The patient is 4 weeks post-op from labiaplasty and experiencing gradual improvements, though she still feels unsure about her results. She has noticed some bumps, asymmetry, and a top-heavy appearance, particularly with her right labia being shorter than expected. Healing is still ongoing at this stage, and swelling, tissue settling, and scar softening can continue for several months. Many patients see further refinement beyond the 4-week mark, so changes are still expected in the coming weeks.