Aesthetic genital surgery seems to have become a fashionable issue nowadays many procedures and techniques have been described these last years but very few long term results or follow up studies are available. Patient awareness has led to significant demand for aesthetic genital surgery recently new techniques to enhance the appearance of male and female genitalia have been developed based partially on improved reconstructive pediatric and adult surgical procedures considerable aesthetic improvement in the genital appearance is now possible. Patients with male to female gender dysphoria gd require multidisciplinary assessment and management nowadays more and more patients decide to undergo genital reassignment surgery grs to have aesthetic and functional external female genitalia different techniques of this procedure have been described. The authors describe a modified plastic surgery procedure for functional and aesthetic reduction of the labia minora this aesthetic procedure with excellent results no complications occurred . Aesthetic genital surgery includes a number of key procedures 1 long term aesthetic functional and psychological outcomes are poorly understood and lacking combining the three groups 916 of patients were satisfied with the results of their surgery after a 6 42 month follow up
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