- File Size: 30069 KB
- Print Length: 264 pages
- Publisher: Thieme; 1 edition (March 29, 2017)
- Publication Date: March 29, 2017
- Sold by: Amazon Digital Services LLC
- Language: English
- ASIN: B06XJD5YWP
- Text-to-Speech: Enabled
- Word Wise: Not Enabled
- Lending: Not Enabled
- Amazon Best Sellers Rank: #817,863 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Female Cosmetic Genital Surgery: Concepts, classification and techniques 1st Edition, Kindle Edition
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The Bottome Line - from acceptance of a woman's goals to improve her sexual well-being, from Labiaplasty to Vaginal Tightening, from Thermiva to O-Shot and lasers for non-surgical rejuvenation, this text captures it for 2017 and lays ample groundwork for the future. Well organized and referenced.
Part I gives good consideration to Anatomy, Psychosocial Issues and Informed Consent and Liability. A later chapter (in Part III) further details multiple components of female orgasmic function and calls for wider acceptance of this topic in the medical field (bravo!).
Part II - the meat of the book - is a fairly comprehensive Techniques section with chapters on labiaplasty (edge and wedge, clitoral hood, hymenoplasty, majora reduction, fat grafting, fillers), vaginoasty, and perineoplasty, with additional chapters on complications and ancillary procedures including perineal lightening.
Part III - "Advances" covers new ground that I have not before seen in textbooks -- non-surgical rejuvenation approaches including the O-Shot utilizing PRP, RF and Laser vaginal rejuvenation chapters.
Additionally, the hardcover book includes access to online videos - I've watched most of them and found many to be helpful as adjuncts with three Labiaplasty videos (including Barbie Labiaplasty) as well as videos of Perineoplasty / Vaginoplasty, Hymenoplasty and Thermiva.
"This isn't your Mother's Labiaplasty" -- the precision, diagnosis, options and techniques are rapidly advancing in this growing field, and as we all know, the demand is exploding along with it. As surgeons, we must push forward with our knowledge and learning to meet these new demands. This book is a must as a current reference.
Elsewhere, in the chapter on clitoral hood reduction techniques, a cross-section of the clitoris is shown, depicting incorrect anatomy. This cross-section appears to be made based on penile cross-sections, with absolutely no regard for published research on clitoral anatomy. First of all, the dorsal nerves should be in about the 1-3 o'clock and 9-11 o'clock positions. They are also much larger relative to the body of the clitoris. When I dissected a clitoris, the nerves were about 1 mm in diameter along a body that was only about 5 mm in diameter! Also, the arteries shown here are in the wrong place. I realize that isn't particularly relevant, but it just shows an unacceptable level of carelessness.
These authors appear to define only the "free edge" of the prepuce as the clitoral hood. But the authors clearly label proximal, non-retractable portions of the prepuce as the "clitoral hood."
I personally had the glans and some of the body of my clitoris denervated in a clitoral hood reduction. It is upsetting to see this risk perpetually not taken seriously by doctors claiming to increase the sexual function of their patients. My glans is insensate thanks to this cavalier attitude.
I also had my labia minora completely amputated. This outcome is common. Contrary to what many surgeons seem to assume, an absence of labia minora is not just a functional issue. Now that I am no longer 18 years old, I couldn't care less what I look like. However, I do care that I live in chronic discomfort and cannot get pleasure from cunnilingus ever again.
How "safe and effective" is it when there are no training standards for these procedures?
Also, why is the length of the clitoral body and hood minimized in all the illustrations?