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A pleasant 23 year old, who recently graduated from college. She presented to discuss having a labiaplasty. She reports her anatomy has always been this way, and she finds it very uncomfortable. Her goal is to lose the excess skin and improve the overall appearance. She was interested to know how we performed this procedure and what our costs are associated with it. Ultimately we performed the procedure in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results are shown at 3 months.