This is a 46 year old female who was unhappy with the appearance of her labia. She underwent a Baltimore labiaplasty in the office under local anesthesia. Labiaplasty is a great procedure to reshape and to contour the entire vuvlar area, including the labia majora, labia minora, and clitoral hood. The entire process is commonly done right in the office under local anesthesia only. The labia majora can be treated with liposuction if it’s too full or even fat grafted for more volume. Commonly, excess labia minora can be removed to give a more symmetrical and more aesthetic appearance to the labial area. Dr. Schreiber can review the detail with you during a cosmetic surgery consultation.