by From a surgeon to the surgeons who want to be the best in labiaplasty
Covering all things labial from skin to surgery and everything in between. Surgical and Non-Surgical treatments discussed in detail. <br/><br/><a href="https://labiaplasty.substack.com?utm_medium=podcast">labiaplasty.substack.com</a>
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April 29, 2025
<p><a target="_blank" href="https://alinsodinstitute.com/about-dr-red-alinsod/"><strong>Red Alinsod, MD</strong></a></p><p><a target="_blank" href="http://www.alinsodinsitute.com"><strong>Alinsod Institute for Aesthetic Vulvovaginal Surgery</strong></a></p><p><strong>Dallas, TX</strong></p><p></p><p><strong>BACKGROUND:</strong></p><p>In 2005 I developed the <a target="_blank" href="https://alinsodinstitute.com/labiaplasty-minora-reduction/"><strong>Barbie Look Labiaplasty,</strong></a> a radical and aggressive form of labiaplasty that removed almost all to all of the labia minora to achieve maximal comfort for athletes, reduce the outlining of the labia when wearing swimsuits and leotard, and as a cosmetic preference to obtain a “clamshell” look wanted by women in Southern California. This was an athletic, smooth, and sleek look that was the most “tucked in” you could get. It was impossible to achieve this look with the standard plastic surgery wedge labiaplasties. It has been a beloved surgery for the carefully selected patients who want this minimalist “Look” it. No more adjusting and tugging. My Olympic level athletes found it to be an outstanding choice.</p><p><strong>HISTORY:</strong></p><p>Soon after my Barbie Look Labiaplasty technique became well known through my teaching programs, the media, presentations in Congresses, it was copied worldwide and attempted by untrained surgeons. Poor and awful outcomes were rapidly occurring, and I was referred many patients for repair. Patients came to me with no labia minora at all when they did not seek out or ask for the Barbie Look Labiaplasty. Their surgeon chose the wrong procedure of a Barbie Look for patients who wanted labia left. Many surgeons who had done zero to only a few labiaplasties ended up not knowing of the massive retraction of tissues in the upper third of the labia minora with resultant retraction of labial edges to end up flat and with NO labia at all. These surgeons did not know what to do and I was often consulted. I was also sought out as an expert witness for malpractice cases.</p><p>I had a small handful of patients in the first decade of my practice doing the Barbie Look Labiaplasty who changed their minds months to years later and wanted to have a little bit of labia minora showing and not be completely flat. The pictures below is one of those patients. My original solution was simple and worked well if they wanted just a little bit of labia minora below the level of the labia majora. If they wanted more of the labia above the level of the labia majora I would have to make labia majora incisions up to 2cm above where the labial crease would have been. I called this my <a target="_blank" href="https://www.gynflix.net/search?q=grooving"><strong>Grooving Technique</strong></a> because I created a groove between where the labia minora and labia majora had met, the interlabial fold, undermined medialy, and created a labia from no labia. <strong>It was actually creating an optical illusion of a new labia when in reality it was creating a groove and sometimes suturing the lateral majora edge to the lowest portion of minora edge that was just “grooved.”</strong></p><p>I shared this secret with <strong>Amr Seifeldin</strong> when he visited my office on October 6, 2015, 2017, 2019. I did not publish my technique and only shared it with my Alinsod Fellows who would travel to Laguna Beach over the past 18 years to participate in my Preceptorships. Amr expanded on my methods for the patient who wanted a more significant labia minora reconstruction without the use of flaps and has taught this to his Fellows. His Center in Cairo, Egypt, has been a tremendous resource for patients in the area wanting both Female Genital Mutilation Repair, Cosmetic Gynecology Surgeries, and advanced Revision Labial Surgeries such as my Grooving Technique. The landmark article by <strong>Reham Awwad, Amr Seifeldin, Natalie Sorial,</strong> and myself is attached at the end of this newsletter.</p><p></p><p><strong>PATIENT SELECTION AND GROOVING TECHNIQUE SUMMARY:</strong></p><p>1. For the patient who wants to create the illusion of a labia minora where there was none up to the level of the labia majora and just past it.</p><p>2. Local anesthesia</p><p>3. Use radiosurgery to create a “Groove” between the labia minora and labia majora, where the crease used to be, the former intralabial fold.</p><p>4. Start with the fine pinpoint “Hair Tip” of the Ellman or Soniquence RF to outline and incise from the top of the labia minora to the introitis.</p><p>5. Use this “Hair Tip” to smoothen any labial and hood areas to create a smooth from from the clitoral hood to the frenulum or its remnants, to the labia minora.</p><p>6. Use the small ball tip to continue the Grooving deeper while maintaining hemostasis to create a flab of labia minora medially. With adequate numbing cream, a QTip is used twice daily to keep the edges from fusing together. This is performed for 4-6 weeks. No suturing needed.</p><p>7. For more significant labial creation, suturing is need to attach the lateral majora edge of the incision to the lowest portion of the medial minora edge to keep the appearance of a new labia minora.</p><p>8. Inject PRP into the surgical site and use Estrogen Cream or Exosome Cream to aid in healing for the next 6 to 8 weeks.</p><p></p><p>I have videos on how this surgery is performed on <a target="_blank" href="https://gynflix.com"><strong>Gynflix</strong></a><strong> </strong>intended for surgeon training:</p><p>The Long Version is 2:18:41 long: <a target="_blank" href="https://www.gynflix.net/videos/aiavs-fellows-video-8-live-narrated-vaginoplasty-101-with-chr-feathering-and-grooving-revision-o-shot-hd"><strong>Vaginoplasty 101, CHR Grooving and Feathering Revision, and O-Shot</strong></a></p><p>The Short Version is 1:24:50 long: <a target="_blank" href="https://www.gynflix.net/videos/lns1-v2-feathering-and-grooving-and-chr-for-botched-labiaplasty"><strong>Feathering and Grooving Revision, CHR, and O-Shot for Botched Labiaplasty</strong></a></p><p>The Full Length version of this video will be released on <a target="_blank" href="http://www.gynflix.com"><strong>www.gynflix.com</strong></a> shortly in May 2025. Just SEARCH the term <a target="_blank" href="https://www.gynflix.net/search?q=grooving"><strong>“Grooving”</strong></a> on the website and it will pop up.</p><p>Click for more <a target="_blank" href="https://alinsodinstitute.com/procedure-gallery/labiaplasty-revisions-1/"><strong>Botched Labiaplasty Repair Photo Sets </strong></a>for you to view: <a target="_blank" href="https://alinsodinstitute.com/procedure-gallery/labiaplasty-revisions-1/"><strong>Revisions</strong></a></p><p></p><p><strong>Photography: 2015</strong></p><p>1st Row: Before Barbie Labiaplasty, Vertical CHD, and Labia Majoraplasty</p><p>2nd Row: Immediately After Surgery</p><p>3rd Row: Before Grooving</p><p>4th Row: Immediately After Grooving</p><p>5th Row: Four Months Post Op</p><p>6th Row: Six Months Post Op</p><p></p><p>Top Row: Before Grooving</p><p>Middle Row: Immediately After Grooving</p><p>Bottom Row: Six Months Post Op</p><p></p><p>Full Surgical History: Before all Surgeries and After Grooving Revision in 2015</p><p></p><p>LABIA MINORA RECONSTRUCTION USING A LABIA MAJORA FLAP</p><p>Click <a target="_blank" href="https://open.substack.com/pub/cosmeticgynecology/p/labia-minora-reconstruction-using?r=37f49m&utm_campaign=post&utm_medium=web&showWelcomeOnShare=false">HERE</a> for my September 2024 Newsletter on this publication.</p><p></p><p></p><p><a target="_blank" href="http://www.gynflix.com/">GYNFLIX Cosmetic Gynecology e-Learning</a></p><p>For Detailed Videos Click on the Index Photo Below:</p><p>For more Cosmetic Gynecology Training join <a target="_blank" href="http://www.gynflix.com/">Gynflix.com</a></p><p><a target="_blank" href="http://www.gynflix.com/"><strong>Gynflix </strong></a>is an online e-Learning platform dedicated to Feminine Wellness. Videos of topics such as labiaplasty, vaginoplasty, cliteroplasty, clitoral hood reduction, anal skin tag excision.</p><p>Subscriptions: <a target="_blank" href="https://gynflix.com/pricing/"><strong>GYNFLIX PRICING</strong></a></p><p><a target="_blank" href="https://gynflix.com/pricing/"><strong>SILVER BULLET SUBSCRIPTIONS</strong></a>: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.</p><p><a target="_blank" href="https://gynflix.com/gold-fellows-registration/"><strong>GOLD FELLOWS MEMBERSHIP</strong></a>: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on <a target="_blank" href="http://www.gynflix.com/">www.gynflix.com.</a>There will be 1-2 complete and unique videos per month. Dr. Alinsod will be available to discuss the intricacies and details of topics covered in the videos and answer specific questions that may arise . This is the first and only true Master’s Course for continuing education focused on cosmetic gynecology. Get all my practice forms. All Newsletters are free. The Modules are FREE with Diplomas upon completion.</p><p>I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!</p><p>Contact <strong>Suzette Peterson</strong> at <strong>(909) 374-1000</strong> or email her at <strong>[email protected]</strong> if you have any questions.</p><p>Social Media:</p><p><a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>Follow </strong></a>my Social Media adventures below as I educate and entertain every week. Join me on <strong>Instagram</strong> as<a target="_blank" href="https://www.instagram.com/vageniusmd/"> </a><a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>VageniusMD.</strong></a><strong> </strong>I have around 190,000 subscribers to my <strong>Cosmetic Gynecology Newsletter</strong> and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on <a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>Instagram</strong></a> for fun and knowledge.</p><p><strong>Instagram:</strong> <a target="_blank" href="https://www.instagram.com/vageniusmd/">VageniusMD</a></p><p><strong>FB: </strong><a target="_blank" href="https://www.facebook.com/redalinsodMD/">Vagenius - Red Alinsod, MD</a></p><p><strong>TicTok: </strong><a target="_blank" href="https://www.tiktok.com/@vageniusmd">VageniusMD</a></p><p>Websites:</p><p><a target="_blank" href="https://alinsodinstitute.com/"><strong>Alinsod Institute</strong></a></p><p><a target="_blank" href="https://www.gynflix.com/"><strong>Gynflix</strong></a></p><p>My Three Newsletters:</p><p>For the <strong>Lay Public</strong> and <strong>Medical Professionals</strong>: <strong>Feminine Wellness Newsletter</strong></p><p>For <strong>Medical Professionals</strong>: <strong>Cosmetic Gynecology Newsletter</strong></p><p>For <strong>Surgeons</strong>: Subscribe to the <strong>Labiaplasty Newsletter:</strong></p><p><strong>DALLAS OFFICE</strong>Alinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected]</p><p></p><p><p>Labiaplasty Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></p><p></p> <br/><br/>This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://labiaplasty.substack.com/subscribe?utm_medium=podcast&utm_campaign=CTA_2">labiaplasty.substack.com/subscribe</a>
April 28, 2025
<p>The Updates are Live!</p><p>We have revamped <strong>Gynflix 2.0.</strong> Easier, faster, more intuitive, more content, super affordable. Here are the reasons you should subscribe to <a target="_blank" href="https://gynflix.com/">www.gynflix.com.</a></p><p>* <strong>Full-length teaching videos</strong> in 4K and HD</p><p>* Monthly updates and NEW videos</p><p>* Top Watched Videos</p><p>* Highlighted Videos</p><p>* <a target="_blank" href="https://gynflix.com/video-shorts/"><strong>“Video Shorts”</strong></a> Collection of 3-5 min abbreviated videos for the<strong> Lay Public</strong></p><p>* <a target="_blank" href="https://gynflix.com/rm-cheat-sheet/">“</a><a target="_blank" href="https://gynflix.com/rm-cheat-sheet/"><strong>Cheat Sheet</strong></a><a target="_blank" href="https://gynflix.com/rm-cheat-sheet/">”</a> collection of videos to review right before your case starts</p><p>* <strong>ALINSOD LIVE</strong>: Quarterly Zooms with Fellows (<a target="_blank" href="https://gynflix.com/2021-live-with-red-alinsod-md/"><strong>2021</strong></a><strong>, </strong><a target="_blank" href="https://gynflix.com/2022-live-with-red-alinsod-md/"><strong>2022,</strong></a><strong> </strong><a target="_blank" href="https://gynflix.com/2023-live-with-red-alinsod-md/"><strong>2023,</strong></a><strong> </strong><a target="_blank" href="https://gynflix.com/2024-live-with-red-alinsod-md/"><strong>2024,</strong></a><strong> </strong><a target="_blank" href="https://gynflix.com/2025-live-with-red-alinsod-md/"><strong>2025</strong></a><strong>)</strong></p><p>* <a target="_blank" href="https://gynflix.com/search-terms/"><strong>SEARCH</strong></a> Capabilities are exceptional</p><p>* <a target="_blank" href="https://gynflix.info/guide/mobile/index.html"><strong>INDEX/GUIDE TO AIAVS VIDEOS</strong></a><strong>: </strong>Descriptions and Keywords and Direct Links</p><p>* <a target="_blank" href="https://gynflix.com/search-terms/"><strong>Photo Gallery</strong></a>: Best In Class Before and After Photo Collection </p><p>* <strong>Modules:</strong> Specifically dedicated to a narrow topic. Surgical and Non-Surgical</p><p>* <strong>CMA and Charles Runels, MD,</strong> personalized connection and training</p><p>* <a target="_blank" href="https://gynflix.com/search-terms/"><strong>Industry Resources: </strong></a>Alinsod supported and Approved devices and resources</p><p>* <a target="_blank" href="https://gynflix.com/search-terms/"><strong>Access Alinsod</strong></a>: Private One-On-One FaceTime/Zoom/Phone calls</p><p>* <strong>FORMS</strong>: Access to Alinsod forms for office use upon Request</p><p>* <strong>NEWSLETTERS:</strong></p><p>* <a target="_blank" href="https://cosmeticgynecology.substack.com/"><strong>Cosmetic Gynecology Newsletter</strong></a>: For Medical Professionals</p><p>* <a target="_blank" href="https://labiaplasty.substack.com/"><strong>Labiaplasty Newsletter:</strong></a> For Surgeon</p><p>* <a target="_blank" href="https://femininewellness.substack.com/"><strong>Feminine Wellness Newsletter:</strong></a> For the Lay Public</p><p>* <strong>SOCIAL MEDIA:</strong><a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong> VaginiusMD </strong></a><strong>on IG</strong></p><p>On January 2025 I launched <a target="_blank" href="https://x.com/i/communities/1868418498927485221"><strong>Gynflix Community</strong></a> on <strong>X</strong> (formerly Twitter). Go join it. It is new and fresh. I will build an online community of expert Cosmetic Gynecologists from around the world who you will be able to communicate with and pick their brains. Click on the logo picture for the link:</p><p><a target="_blank" href="http://www.gynflix.com/">GYNFLIX Cosmetic Gynecology e-Learning</a></p><p>For Detailed Videos Click on the Index Photo Below:</p><p>For more Cosmetic Gynecology Training join <a target="_blank" href="http://www.gynflix.com/">Gynflix.com</a></p><p><a target="_blank" href="http://www.gynflix.com/"><strong>Gynflix </strong></a>is an online e-Learning platform dedicated to Feminine Wellness. Videos of topics such as labiaplasty, vaginoplasty, cliteroplasty, clitoral hood reduction, anal skin tag excision.</p><p>Subscriptions: <a target="_blank" href="https://gynflix.com/pricing/"><strong>GYNFLIX PRICING</strong></a></p><p><a target="_blank" href="https://gynflix.com/pricing/"><strong>SILVER BULLET SUBSCRIPTIONS</strong></a>: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.</p><p><a target="_blank" href="https://gynflix.com/gold-fellows-registration/"><strong>GOLD FELLOWS MEMBERSHIP</strong></a>: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on <a target="_blank" href="http://www.gynflix.com/">www.gynflix.com.</a>There will be 1-2 complete and unique videos per month. Dr. Alinsod will be available to discuss the intricacies and details of topics covered in the videos and answer specific questions that may arise . This is the first and only true Master’s Course for continuing education focused on cosmetic gynecology. Get all my practice forms. All Newsletters are free. The Modules are FREE with Diplomas upon completion.</p><p>I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!</p><p>Contact <strong>Suzette Peterson</strong> at <strong>(909) 374-1000</strong> or email her at <strong>[email protected]</strong> if you have any questions.</p><p>Social Media:</p><p><a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>Follow </strong></a>my Social Media adventures below as I educate and entertain every week. Join me on <strong>Instagram</strong> as<a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>VageniusMD.</strong></a><strong> </strong>I have around 190,000 subscribers to my <strong>Cosmetic Gynecology Newsletter</strong> and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on <a target="_blank" href="https://www.instagram.com/vageniusmd/"><strong>Instagram</strong></a> for fun and knowledge.</p><p><strong>Instagram:</strong> <a target="_blank" href="https://www.instagram.com/vageniusmd/">VageniusMD</a></p><p><strong>FB: </strong><a target="_blank" href="https://www.facebook.com/redalinsodMD/">Vagenius - Red Alinsod, MD</a></p><p><strong>TicTok: </strong><a target="_blank" href="https://www.tiktok.com/@vageniusmd">VageniusMD</a></p><p>Websites:</p><p><a target="_blank" href="https://alinsodinstitute.com/"><strong>Alinsod Institute</strong></a></p><p><a target="_blank" href="https://www.gynflix.com/"><strong>Gynflix</strong></a></p><p>My Three Newsletters:</p><p>For the <strong>Lay Public</strong> and <strong>Medical Professionals</strong>: <strong>Feminine Wellness Newsletter</strong></p><p>For <strong>Medical Professionals</strong>: <strong>Cosmetic Gynecology Newsletter</strong></p><p>For <strong>Surgeons</strong>: Subscribe to the <strong>Labiaplasty Newsletter:</strong></p><p><strong>DALLAS OFFICE</strong>Alinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected]</p><p></p><p><p>Labiaplasty Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></p><p><p>Thanks for reading Labiaplasty Newsletter! This post is public so feel free to share it.</p></p><p></p> <br/><br/>This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://labiaplasty.substack.com/subscribe?utm_medium=podcast&utm_campaign=CTA_2">labiaplasty.substack.com/subscribe</a>
April 23, 2025
This is a free preview of a paid episode. To hear more, visit <a href="https://labiaplasty.substack.com?utm_medium=podcast&utm_campaign=CTA_7">labiaplasty.substack.com</a><br/><br/><p>I frequently do combination surgeries of a labia minora and a majoraplasty at the same time I am doing a vaginoplasty and perineoplasty. When I have a combination surgery, I call it the<a target="_blank" href="https://gynflix.com/s9-combination-labial-and-vaginal-surgery/"><strong> Unified Approach</strong></a><a target="_blank" href="https://gynflix.com/s9-combination-labial-and-vaginal-surgery/">.</a> When I remove a labia minora and a labia majora and a clitoral hood together as one specimen that is truly a Unified Approach. This video shows how I c…</p>
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