THE LABIAPLASTY AND VAGINOPLASTY TRAINING INSTITUTE OF AMERICA (LAVA-TI™)
“LABIAPLASTY, VAGINOPLASTY, AND OFFICE-BASED VULVOVAGINAL AESTHETICS TRAINING FOR QUALIFIED SURGEONS.”
Master’s Preceptorship and Proctoring Program in Female Genital Plastic/Cosmetic Surgery
The goal of this course is to enable the Gynecologic or Plastic surgeon already possessing a basic familiarity with genital plastic/cosmetic procedures to feel more comfortable proceeding in this new “subspecialty.” At the termination, of course, attendees should possess the following knowledge:
- Familiarity with anatomy and anatomic variations and blood supply of the vulva and vagina
- Familiarity with the nerve and vascular supply to these areas
- Familiarity with proper and safe performance of at least two different procedures (“modified V-wedge,” and “sculpted linear resection”) for labiaplasty (minora), and modifications of these techniques necessary to safely and aesthetically deal with individual anatomic variations
- Modification of labiaplasty procedures to include size reduction of redundant clitoral hood structures and/or hypertrophic posterior commissure tissue.
- Surgical and non-surgical techniques for labia majora reduction
- The understanding of proper, reproducible techniques for anatomic vaginal tightening, both simple cosmetic perineoplasty as well as full pelvic floor sexually mindful repair (“Vaginoplasty,”) performed in-office under local anesthesia, “pearls” regarding instrumentation, exposure, and adjuncts.
- The technique for “clitoral unhooding” of phimotic glans clitoris, and when it may be valuable
Techniques for hymenoplasty and the cultural issues involved.
- Proper patient selection for each procedure: upon whom to operate, upon whom to not operate, and how to choose the most advantageous procedure for the individual patient. “…The Right Procedure on the Right Patient for the Right Reasons…”
- Instructing your staff exactly how to handle genital plastic inquiries in a compassionate and knowledgeable way so as to maximize viable surgical consultations.
- How to “synchronize” with your patient’s wishes and to do the procedure she wishes, with your guidance, rather than vice versa.
- How to get into trouble
- How to stay out of trouble
- Proper record keeping and documentation
- Proper and comprehensive “Informed Consent.”
- Proper equipment for the various operations: choices, choices.
- Various forms of anesthesia.
- Suture choices.
- Where to operate: Surgicenter; hospital; office environment.
- How to set up a surgical suite within your office, without massive modification of your present environment. Equipment, personnel, recovery, analgesia and anesthesia, etc.
- Time estimation for the various procedures
- Who are seeking these operations and why: how to interact with your prospective patient to insure success.
- The use and misuse of photo documentation.
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