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The skin flaps are sutured and placed in position in the vaginal cavity. And here is a link to a photo of an early surgery done by Dr. Using the perforator flap as a pedicled flap can be very attractive, both financially and technically.

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Configuration and localization of the nipple-areola complex in men. Abstract: First physiologic study of orgasm in postoperative male-to-female transsexuals. Gynecol Surg.

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