211 The Next Generation of Aesthetic Female Genital Enhancement: Perineoplasty, Vaginoplasty and Complex Labiaplasty

Desired Outcomes

• Assessment of the aesthetic and functional capacity of the vulvar anatomy and the patient’s specific desires are necessary to successfully perform surgery of the vulvo vaginal area
• During perineoplasty it is important to excise existing fibrotic tissue and re approximate healthy bulbospongiousus and transverse perineal muscles. Performing an efficient vaginoplasty requires lithotomy stirrups, a headlight, an assistant to retract from above and appropriate gynecological instruments