing sagging and loose-appearing labia majora. She also reported having additional cosmetic body contouring interest including full-body liposuction with as much fat transferred to the buttocks as possible. After consulting with the patient and gaining a complete understanding of her desired look and appearance, Dr. Aguirre performed the Real Mommy Makeover which included Vaser Liposuction of the upper and lower abdomen, pubic mons, upper and lower back, bra fat, axilla, arms, inner and outer thighs and a Brazilian Butt Lift. In order for the patient to recover in one time period, she desired to move forward with a Vaginoplasty and Labia Major Reduction one week prior, to address the vaginal looseness.