Gender-Affirming Surgery
Gender-Affirming Surgery Katherine M. Gast William M. Kuzon Jr DEFINITION Gender dysphoria is the incongruence between anatomic sex and gender identity. It is estimated to affect 1.4 million Americans, or…
Gracilis Flap for Perineal and Vaginal Reconstruction
Gracilis Flap for Perineal and Vaginal Reconstruction Ajani G. Nugent Yasmina Zoghbi Christopher J. Salgado DEFINITION Perineal defects reconstructed with gracilis flaps are applied after vulvovaginal resections or more extensive…
Vertical Rectus Abdominis Flap for Perineal Reconstruction
Vertical Rectus Abdominis Flap for Perineal Reconstruction Dhivya R. Srinivasa Jeffrey H. Kozlow DEFINITION Perineal reconstruction is often required after oncologic resections for anorectal, gynecologic, and/or genitourinary tumors. Other etiologies…
Posterior Labial Artery Flap for Vulvar and Vaginal Reconstruction
Posterior Labial Artery Flap for Vulvar and Vaginal Reconstruction Chris A. Campbell DEFINITION The posterior labial artery flap commonly known as the Singapore flap or pudendal thigh flap is a…
Omental Flap for Pelvic Floor Reconstruction
Omental Flap for Pelvic Floor Reconstruction Carrie K. Chu Charles E. Butler DEFINITION Pelvic floor defects may result from colorectal, urologic, and/or gynecologic extirpation (ie, abdominoperineal resection, pelvic exenteration) for…
Gluteal Thigh Flap for Perineal Reconstruction
Gluteal Thigh Flap for Perineal Reconstruction David Gerth Christopher J. Salgado DEFINITION Gluteal thigh flap is an axial fasciocutaneous flap based on the inferior gluteal artery. Usually raised as a…
Vertical Rectus Abdominis Myocutaneous Flap for Perineal Reconstruction
Vertical Rectus Abdominis Myocutaneous Flap for Perineal Reconstruction Sahil K. Kapur Charles E. Butler DEFINITION The vertical rectus abdominis myocutaneous (VRAM) flap plays a beneficial role in improving postoperative outcomes…
Upper Thigh Lift
Upper Thigh Lift Michele A. Shermak DEFINITION Upper thigh lift describes excision of lax and/or redundant thigh tissue to improve tautness, circumference, and/or shape of the thighs. This procedure is…
Upper Arm Lift (Brachioplasty)
Upper Arm Lift (Brachioplasty) Jennifer Capla Joseph Michaels DEFINITION A brachioplasty or upper arm lift is a procedure that targets the skin excess from the axilla to the elbow. The…
Mons Pubis Reduction
Mons Pubis Reduction Michele A. Shermak DEFINITION The mons region is defined as a part of the vulvar anatomy, which also includes the labia majora and labia minora. Monsplasty is…
