Asking new questions, new possibilities, looking at old problems from a new angle, requires creative imagination and marks a real breakthrough in science. Albert Einstein

It is an honor for me, to be able to write a few introductory words in this wonderful book. It is common for doctors to look in a book perhaps for the chapter that we are interested in consulting, because obviously we do not have time for more. However, this story may be very familiar to many readers. At the beginning of this millennium I remember how in my daily medical practice hundreds of women year after year complained of problems related to well-being and the quality of sexual life. Curiously, I felt limited by not being able to offer them any valid alternative that could at least alleviate them and thus obtain some benefit for them in this regard. Perhaps this was the trigger that made me twist the cour-se of my professional career as a gynecologist and I began my journey towards what we now know as “Functional and Aesthetic. Regenerative Gynecology”. Definitely the book that you are about to enjoy is in my opinion one of the most important written works of this new specialty in this century. It complies in each of its chapters with the proposed educational objectives. In a clear and complete way, it not only shows each of the procedures but also allows us the integration of concepts to be able to apply them all in our daily practice. When the term “Aesthetic Gynecology” was introduced in 1996 it only app-lied to surgical corrections in the genital area. As in all evolution in medicine, it began, with the passing of the years, to emerge innovators that contributed new techniques not only surgical but also (as in my personal case with the laser), minimally invasive and non-invasive procedures to be applied in the office. After 25 years of evolution, a large number of procedures have been developed with not only aesthetic but also regenerative and functional purposes in gynecology, which gave rise to this new specialty. Today we are living an unprecedented time, rather exceptional, that will go down in history and that will mark a before and after (due to a pandemic), where the demand for wellness procedures increased in an incredible way. The desire to be well, to improve the biological state prevailed over any other desire in the area of health. In the same way, the demand for procedures in Aesthetic, Regenerative and Functional Gynecology is growing almost exponentially. This means that gynecologists have to supply ourselves with information and we must incorporate new tools to be able to face this growing demand. In this sense, I want to emphasize that this work fills that empty space that we as women’s health professionals have. Regarding the author of this marvel of a book, I just have to say that beyond his vast experience in Aesthetic Gynecology, he is one of the few doctors (if not the only one) in the world who, from the humility that only great people have, has the immense generosity of transmitting absolutely all the information, and more as well. Has accumulated experiences, and more than a thousand proce-dures in the specialty, so as to be able to write and transmit all that world of knowledge that will enrich us for the benefit of our patients. I invite you then to walk the path of Regenerative and Functional Aesthetic Gynecology with the help of Dr Suleyman Eserdag who will show us how exciting and innovative this concept can mean for our clinical practice. Through each of its pages and each of its chapters, the reader will have a different and attractive feeling, which will go beyond the information they can find in it. I am referring to the passion and motivation that you will find between the lines. Finally, as a gynecologist dedicated one hundred percent to Regenerative and Functional Aesthetic Gynecology, I would like to convey a message to you and at the same time share a concern with the reader. My message is simple: aging and deterioration is a continuous process that can have consequences on the quality of life. The concern that I want to share with you is that we must be proactive, that is, take action before the symptoms of deterioration occur. For that we have today an innumerable amount of techniques that you will be able to discover in this beautiful written work. I invite you then to enjoy its pages.

Adrian Gaspar

The field of female cosmetic genital surgery and non-surgical genital treatments has had a long and controversial past. More recently it has found grudging acceptance in the fields of gynecology, urogynecology, urology, plastic and cosmetic surgery, and dermatology. We owe much of the progress to men and women who were willing to face the bows and arrows from their parent organizations and traditionally minded colleagues. These forerunners include Marco Pelosi II, Marco Pelosi III, David Matlock, Michael Goodman, Adrian Gaspar, Otto Placik, Troy Hailparn, Christi-ne Hamori, Heather Furnas, Sejal Desai, Charles Runels, Alexander Bader, Amr Seifeldin, Joao Brito Jaenisch, Clara Santos, Annebelle Ahererra, and Suleyman Eserdag. We owe much to these pioneers to ease the path for others interested in bravely moving forward and helping women worldwide. Pioneers get arrows, settlers get land. I heard about Suleyman Eserdag from my professional circles, an admittedly tight group of pelvic surgeons, almost a decade ago. His reputation in Turkey as a young and renown gynecologic surgeon was growing. I first met Suleyman at the International Society of Pelviperineology (ISPP) meeting in Istanbul in the summer of 2015 where I had the privilege of introducing ThermiVa radiofrequ-ency treatments to the edges of Europe. Legends of pelvic reconstructive surgery and founders of ISPP, Peter Petros and Bruce Farnsworth, wanted me to present my office labiaplasty and vaginoplasty techniques as well my extensive work in transvaginal prolapse repairs. I had the privilege of meeting outstanding Tur-kish surgeons and Suleyman stood out. Within a year (2016) he was in Laguna Beach, California, side by side with me as we dove into the brand-new world of non-surgical aesthetic gynecology using energy and biologics for the benefit of suffering women. 2015 was the birth year of the exponential growth of energy for gynecologic use with the advent of vaginal lasers and radiofrequency treatments. Adrian Gaspar from Argentina shepherded the tremendous growth and interest in vaginal lasers while I pursued radiofrequency indications. Because of Charles Runels primarily, it was also the birth year of PRP treatments getting worldwide notice. Charles had fought for many years before that to bring his message out but 2015 was the breakout year. He spoke at my very last Congress on Aesthetic Vulvovaginal Surgery (CAVS) meeting in Orlando, Florida, in September 2015 and the interest in his O-Shot procedure went ballistic. Suleyman was in the middle of all this outburst of creative energy and recognized that for this field to succeed surgical skill had to be at the forefront. So, we tackled labial and vaginal surgery with intensity in my office setting and planted the seed that would blossom into ISAGSS two years later. I shared all my trade secrets in No IV In-Office Awake Genital Surgery. I shared my skills in Hybrid/Barbie/Rim Labia Minoraplasty, Medial Curvilinear Labia Majoraplasty, Lateral and Vertical Clitoral Hood reduction, RF Feathering and Resurfacing of labial edges and anal skin tags, Perineoplasty, and full depth Vaginoplasty. I shared my secrets on my office set up and equipment, modifications of Pudendal and Levator Blocks, and use of Lone Star 3715 APS Retractor to allow safe and solo in-office surgeries. I made sure Suleyman would be an expert in ThermiVa and the O-Shot as we did case after case. I knew Suleyman would bring these life changing procedures to Europe and the world and help thousands or women in the future. I was very proud of my esteemed graduate and encouraged his professional development. Now, six years after we first met, Suleyman has brought together his experience and skills in his new book “Female Aesthetic and Functional Genital Surgery”. This textbook clearly shows his love and passion for this emerging field and will be a tremendous core source of knowledge. His personalized modifications and approach show a depth of experience from someone in the trenches, working daily to perfect his craft, and not from someone sitting inside an ivory tower having medical students and residents writing chapters from inexperience. I recommend this collection of written insight without reservation. It is the perfect partner for my own online and onsite training programs that have spanned several decades.

Dr. Red M. Alinsod
Alinsod Institute for Aesthetic Vulvovaginal Surgery South Coast Urogynecology
Laguna Beach, California

www.aiavs.com
www.urogyn.org