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In a second surgery the excess skin is removed.

The urethra is then shortened to the appropriate length and stitched to its new position in the skin.

Plastic surgerysince it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required.

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Health care and medicine.

The aesthetic, sensational, and functional results of vaginoplasty vary greatly.

A tracheal shave procedure is also sometimes used to reduce the cartilage in the area of the throat and minimize the appearance of the Adam's applein order to conform to more feminine dimensions.