Female Aesthetic and Functional Genital Surgery

Author: Dr. Süleyman Eserdağ

425 Pages

June 2021

£93.00 £109.00

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This book written by Dr. Süleyman Eserdag, consisting of 22 chapters and a total of 425 pages, compiles detailed information about female aesthetic and functional genital surgeries, and regenerative treatments with the literature review.

A variety of surgical and non-surgical procedures have been described that the author has performed in his 20 years of genital aesthetic journey, with more than 400 images meticulously chosen from his archive, and in company with relevant data from current literature.

In the book, which will become an important reference for gynecologists, plastic surgeons, dermatologists, and physicians working in the field of cosmetics, you will be able to discover procedures from the basic to the most advanced techniques.

  • 22 separate chapters handled in the same format pattern
  • Various surgical techniques from the most basic to the most advanced ones
  • A variety of surgical, non-surgical, and regenerative genital procedures accompanied by relevant data from current literature
  • Step by step operation techniques in succinct texts
  • Illustrative, colorful images and tables
  • Important tips and tricks that will engage into your practice, and pitfalls you may encounter
  • Patient consent forms
  • Genital aesthetics exam (MCQ)

Introduction And General Information

Chapter 1- Introduction To Women’s Genital Aesthetics And Functional Operations


Why Do Women Consult a Doctor?

Body Perception

Self esteem

Aesthetic and Functional Genital Procedures Umbrella


Aesthetic Genital Surgery (EGC) Contraindications

Patient Selection and Surgery Planning

Female Genital Mutilation (FGM)

Genital Mutilation Types in Women (WHO)

History of Female Circumcision

Chapter 2- Should Genital Aesthetic Operations Be Done?

ACOG Declarations

FDA Declaration

FDA Declaration, A Review on Laser and Other Energy-Based Technologies

World Health Organization (WHO) Definition of ‘Health’

Patient Rights

Patient Perspective

Legal Aspects

Aesthetic Purpose Treatment Contracts and Their Legal Qualifications

Medical Ethical Aspect

Chapter 3- Ideal Vulva Concept And Anatomic Structures

Reasons to Apply to a Physician for Aesthetic Genital Surgery

Anatomical Structures and Their Places in Cosmetic Gynecology

. Mons Pubis (Veneris)

. Labia Majora

. Labia Minora

– Labial Blood Circulation

– Labial Morphology

– Labial and Clitoral Dominance

– Labial Asymmetry

– Labial Protrusion

. Vulvar Vestibulum

. Clitoris

. Hymen

. G Spot

Innervation and Vascularization of the Vulva

Normal Vulva Measurements

Vaginal Anatomy and Histology

Pelvic Floor Muscles

Perineal Body

Derivatives of Embryological Structures

Chapter 4- Histology And Physiology Of The Skin

Skin Layers

. Epidermis

. Dermis

. Hypodermis

Skin Pathologies

How Does Skin Color Occur?

. Melanocyte Structure

Chapter 5- Vulvar Lichen Sclerosus






Pediatric Lichen Sclerosus

Differential Diagnosis


. Topical and Systemic Medical Treatments

. Surgical Treatments

. New Treatment Approaches


Chapter 6- Wound Healing Physiology

Wound Healing Phases

. Hemostasis / Inflammation

. Proliferation

. Maturation (Remodeling)

Factors That Negatively Affect Wound Healing

Wound Complications

Chapter 7- Preoperative Evaluation And Patient Selection

Preoperative Evaluation Stages

. Detailed Anamnesis

. Gynecological Examination

. Planning the Surgery and the Post Process

Taking Photo and Archiving

Body Dysmorphic Disorder (BDD)

Chapter 8 – Instrumentation, Surgical Installation And Anesthesia

Tools and Devices Used



. Surgery in Office

– Local Anesthesia Applications

– Pudendal Block

– Office Premedication

. Surgery in a Hospital Environment

– Sedation

– General and Regional Anesthesia Methods

Surgical Operations In Genital Aesthetic Art

Chapter 9 – Labiaplasty

Labiaplasty Indications

. Labial Hypertrophy

. Labial Asymmetry

– Labial Asymmetry Classification (Eserdag)

. Other Psychological Causes

Operation Principles

Historical process

Labiaplasty Techniques

. Curvilineer Excision

. Wedge (Wedge) Resection (V plasty)

. Extended Central Wedge Resection

. Bilateral Deepitelization

. Zig Zag Technique

. Modified Double Wedge Resection (Star labiaplasty)

. Laser Labiaplasty

Labiaplasty According to Patient Expectations: ‘Queens, Princesses and Barbies’

Eserdag Barbie Vagina Aesthetics Concept

Office Labiaplasty

Combined Procedures

Botched Labiaplasty and Revision Surgeries


Frequently Seen Complaints After the Operation


Vulvar Hematoma and Management

Postoperative Term

Long Term Results

Post-Operation Psychological Effects

Chapter 10- Clitoral Hoodoplasty And Frenuloplasty

Why Hoodoplasty is Necessary?

Classification and Management of Clitoral Hood Abnormalities

Hoodoplasty Techniques

. Bilateral Vertical Skin Excision (classical method)

. Inverted V Plasty (extended central wedge resection)

. Hydrodissection with Inverted V-Plasty

. Inverted Y Plasty (Inverted-Y plasty, Eserdag)

. Inverted U Extended Hoodoplasty (Eserdag)

. Hat Trimming (Eserdag)

. Subepithelial Hoodoplasty

. Edge-Wedge Labiaplasty (Edge-Wedge technique)


The Postoperative Period


Frenuloplasty Techniques

Chapter 11 – Vaginoplasty

Ideal Vagina Concept

Juicy Vagina Syndrome

Vaginal Wind (Flatus Vaginalis, Queef)

Vaginal Gaping

Lost Penis Syndrome

Vaginal Relaxation Syndrome (VRS)

Surgical Vaginoplasty Techniques

Posterior Colporrhaphy

Surgical Results

Combined Procedures

Frequently Seen Complaints After the Operation


The Postoperative Period

Vaginoplasty Revision Surgery

Neovaginoplasty for Vaginal Aplasia

. Non-Surgical Methods

. Surgical Methods

Chapter 12- Perineoplasty

Perineoplasty Indications

. Perineal Traumas

Perineoplasty Techniques

. Diamond Incision

. Elliptical Incision (Episiotomy scar revision)

. Triangular Incision

. Z plasty

Atrophic Scar Treatment Methods

Perineal Hernias

Complications and the Postop Period

Perianal Aesthetics

Chapter 13- Labia Majoraplasty

Vulvar Laxity Reasons

Primary and Secondary Hypertrophy

Labia Majoraplasty Surgical Techniques

. Elliptical Excision

. Horseshoe Excision

. Tear Incision (Eserdag)

Majoraplasty with Adipose Tissue Excision (Fat Pad Debulking)

Combined Procedures


Postoperative Term

Chapter 14- Labia Majora Enlargement And Monsplasty With Fat Graft


Historical process

Labia Majora Fat Graft Indications


. Fat Removal (Harvesting, Lipoaspiration)

. Fat Processing

. Lipofilling

Combined Procedures

Fat Transfer for Different Regions

Operation Success


Postoperative Term


Mons Reduction Methods

Postoperative Term

Chapter 15 – Hymenoplasty

Hymenoplasty Techniques

. Long Term Processing

– Vestibulo-Introital Tightening Technique (VITT, Eserdag)

– Flap Operations

– Septum Repair

. Short Term Operation

Psychological Influences

Combined Procedures


Postoperative Term

Non-Surgical Operations In Genital Aesthetic Art

Chapter 16- Vaginal Laser Applications

Laser Physics

Laser Parameters

Basic concepts

Properties of the Laser Light

Which Laser Should Be Used in Which Indication?

Lasers in Gynecology

. Carbon Dioxide Lasers

. Er:YAG Lasers

Laser Indications: Use in Gynecology and Dermatology

Vaginal Laser Contraindications

What To Do Before Laser?

Laser Applications for Vaginal Rejuvenation

Application Protocols

Stages of Laser Vaginal Rejuvenation (LVR) Procedure

Some Laser Devices in the Market

Laser Application for Stress Urinary Incontinence (SUI) Treatment

Laser Application in Menopausal Genitourinary Syndrome (GSM)

Laser for Symptomatic Treatment of Lichen Sclerosus

Post-Laser Histological Changes

Collagen Structure and Types

Comparison of Laser and Surgical Tightening Operations

Survey Studies and Scientific Data

Combined Procedures


Postoperative Term

Section 17- Genital Bleaching Treatments

Skin Color Types

Hyperpigmentation Causes

Hyperpigmentation Treatments

Q-Switch Laser Technology

Post-Procedure Period



Postinflammatory Hyperpigmentation

Other Methods Applied for Bleaching

. TCA (Trichloroacetic Acid)

. Other Chemical Agents


. Ready, Spreadable Solutions

. Injectable Mesotherapy Preparations

Section 18- Genital Radiofrequency Applications

Increasing Trend in Vaginal Rejuvenation

RF Technology

Mechanism of Action

Indications for Use in Gynecological and Dermatological Fields

Some RF Devices in the Market

Genital RF Contraindications

Preparation Before Genital Radiofrequency Treatment

How Genital RF Treatment is Performed?

Effects on Orgasmic Function

Histological Studies

Combined Procedures


The Postoperative Period

Section 19 – G Spot Enlargement With Hyaluronic Acid

Historical process

Scientific Data

Contrasting Ideas

G Spot Dermal Filler Injections

G Spot Augmentation Indications


How to Perform G Spot?


Post-Procedure Period

Regenerative Treatments

Chapter 20- Genital Regional Hyaluronic Acid (Ha) Applications

Where Is Hyaluronic Acid (HA) Found?

Historical process

Obtaining of HA

Indications of HA in Cosmetic Dermatology

FDA Statement

Where is it done in the genital area?

The Use of HA in Cosmetic Gynecology

. Vaginal Dryness

. Vulvar Vestibulitis

. G Spot Injection

. Perineal Lifting

. Perineal Scar Treatments

. Correcting Labium Majus Hypotonicity and Hypotrophy

HA Application Techniques

Some Fillers in the Market

Labia Majora Augmentation by HA

HA Fillers for Vagina and Vestibulum

Features in HA Selection: HA Rheology


Comparison with Fat Transfer

Combined Therapies

Complications and Undesirable Effects

Post Process Period

Different Fillers

Chapter 21- Genital Prp And Prf


What is PRP (Platelet Rich Plasma) Process?

Platelet Structure

Platelets in the Wound Healing Process

Growth Factors (BF)

How to Prepare PRP?

Use of PRP in Different Medical Branches

Use of PRP in Cosmetic Dermatology

Usage Areas of PRP in Cosmetic Gynecology

. Sexual Pleasure Treatments

. Menopausal Genitourinary Syndrome (GSM)

. Lichen Sclerosus Treatment

. Labium Majora Rejuvenation

. Episio Scar Treatment

Different Usage Areas of PRP in Gynecology

PRP Contraindications

Combined Therapies


Post-Procedure Period


What is PRF (Platelet Rich Fibrin)?

Comparison with PRP

How to Prepare PRF?

Genital Area Indications and Application Method of PRF

Non-Genital Area Indications of PRF

Chapter 22 – Regenerative Medicine

Regenerative Medicine Field

Autologous Fat Treatment Types

. Macrofat Transfer

. Microfat Transfer

. SEFFI transfer (Superficial Enhanced Fluid Fat Injection)

. M-SEFFI (Micro SEFFI) transfer

. Nanofat Transfer

. SVF Transfer


Patient Informed Consent Forms

Genital Aesthetic Exam (MCQ)