36 y.o. with both significant asymmetry, lots of hood flesh, and an almost "double" lip on the left

With huge lateral flap on the left side, coming into the outside left labum like a "river delta," this patient's surgery had to be designed to accommodate the significant anatomic differences of the 2 sides. We did a modified V-Y procedure on the left while just bringing up the right "V" to "smooth out" the hood on the right. We also modified the bottom & did a minor perineoplasty.