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Vulvoplasty ("Zero Depth", "Shallow Depth", "No Cavity")

Creating a feminine external genital appearance

Vulvoplasty is a gender-affirming surgery that creates a feminine-appearing vulva without a deep vaginal canal. It is an alternative to full-depth vaginoplasty, chosen by patients who do not desire vaginal penetration or prefer a less complex recovery.

Available options:

Zero Depth: full external genital reconstruction (labia majora, labia minora, clitoris), without internal canal.

Shallow Depth: creation of a small, superficial cavity, for a realistic external look with minor vaginal depth but minimal maintenance.

No Cavity: purely external reconstruction with no vaginal opening.

Patients desiring feminine-appearing genitals without vaginal penetration needs.

Preference for shorter, less invasive recovery.

Medical contraindication to full-depth vaginal creation.

Use of existing genital skin and tissue to sculpt realistic vulva.

Preservation of sensation with clitoris creation from penile glans.

No internal canal created, closure performed anatomically.

Spinal anesthesia.

3-4 hours.

Hospitalization.

Lighter than traditional vaginoplasty.

Gentle activities after 2–3 weeks.

Return to work in 3–4 weeks.

No vaginal dilation required.

Realistic external female appearance.

Preserved sexual sensitivity.

Faster recovery and fewer long-term maintenance requirements.

Foire aux questions

Yes, the neoclitoris is built from the glans, preserving sensitivity.

Vulvoplasty does not create a vaginal canal, leading to easier recovery and no dilation requirement.

In some cases, conversion to full-depth vaginoplasty is possible, depending on initial technique and tissue availability.

Scars are hidden in natural folds and fade significantly over time.

Gender-affirming procedures for the female body