Because the labia minora were enlarged and had firm overlapping folds,

including thickened clitoral hood skin,

the incision was designed to allow the tissue to be reshaped smoothly and evenly without excessive contours.

The patient wished for a tight and well-contained appearance within the labia majora,

so the remaining normal labial tissue was conservatively designed

to be less than 1cm in width.

Younger patients often report more postoperative discomfort;

however, this student tolerated the pain well

and experienced a smooth and uneventful recovery.

*Postoperative Day 1:

Pain was mild, and she was able to return home independently after her follow-up visit.

*Postoperative Week 1:

She shared, “I feel much more comfortable now, and sitting is no longer painful.”

*Postoperative Day 20:

She returned with her mother to review the before-and-after photographs.

After the one-week regenerative care session,

she felt so comfortable that she honestly admitted

she had not been doing sitz baths as frequently as instructed—

which earned her a bit of gentle scolding from her mother. ^^

The student cheerfully promised that she would attend her after-school classes regularly

and study diligently, explaining to her mother,

“I couldn’t do the sitz baths because I was busy going to my academy!”

Her response was both endearing and confident.

We had explained in advance that surgery during puberty is uncommon

and that anatomical size may change slightly with continued growth.

The student had already understood this clearly before proceeding.

Although she is a minor,

the decision to proceed with surgery was made with full respect for her own expressed wishes,

and seeing her smile with satisfaction after surgery

was deeply heartwarming for me as well.

Students today are remarkably thoughtful and mature.

This student, in particular, is remembered as someone who was decisive, honest, and self-aware beyond her years.