Vulvoplasty is the reshaping of external genitalia (vulva) with plastic surgery. Some people in sex and gender minority communities ask for bottom surgery that does not include creating a full vagina. This is also called zero depth vaginoplasty (ZDV) or shallow-depth vaginoplasty (SDV), and it’s sometimes referred to by the slang term dimple.
This option is sometimes chosen by:
- people with health risks
- people with concerns about complications from vaginoplasty
- people who do not wish to have penetrative vaginal sex
- people who can’t or won’t maintain a dilation schedule
The procedure has been performed on people with differences of sex development and has been offered in Asia for some time, especially by Thai surgeons. A 2018 study by Jiang and others found that among those who had vulvoplasties, the procedures was “associated with high satisfaction and low decision regret.”
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Jiang D, Witten J, Berli J, Dugi D 3rd (2018). Does Depth Matter? Factors Affecting Choice of Vulvoplasty Over Vaginoplasty as Gender-Affirming Genital Surgery for Transgender Women. The Journal of Sexual Medicine 2018 Jun;15(6):902-906. Epub 2018 Apr 26. https://doi.org/10.1016/j.jsxm.2018.03.085
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