This patient had two significant problems, one was the labia majora which was very sagging, extended, bulging and wide. And the second problem was her labia minora, which was very irregular. It was not even on either side. She had a balancing procedure in which both labia minora’s were made symmetric and even, and she had a reduction of her labia majora with hiding of the suture lines, giving her a much more youthful and natural looking appearance. The patient was overjoyed with her results.