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The Aesthetic Surgery Education and Research Foundation

Defining Ideal Female Genital Anatomy Through Novel Crowdsourcing Analysis Print

The ASERF Scientific Research Committee and Board of Directors are pleased to announce the following grant award:

Researcher: Herluf Lund, MD & Alexander Lin, MD (Co-PIs)

Grant Award: ASERF Interim Grant

Amount Awarded: $16250.00

Project Name: Defining Ideal Female Genital Anatomy Through Novel Crowdsourcing Analysis

Project Summary:

Labiaplasty continues to increase in popularity in the United States with 10,787 surgical and non-surgical labiaplasty procedures performed in 2017. The American Society for Aesthetic Plastic Surgery (ASAPS) reports a 217.3% increase in labiaplasty procedures performed in the United States from 2012 to 2017.  The increased demand for labiaplasty is multifactorial and has been attributed to exposure through television and internet, the growing popularity of shaving the genital area, and increased media attention (Koning et al). Female genitalia displayed in the media is rarely asymmetric and frequently undergoes retouching, thus creating an unrealistic standard to which females compare their own anatomy and creating increased self consciousness in women regarding their genitalia. This has contributed to increased demand of labiaplasty procedures, as these procedures are most often pursued by women who are unsatisfied with the appearance of their genitalia or believe it is abnormal (Laan et al.). Although multiple studies have published ranges of quantitative measurements to define the normal external female genitalia (Gunthert et al., Lloyd et al.), no studies describe ideal female genital anatomy. As with many other procedures in plastic surgery, the goal of labiaplasty is not only a normal result, but an aesthetically ideal one.

In our proposed study we hope to establish ideal anatomic norms for female genitalia through crowdsourcing and identify any differences in ideal female genital anatomy that may exist between demographic groups in order to guide labiaplasty procedure aesthetic outcomes. Crowdsourcing is a novel technology utilizing large number of laypeople via the internet (“wisdom of the crowds”) whose aggregate results are valid in multiple types of studies (Crump et al.), but has not been applied to female genital anatomy.

Academic Aesthetic Surgery Census and Consensus Conference Print

The ASERF Scientific Research Committee and Board of Directors are pleased to announce the following grant award:

Researcher: Galen Perdikis, MD and Felmont Eaves, III, MD (CO-PIs)

Grant Award: ASERF Interim Grant

Amount Awarded: $25,500

Project Name:
Academic Aesthetic Surgery Census and Consensus Conference

Project Summary: 

Hypothesis: There are significant challenges and opportunities for aesthetic surgery within academic institutions which are often more focused on and conducive to reconstructive practices.  However the development of successful academic aesthetic surgery practices and educational capabilities are key to promoting faculty practice development, departmental/division financial stability, research in aesthetic surgery, and comprehensive resident and fellow education.  By developing a clear understanding of the current state of aesthetic aesthetic surgery and developing strategies to address the challenges of aesthetic surgery within academic centers the specialty as a whole can be strengthened.

Goals:    1. Perform a comprehensive audit of the current state of aesthetic surgery at academic institutions.  The audit will identify common obstacles and strengths, financial implications (compensation, department/division net impact), faculty capabilities and aesthetic practice development (performance evaluation, promotion), aesthetic research capabilities, and aesthetic education (aesthetic topics, resident aesthetic case exposure/participation, resident aesthetic clinics, etc.)  (Draft:  See attachment A).
               2. Round table in person meeting to analyze audit findings and formulate best practices and strategies in the format of a consensus statement.
               3. Dissemination of best practices to all Academic Centers through ASAPS, ACAPS, & AAPS
               4. Assess impact and changes successfully made based on recommendations by re-assessment (repeat audit in 2-3 years).

Relevance:    Aesthetic surgery is one of the pillars of our specialty and is of paramount importance to our financial viability as departments and divisions in the future. We need to be able to provide state of the art training in aesthetic surgery to remain the ultimate standard bearers of quality and outcomes in aesthetic surgery. The practice of aesthetic surgery at academic institutions and the capabilities, functionality, and institutional support thereof is widely variable. The reasons for this are not fully understood and have not been studied adequately. By studying underlying barriers and opportunities and by bringing together leaders to develop consensus on successful strategies and tactics to build and promote aesthetic surgery we hope to help academic aesthetic centers demonstrate relevance to their institutions and garner critical support. Over the long term the group intends to make participation available to all academic programs involved in residency training and to explore ways to expand aesthetic surgery related research, an attractive option considering the research capacity and experience housed in academic centers.

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