46 year old female was referred to our office by her OB-GYN for labiaplasty. She has no children. She states this is something that has always been an issue for her. She is unhappy with the appearance of the labia, and also states that they are so large they are constantly a source of pain. Since getting older, she states that area stays very dry and painful. She was excited to hear about the procedure, which she had not even been aware of. Her goal was to lose the excess skin, improve the overall appearance, an decrease discomfort. We performed the procedure (labiaplasty) in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results are shown at 3 months.