27 yo female from Broomfield, Colorado with lifelong history of aesthetic concerns regarding her vulva found, Urogynecologist and cosmetic surgeon, Dr. Oscar Aguirre through internet research on Laser Reduction Labiaplasty. Upon examination she was found to have bilateral asymmetric large, dark labia minora as well as excessive clitoral hood and perineal skin. To address these bothersome issues, Dr. Aguirre preformed an in-office Labiaplasty, Clitoral Hood Reduction and Excision of Perineal Skin. She returned to the office for her regular post-op visits and was extremely pleased with her results.