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Breasts need to be surgically altered if they are to look less feminine This process involves removing breast tissue and excess skin, and reducing and properly positioning the nipples and areolae. Gender affirming surgery can be used to create a vulva and vagina It involves removing the penis, testicles and scrotum
During a vaginoplasty procedure, tissue in the genital area is rearranged to create a vaginal canal (or opening) and vulva (external genitalia), including the labia.
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