Designer Laser Vaginoplasty Designer Laser Vaginoplasty (DLV), a procedure closely related to LVR, is the aesthetic laser surgical enhancement of the vulvar structures, including the labia minora, labia majora, mons pubis, perineum, introitus, and hymen.  To date, DLV has provided creative treatment solutions for patients from more than 35 states and 20 countries.  Although our experience and techniques provide us the ability to design most anything that one can desire, our most common DLV® procedures are as follows: Laser Reduction Labioplasty, Laser Perineoplasty, and Hymenoplasty.