2011 World Congress Female & Male Genital Cosmetic Surgery.
-
Upload
phillip-jackson -
Category
Documents
-
view
223 -
download
5
Transcript of 2011 World Congress Female & Male Genital Cosmetic Surgery.
![Page 1: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/1.jpg)
2011 World Congress
Female & MaleGenital Cosmetic Surgery
![Page 2: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/2.jpg)
Liposuction& Autologous Fat Transfer
![Page 3: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/3.jpg)
Marco A. Pelosi, III, MDFACOG, FACS, FICS, FAACS
![Page 4: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/4.jpg)
CME Disclosure The Faculty reports no significant financial
relationships or other relationships with the
manufacturers of any commercial products
and/or providers of commercial services
discussed in this educational presentation and
with any commercial supporters of this activity.
Furthermore, no off-label or investigational uses
of products will be discussed without explicit
notification thereof.
![Page 5: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/5.jpg)
Terminology
• Lipolysis• Lipoplasty• Liposuction• Liposculpture• Suction lipectomy• Suction-assisted lipectomy (SAL)
![Page 6: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/6.jpg)
Terminology
• Small-volume (<100 mL fat)• Medium-volume (<1500 mL fat)• Large-volume (<4000 fat mL/ 5000 mL total)• Megaliposuction– CA Speier Bill: >5000 mL “unprofessional”– FL: 4000 mL limit
![Page 7: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/7.jpg)
Terminology
Dry = nothing infiltratedWet= saline/hyaluronidase
![Page 8: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/8.jpg)
Superwet Solution
1,000 ml
10 ml
1 ml
25 ml
![Page 9: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/9.jpg)
Tumescent Local Anesthesia
1,000 ml
10 ml
1 ml
100 ml
![Page 10: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/10.jpg)
Generally Accepted Lidocaine Limits
• Intravenous: 7 mg/Kg• Tumescent w/o liposuction: 25 mg/Kg• Tumescent w/ liposuction: 45 – 55 mg/Kg– Thin = 45– Avg = 50– Heavy = 55
• Florida Law: cannot exceed 50 mg/Kg
![Page 11: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/11.jpg)
Terminology
• Manual Liposuction• Power-Assisted Liposuction• Ultrasound-Assisted Liposuction (UAL)– Internal– External
• Laser-Assisted Liposuction– Internal: “Hot” laser– External: “Cold” laser
• Disruption-Assisted Liposuction
![Page 12: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/12.jpg)
The Tools
![Page 13: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/13.jpg)
Aspiration Equipment
• Suction pump -100 kPa max• Syringe for small volume
![Page 14: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/14.jpg)
Liposuction Cannulas
![Page 15: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/15.jpg)
![Page 16: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/16.jpg)
Fat Transfer Cannulas
![Page 17: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/17.jpg)
LipsType 3
![Page 18: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/18.jpg)
NLFV-Dissector
Type 1
![Page 19: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/19.jpg)
Non LinesType 2
![Page 20: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/20.jpg)
HandsType 2
![Page 21: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/21.jpg)
ButtocksType 2
![Page 22: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/22.jpg)
LabiaType 2
![Page 23: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/23.jpg)
Augmentation Labia Majoraplasty
![Page 24: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/24.jpg)
Typical Process
• Patient is consented, marked & photographed
• NIBP, ECG, SpO2 monitors are placed• Hep-lok is inserted• Knee-high SCDs applied
![Page 25: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/25.jpg)
Punch or scalpel
![Page 26: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/26.jpg)
Always Parallel
![Page 27: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/27.jpg)
Reverse Jackknife PostionAbdominal Lipo
![Page 28: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/28.jpg)
Long strokes
![Page 29: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/29.jpg)
Multi-Directional Contouring
![Page 30: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/30.jpg)
Nondominant Hand Control
![Page 31: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/31.jpg)
Nondominant Hand Control
![Page 32: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/32.jpg)
![Page 33: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/33.jpg)
Blend margins
![Page 34: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/34.jpg)
Avoid superfical layer
5mm No-Suck Zone
![Page 35: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/35.jpg)
EBL = 5mL/liter of total aspirate
![Page 36: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/36.jpg)
Regional Applications
![Page 37: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/37.jpg)
High Definition Liposuction
Etching• Pectoral• Abdominal• Manual, Laser, Vaser• Ideal < 15% Body Fat
![Page 38: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/38.jpg)
Pectoral Etching
![Page 39: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/39.jpg)
Access
![Page 40: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/40.jpg)
Abdominal Etching
![Page 41: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/41.jpg)
Leaner = Better Result
![Page 42: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/42.jpg)
![Page 43: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/43.jpg)
![Page 44: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/44.jpg)
![Page 45: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/45.jpg)
Flanks & Back Strategies
![Page 46: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/46.jpg)
![Page 47: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/47.jpg)
![Page 48: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/48.jpg)
Arms Liposuction
![Page 49: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/49.jpg)
Access: Post
![Page 50: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/50.jpg)
Medial
![Page 51: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/51.jpg)
Lateral
![Page 52: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/52.jpg)
![Page 53: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/53.jpg)
Legs Liposuction
• Outer Thighs• Inner Thighs• Posterior Thighs• Anterior Thighs• Knees• Calves & Ankles
![Page 54: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/54.jpg)
![Page 55: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/55.jpg)
![Page 56: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/56.jpg)
Access
![Page 57: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/57.jpg)
Inner Thighs & Knees
![Page 58: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/58.jpg)
![Page 59: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/59.jpg)
![Page 60: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/60.jpg)
![Page 61: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/61.jpg)
Breast Liposuction
![Page 62: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/62.jpg)
9 months
F cup D cup
![Page 63: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/63.jpg)
Fat Transfer Techniques
![Page 64: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/64.jpg)
2.5 - 3mm
![Page 65: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/65.jpg)
![Page 66: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/66.jpg)
1-2 L
![Page 67: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/67.jpg)
Harvest Setup
11
2
3 3
45
![Page 68: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/68.jpg)
Frompatient
Topump
![Page 69: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/69.jpg)
Gravity x 15:00or centrifuge
discard
![Page 70: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/70.jpg)
![Page 71: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/71.jpg)
![Page 72: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/72.jpg)
Light Infiltration of Recipient Site
![Page 73: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/73.jpg)
![Page 74: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/74.jpg)
600 cc
![Page 75: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/75.jpg)
500ccsuperficial & deep
![Page 76: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/76.jpg)
500cc
![Page 77: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/77.jpg)
200cc
![Page 78: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/78.jpg)
Augmentation Mammaplasty
![Page 79: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/79.jpg)
Peri-glandular
![Page 80: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/80.jpg)
![Page 81: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/81.jpg)
Augmentation Labia Majoraplasty
![Page 82: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/82.jpg)
![Page 83: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/83.jpg)
![Page 84: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/84.jpg)
![Page 85: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/85.jpg)
![Page 86: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/86.jpg)
![Page 87: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/87.jpg)
![Page 88: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/88.jpg)
![Page 89: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/89.jpg)
![Page 90: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/90.jpg)
![Page 91: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/91.jpg)
![Page 92: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/92.jpg)
![Page 93: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/93.jpg)
![Page 94: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/94.jpg)
![Page 95: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/95.jpg)
![Page 96: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/96.jpg)
![Page 97: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/97.jpg)
![Page 98: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/98.jpg)
![Page 99: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/99.jpg)
![Page 100: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/100.jpg)
![Page 101: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/101.jpg)
![Page 102: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/102.jpg)
![Page 103: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/103.jpg)
![Page 104: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/104.jpg)
![Page 105: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/105.jpg)
![Page 106: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/106.jpg)
![Page 107: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/107.jpg)
![Page 108: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/108.jpg)
![Page 109: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/109.jpg)
![Page 110: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/110.jpg)
![Page 111: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/111.jpg)
![Page 112: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/112.jpg)
![Page 113: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/113.jpg)
![Page 114: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/114.jpg)
![Page 115: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/115.jpg)
![Page 116: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/116.jpg)
![Page 117: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/117.jpg)
![Page 118: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/118.jpg)
![Page 119: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/119.jpg)
![Page 120: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/120.jpg)
LVR + Augmentation
![Page 121: 2011 World Congress Female & Male Genital Cosmetic Surgery.](https://reader036.fdocuments.net/reader036/viewer/2022081513/56649d995503460f94a83eaa/html5/thumbnails/121.jpg)
Questions