We see a number of women who are very self-conscious of the inner lips of their vulva. In some cases, the skin of the inner lips appears to protrude beyond the labia majora, which may be unattractive or awkward. When the lips are larger than necessary, they can be reconstructed to appear smaller. These women feel more comfortable in tighter clothes, such as yoga pants or bathing suits.
In the case of this woman, she felt self-conscious because her labia minora were enlarged and asymmetrical. This situation can be congenital or without an obvious cause. Labia reduction surgery can correct size and asymmetry, giving a more slim, athletic appearance.