Course Objectives. 4. Participant should understand the causes of the acquired sensation of wide vagina and the acquired sensation of smooth vagina

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1 Course Objectives 1. Participant should be able to discern between deceptive, unethical practice of Cosmetic-Plastic Gynecology (CPG) and non-deceptive, ethical CPG practice within ACOG s recommendations. 2. Participant should understand the basic principles of CPG in terms of patient selection, pre- and post-op care, types of anesthesia, suture technique, wound healing, scar minimization 3. Participant will have a better understanding of gross and functional anatomy of the vulvovaginal structures including labia majora, labia minora, clitoral frenulum, clitoral prepuce, vagina and perineum and G-spot as it relates to CPG 4. Participant should understand the causes of the acquired sensation of wide vagina and the acquired sensation of smooth vagina 5. Participant should be able to recognize and understand the multiple surgical plastic interventions for Vaginal Rejuvenation including G-Spotplasty, Posterior Perineoplasty, Vaginal Introitoplasty, Perineal Body Reconstruction, Hymeneal Plate, Hymeneal Ring and Hymeneal Membrane Reconstruction, and Anterior/Posterior Commissuroplasty 6. Participant should be familiar with the non-surgical options for Vaginal Rejuvenation, and better understand the differences between radiofrequency and lasers, the use of fillers and Platelet-rich Plasma (PRP) 7. Participant should be able to recognize the multiple surgical techniques for Labia Minora Labiaplasty 8. Participant should be able to understand new surgical plastic and cosmetic interventions for Labia Minora, Labia Majora, Clitoral Frenulum, Clitoral Prepuce (Central and Lateral Hood), Anterior and Posterior Commissures 9. Participant should have a sense of the marketing tools available to help improve practice visibility and volume 10. Participant should be familiar with multiple validated questionnaires that can be utilized to assess patients before and after surgery/procedures 11. Participant should understand the importance of documentation of signs and symptoms, the patient s specific desires, review of risks and complications, alternatives to selected treatment(s), understanding appropriate expectations, and informed consent and what that includes.

2 SCIENTIFIC PROGRAM Day One: Dec 5, :00-8:30 Registration and Filling up of Pre-Course Questionnaire 8:30-8:45 8:45-9:15 Welcome Where Are We in Cosmetic-Plastic Gynecology? A Decade of Change 9:15-9:45 Vulvo-vaginal Anatomy as it relates to Cosmetic Gynecology 9:45-10:15 The Importance of Patient Selection 10:15-10:30 Informed Consent: What to Include 10:30-10:45 Gathering and Sharing Information: How Best to Help Our Patients 10:45-11:00 Coffee Break 11:00-11:30 Pre- and Post-Operative Care 11:30-11:45 Cosmetic Surgery Techniques: Suture Selection, Suture Technique, and Wound Closure 11:45-12:10 Vaginal Rejuvenation Surgeries: What do They Encompass? 12:10 12:30 Anesthesia in Vulvo-vaginal Plastic Surgeries 12:30-1:00 Lunch 1:00-5:30 Live Surgical Demonstrations Day Two: Dec 6, :00-8:30 Discussion 8:30-9:00 Eight Categories of Labial Concern for Patients 9:00-9:30 What s A Girl to Do? The Challenge of Adolescent Labial Hypertrophy 9:30-10:00 Controversies about Labia Minora Labiaplasty

3 10:00-10:30 Traditional Edge Reducing Labia Minora Labiaplasty Techniques: Partial and Complete Edge Resection (includes video) 10:30-10:45 Frenuloplasty: What is it and When to Do it? 10:45-11:00 Break /Q & A 11:00-11:45 Play dough Hands On Lab 11:45-12:00 Lateral Clitoral Hood Reduction and Reconstruction (includes video) 12:00-12:30 Central Clitoral Hood Reduction- Reverse V-Plasty (includes video) 12:30 1:00 Lunch 1:00-5:30 Live Surgical Demonstrations Day 3: Dec 7, :00-8:30 Discussion 8:30-9:00 Preserving Labia Minora Labiaplasty Techniques: De-epithelialization, Inferior Wedge Resection, and Fenestration Labiaplasty 9:00-9:30 Labiaplasty Techniques Causing Horizontal Scarring: Central Wedge, Z- Plasty, W-Plasty and Variations 9:30-10:00 Labia Majora Reduction (LMR) and Reconstruction Procedures (includes video) 10:00-10:30 The Acquired Sensation of Wide/Smooth Vagina: Causes/Diagnoses 10:30-10:45 Break 10:45-11:15 The Acquired Sensation of Wide/Smooth Vagina: Surgical Interventions 11:15-11:30 Perineorrhaphy vs. Perineoplasty 11:30-11:45 Perineal Abnormalities Case Presentation 11:45-12:15 Vaginal Rejuvenation: Non-Surgical Interventions 12:15-12:45 Lasers vs. Radiofrequency 12:30-12:45 Q & A

4 12:45-1:15 Lunch 1:15-5:00 Live Surgical Demonstrations 6:30 9:00 Course Banquet Day 4: Dec 8, :00-8:30 The G-Spot: What is it? Where is it? And Should It Be Injected with Anything? 8:30-9:00 The Use of Platelet-Rich Plasma (PRP) in Gynecology 9:00-9:30 The Use of Fillers in Cosmetic Gynecology 9:30-10:00 Autologous Fat Transfer in Cosmetic Gynecology 10:00-10:30 Non-Surgical Vulvovaginal Rejuvenation 10:30-10:45 Break 10:45-11:15 Useful Questionnaires in CPG 11:15-11:45 Should Cosmetic Plastic Gynecology Procedures be done in Office or Operating Room? 11:45-12:15 Cosmetic-Plastic Gynecology from a Urologist s Perspective 12:15-12:45 Case Presentations (from Audience) 12:45-1:15 Lunch 1:15-5:00 Surgical/Procedure Demonstrations 5:00-5:30 Post-Course Questionnaire 5:30-6:00 Certificates and photo op In Live Surgeries, cases to be covered (depending upon availability): Labiaplasty Labia Majoraplasty Clitoral Hood resection [Various techniques] Frenuloplasty Surgical Vaginal Rejuvenation Mons Lipoplasty Non-surgical demonstrations of ThermiVa and Use of Platelet-Rich Plasma (O- Shot )

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