The Vagenius

A sneak peak at my Medical School past and the fun years training to become a doc. I loved photography then. I love videography now. I got to blend the two skills. It has. helped my surgical career and has been the impetus for the creation of Gynflix.com. The world’s first and finest collection of educational videos focusing on the art and science of Cosmetic Gynecology. A specialty that was not around in 1986.FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD.I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:Follow me on my Adventures WorldwideMY LOCATIONAlinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Cosmetic Gynecology Newsletter! This post is public so feel free to share it. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

The ProblemDr. Samuel Salcedo’s presentation on the clinical implementation of CO2 Lift Pro is a clear visual of how Carboxytherapy is changing the world of post surgical care.He details how he integrates it into procedures like blepharoplasty, tummy tucks, and mastopexies to significantly reduce bruising and swelling while providing patients with a soothing, ‘luxury experience’. The cinematic also highlights his incredible ‘rescue cases’ where the product successfully resolved tissue necrosis and salvaged nipple tissue, avoiding the need for surgical debridement. He even discusses how it can serve as a highly effective, time-saving alternative to hyperbaric oxygen therapy! CO2Lift Pro Episode 1“Why CO2 is your skin’s most underrated ally”The opening episode of our science series. It sets up the single mechanism the whole portfolio rests on — the Bohr effect— and reframes how we talk about CO2Lift®️ Pro.The core ideaAesthetic medicine sells oxygen. But topical oxygen barely crosses the skin. CO2 does the opposite — it is small, diffusible, and raising local CO2 pushes more oxygen out of the blood and into the tissue. The molecule we dismiss as waste is the one driving the effect.What the episode walks through•⁠ ⁠The Bohr effect, explained simply — why CO2 makes hemoglobin release its oxygen•⁠ ⁠Sakai 2011 — the human study that proved this happens through the skin (a mechanism study on a different CO2 product, industry-funded — it proves the science, not CO2Lift)•⁠ ⁠What CO2Lift®️ Pro is — the patented two-part gel that generates CO2 gas on demand•⁠ ⁠The downstream cascade — microcirculation, new vessel signaling, fibroblast activation•⁠ ⁠CO2Lift®️ Pro-specific data: +28% microcirculation (single-arm, n=10), +117% hydration, ~26% elasticity at Week 4•⁠ ⁠Where it fits — not a competing device, but the environmental layer underneath laser, RF, microneedling, and surgeryThe line that defines the episodeInjectable carboxytherapy and CO2Lift®️ Pro share the same mechanism — the Bohr effect. The difference is delivery, and the gel is the stronger delivery of it. Even full-surface coverage instead of injection points. None of the bruising, pain, or crepitus the needle causes. The same result in any trained hands. Reach where needles can’t go — the lash line, fresh post-procedure skin, and the patient’s own home.Same proven mechanism, delivered better. The needle was never the point. The CO2 was.Where in your own treatment menu would even, needle-free CO2 delivery add the most — post-procedure recovery, delicate zones, or take-home continuity?The Bohr EffectThis video explains the ‘Bohr effect’- how the product uses increased CO2 levels to force hemoglobin to release targeted oxygen directly into the tissue. It also covers Dr. Alfredo Hoyo’s impressive research data, including a contralateral study showing statistically significant reductions in edema and chemosis compared to Vaseline. Plus, it touches on clinical results showing a 117% increase in skin quality, neovascularization, and its use in flap salvage and high-definition body contouring. Mastering the Post-Operative Tissue EnvironmentMore to come. Stay Tuned!!! Exciting stuff to avoid problems and improve outcomes. CO2Lift Pro Episode 2 is coming soon.For more information on Lumisque Carboxytherapy products: Lumisque.comFor more Newsletters and Webinars on Carboxytherapy:Carboxytherapy for Gynecologic ConditionFOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD.I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:Follow me on my Adventures WorldwideMY LOCATIONAlinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is my presentation to the General Congress Audience at the 1st Female Aesthetic Genital Academy’s 1st International Functional Cosmetic Gynecology Congress in Istanbul, Turkey. It covers all the main decision making and technical issues of my Alinsod Curvilinear Labiaplasty technique. I show how one technique is able to achieve just about any “Look” the patient desires. FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD.I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:Follow me on my Adventures WorldwideMY LOCATIONAlinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.comLabiaplasty and Vaginoplasty Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber.Cosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Dryness, tightness, menopause, endometriosis, prolapse, childbirth injury, hysterectomy pain, mesh problems, skin disease, size mismatch, and treatment options explained in plain EnglishBy Red M. Alinsod, MDAlinsod Institute | Revique Medical & AestheticsArlington, TexasPainful sex is common. But it is not something a woman should be expected to silently endure. Too many just live with it.The medical term is dyspareunia, which means pain before, during, or after intercourse. Some women feel burning at the opening. Some feel tearing. Some describe “sandpaper.” Others feel deep stabbing pain, pelvic pressure, a “wall,” a tight band, or soreness that lasts for hours or days afterward. The American College of OBGYN notes that nearly 3 out of 4 women have pain with intercourse at some time in their lives.Common does not mean normal. Pain is not normal.Painful sex can come from the vulva, the vaginal opening, the vaginal canal, the pelvic floor muscles, the uterus, the bladder, the rectum, prior childbirth injuries, prior surgeries, mesh exposure, endometriosis, menopause, cancer therapy, or skin disease. Often, there is more than one cause. Detective work has to be done.My goal with this article is simple: to help you understand what may be happening, give you language for your symptoms, and show you that there are thoughtful medical, hormonal, regenerative, pelvic floor, and surgical options when the cause is properly identified. It is a pretty intensive Newsletter this month. Pick and choose what interests you and click on the links that lead to detailed explanations.Start here: Where does it hurt?The first question is not “What treatment do you want?”The first question is where is the pain?Pain at the openingPain at the vaginal opening often feels like burning, tearing, stretching, paper cuts, or “too tight.” This can happen with menopausal dryness, Genitourinary Syndrome of Menopause, lichen sclerosus, vestibulodynia, scar tissue, childbirth injury, prior labiaplasty, prior vaginoplasty, pelvic floor spasm, or a small/tight introitus. Take a look at these pictures for the many causes of Painful Sex at the opening:Pain inside the vaginal canalVaginal canal pain may feel like friction, dryness, narrowing, rubbing, rawness, or inability to stretch. This can happen after menopause, breastfeeding, hysterectomy, chemotherapy, pelvic radiation, hormone-blocking cancer therapy, scarring, or vaginal stenosis. Here are some causes of Painful Sex that is beyond that you can see on your own:Deep painDeep pain often feels like a collision. Patients say, “It feels like he is hitting something,” or “It only hurts in certain positions.” Deep pain can be related to endometriosis (lining of the uterus found outside the lining of the uterus), adenomyosis (endometriosis in the body of the uterus), fibroids (firm mass of muscle tissue found in the walls of the uterus), ovarian cysts, uterine prolapse, pelvic floor dysfunction, bladder pain, bowel pain, hysterectomy scarring, vaginal cuff tenderness, or cancer-treatment changes. Mayo Clinic lists deep thrusting pain as a dyspareunia pattern and includes endometriosis, uterine prolapse, adenomyosis, pelvic floor conditions, ovarian cysts, hysterectomy scarring, radiation, and chemotherapy among possible causes. Here are examples of pictures of the most common cause of Pelvic Pain: Endometriosis..Pressure, bulging, or “uncontrollable” sexA bulge, pressure, heaviness, looseness, blocked feeling, bowel trapping, or bladder urgency during sex may point toward pelvic organ prolapse: cystocele, rectocele, uterine prolapse, vaginal vault prolapse, or enterocele.* Transvaginal Uterine Suspension with Dermal Allograft SurgeryPartner painSometimes the partner feels hard “rocks” constipation stools. He can also feel poking, scratching, or sharpness. This can happen when mesh or permanent suture is exposed in the vagina. The FDA specifically advises patients with mesh to notify their provider if they have persistent vaginal bleeding or discharge, pelvic or groin pain, or pain with sex.Let’s systematically go over the main causes of Painful Sex once more in a bit more detail. This is not an exhaustive list but it does cover all the main culprits. I will organize and number them and also give you some of the therapies I use in my office to manage the problems:1. Menopausal dryness, tightness, and Genitourinary Syndrome of MenopauseOne of the most common and most under-treated causes of painful sex is Genitourinary Syndrome of Menopause, or GSM.GSM is the modern term for what used to be called vaginal atrophy or atrophic vaginitis. It is broader and more accurate because the problem affects more than the vagina. GSM can involve the vulva, labia, clitoris, vaginal opening, vaginal canal, urethra, bladder, and pelvic tissues.GSM can happen with:natural menopausesurgical menopause after ovary removalhysterectomy with hormonal changeschemotherapypelvic radiationbreast cancer endocrine therapyanti-estrogen medicationsbreastfeedingperimenopausemedications that reduce arousal or lubricationACOG explains that low estrogen can thin, dry, and inflame the vaginal walls, reducing lubrication, elasticity, and tissue comfort. Vaginal dryness can also happen after childbirth, breastfeeding, cancer treatment, or anti-estrogen medications.* The Aging Vagina and GSMWhat low estrogen does to the tissueEstrogen helps maintain vaginal and vulvar tissue thickness, moisture, blood flow, elasticity, pH balance, lubrication, and resistance to tearing. When estrogen stimulation drops, the tissue can become thin, dry, pale, tight, fragile, and inflamed.Women often describe:“sandpaper” sexburning at the openingtearing at the bottom of the vaginableeding after sexdryness that lubricant does not fixtightness that feels newpain with pelvic examsurinary urgency or recurrent UTIsloss of confidence and desire because sex now hurtsThis is not simply a lubrication problem. It is a tissue-health problem.2. “I use lubricant and it still hurts”Lubricant is helpful, but lubricant does not rebuild estrogen-deprived tissue.Lubricants reduce friction during sex. Moisturizers improve day-to-day tissue hydration. Both can be valuable. The 2025 AUA/SUFU/AUGS GSM guideline recommends vaginal moisturizers and lubricants to improve dryness and painful sex.But if the underlying issue is GSM, many patients need more than lubricant. Pull out the vaginal estrogens and Carboxytherapy and think about radiofrequency treatments such as ThermiVa or even the vaginal lasers. They both work well.The same guideline recommends offering local low-dose vaginal estrogen for GSM-related vulvovaginal dryness, discomfort, irritation, and dyspareunia. It also recommends offering vaginal DHEA as an option for GSM-related dryness and painful sex.Vaginal Estrogen OptionsVaginal estrogen can come as a cream, tablet, insert, or ring. ACOG explains that low-dose vaginal estrogen releases a small dose directly into the vaginal tissue to help restore thickness and elasticity and relieve dryness and irritation.Common forms include:Creams: flexible dosing and useful for vulvar and opening symptomsTablets or inserts: less messy and easy to useRings: steady release over time for patients who prefer less frequent dosingACOG states that topical estrogen for vaginal or vulvar dryness and pain with intercourse usually improves symptoms within a few weeks and acts locally on tissues.For cancer survivors, treatment should be individualized with the oncology team. The American Cancer Society notes that cancer therapy can cause vaginal dryness, thinning, narrowing, shortening, and painful sex, and that vaginal estrogen is sometimes used for dryness, narrowing, and atrophy after discussion with the cancer care team.Carboxytherapy OptionsThere is now a Carboxytherapy Gel treatment that gets results even faster than vaginal estrogens. It is made by Lumisque and called CO2LiftV or “The V.” In Latin America, Europe, Asia, carbon dioxide is injected under the skin to cause local tissue trauma and start the healing cascade to form new vessels, stimulate new collagen and elastin formation, and increase local moisture production. It hurts and is is not FDA approved in the USA. The Japanese came up with the same carbon dioxide treatment without the need for needles and with a mixture that created localized carbon dioxide that helped heal the skin. It was first used in the face as a mask then modified to work in feminine genital tissues. And it worked like Rocket Fuel in the speed of results obtained to create vaginal moisture and comfort. Not just for dry and thin skin but also for Lichen Sclerosus.The stuff works so well it is a CORE product for my Center of Excellence in Arlington, Texas. Go to www.lumisque.comfor info.Watch this Doctor Discussion on CO2LiftV:Doctor Discussion on The VHow CO2LiftV is Helping Patients, From a Panel of Urogynecologists3. Tightness is not always vaginismusMany women say, “I think I’m too tight.” That may be true, but the reason matters.Vaginismus is a type of sexual dysfunction. It happens when vaginal muscles cramp up or spasm involuntarily. We call them Levator Muscle Spasms. dYou can get aroused, get wet, but penetration is a No No and hurts too much. Even the touch of a QTip swab may incapacitate a patient!A woman may feel tight because of GSM dryness. She may have scar tissue from birth, episiotomy, perineal tearing, surgery, radiation, mesh, or a prior vaginal repair. She may have lichen sclerosus causing narrowing of the opening. She may have pelvic floor muscle guarding because sex has hurt for months or years. She may have vaginal stenosis after cancer therapy or surgery. An exam will help identify the problem. See a gynecologist and not a plastic surgeon or cosmetic surgeon or dermatologist. Family Practice specialists can be very helpful on the other hand.Cleveland Clinic describes vaginal stenosis as narrowing and shortening of the vagina from scar tissue, often after childbirth, surgery, or pelvic radiation, and notes that treatment may include vaginal dilators, estrogen medication, or vaginal moisturizers.The treatment for tightness depends on the cause. Dry tissue needs tissue restoration. Scar bands may need release. Pelvic floor spasm may need pelvic floor therapy. Lichen sclerosus needs skin-directed treatment. A shortened vaginal cuff after hysterectomy requires a different evaluation. Dilator work may be needed.Summary of what you can do for yourself: Vaginal estrogens, progressive dilator use, pelvic floor physical therapy, Carboxytherapy, Radiofrequency treatments such as ThermiVa.4. Endometriosis, adenomyosis, and collision-type deep painDeep pain during sex often has a pelvic source.EndometriosisEndometriosis occurs when tissue similar to the uterine lining grows outside the uterus. Look back at the pictures I showed earlier. Notice it can involve the ovaries, fallopian tubes, pelvic lining, bowel, bladder, uterosacral ligaments, and tissue behind the vagina. Mayo Clinic lists pain during or after sex as a common symptom of endometriosis.Endometriosis can cause adhesions, scarring, and inflammation. During deep penetration, those tender or fixed areas may be hit or stretched, creating sharp “collision” pain that may last long after sex. The treatments for this are can be medication such as birth control pills, progesterone, and even medical menopause inducing shots to stop or reduce estrogen production that cause endometriosis to act up. Often times those medications fail and surgery to get rid of adhesions, chocolate spots, or remove organs such as the uterus, tube, and ovaries, may be needed.ACOG’s 2026 endometriosis diagnostic guideline focuses on improving evaluation and diagnosis for reproductive-aged adults and adolescents with symptoms suggestive of endometriosis. Your gynecologist can help with the diagnosis.AdenomyosisAdenomyosis happens when endometrial tissue grows into the muscle wall of the uterus. It can make the uterus enlarged, tender, heavy, crampy, and painful. Mayo Clinic lists heavy or long-lasting periods, severe cramping, chronic pelvic pain, painful sex, and lower abdominal pressure among adenomyosis symptoms.Patients may describe deep aching, cramping after sex, pelvic heaviness, or a bruised feeling when the uterus is contacted.The definitive treatment is to remove the uterus. A hysterectomy. It does not always work because those spots of endometrial tissue can implant in other places such as the bladder, the top of the vagina, the lining of the bowel and just about anywhere else. I have found them in the belly button, the inside of an ankle, on the outside of the labia, the inside of the labia, in the lungs, in the bones. Just about anywhere.5. Pain after hysterectomy: vaginal cuff tenderness, scarring, and shortened vaginaAfter a total hysterectomy, the cervix is removed and the top of the vagina is closed. This closed top is called the vaginal cuff.Many women do well after hysterectomy. But some develop new pain with sex because of:vaginal cuff tenderness from unknown cause or short vaginal lengthgranulation tissue from the healing processscar tissue from the suturing can even entrap nervesnarrowing of the vaginal canalpelvic floor spasm triggered by traumatic surgery, vaginal delivery, examinationslack of estrogen stimulationovary removal and surgical menopause results in loss of estrogen producedendometriosis persistence in other locationsmesh or suture exposure when advanced reconstruction is donevaginal vault prolapse (fallen vagina) if the top is not properly anchoredMayo Clinic includes scarring from pelvic surgery, including hysterectomy, among causes of painful intercourse.A post-hysterectomy exam should look carefully at the cuff, the vaginal length, tissue mobility, estrogen status, pelvic floor muscles, and whether deep contact reproduces the patient’s pain.Things you can do by yourself to help: Vaginal Estrogens, Carboxytherapy, Radiofrequency treatments, Dilator work.6. Lichen sclerosus, lichen planus, and inflammatory vulvar diseaseNot all painful sex comes from inside the vagina. Sometimes the problem is the vulvar skin. This is a whole new other level of complex.Lichen sclerosusLichen sclerosus is an autoimmune chronic inflammatory skin condition that often affects the genital and anal areas. Mayo Clinic notes that lichen sclerosus can cause fragile skin, itching, burning, bleeding, open sores, painful sex, and scarring, and that postmenopausal women are at higher risk.Patients may notice:white patchesthin or shiny skinitchingburningpaper-cut tearsbleeding after sexpain at the openingclitoral hood scarringnarrowing of the introitusLichen sclerosus needs proper diagnosis and long-term follow-up. Treatment often includes high-potency topical steroids, vulvar skin care, estrogen support when GSM is present, and sometimes regenerative or surgical approaches for scarring and narrowing.* Lichen Sclerosus Part 1: The Silent Itch* Lichen Sclerosus Part 2: The Silent ItchLichen planus and lichenoid diseaseLichen planus can involve the vulva and vagina. Genital lichen planus looks like lacy white patches, sometimes with painful sores, and can cause scarring, severe pain, and painful sex.Other inflammatory causes include eczema, contact dermatitis, psoriasis, lichen simplex chronicus, recurrent yeast, bacterial vaginosis, allergic reactions, and vestibulodynia.The same treatments for Lichen Sclerosus often work with Lichen Planus. Go see your dermatologist first. If they cannot help you then we may be able to help with non-standard therapy such as radiofrequency, PRP, Exosomes, Hyaluronic Acid, and lasers.7. Size mismatch: large penis, small vagina, short vagina, or painful depthSize mismatch is real, and patients deserve plain language.Pain may occur when a partner is long, wide, or both — especially if the patient has GSM, scarring, a short vaginal canal, a tender cuff, lichen sclerosus, pelvic floor spasm, vaginal stenosis, prolapse, or prior surgeryPossible solutions may include:restoring tissue moisture and elasticityusing high-quality lubricanttreating GSM with vaginal estrogen or DHEA when appropriatepelvic floor physical therapydilator therapyposition changes that limit depthpatient-controlled positionsdepth-limiting rings or devicestreating cuff tenderness, endometriosis, or prolapsesurgical correction when scar tissue or distorted anatomy is the causeA larger partner may simply reveal an underlying medical problem that a smaller partner did not trigger.Dilator WorkSurgical Band ReleaseThis is usually done in the surgery center but can be done in the office that is well equipped. This same method of band release can be applied to #8 below. Links to surgical Band Release in these two Newsletter Videos:* Perineal Band Release with Radiofrequency for Dyspareunia* Sutureless Band Release and the Management of the Tight Introitus8. Birth trauma, episiotomy scars, and perineal damageChildbirth can permanently change the perineum, vaginal opening, pelvic floor, and rectovaginal wall.The Royal College of Obstetricians and Gynaecologists states that up to 9 in 10 first-time mothers who have a vaginal birth experience some type of tear, graze, or episiotomy. Cleveland Clinic explains that vaginal tears range from first-degree tears to fourth-degree tears involving the anal sphincter and rectum, and notes that complications can include painful intercourse, fecal incontinence, ongoing pain, and soreness.Most tears heal well. Some do not.Post-birth causes of painful sex can include:painful episiotomy scarrigid perineal scarover-tight repairunder-repaired perineal bodygaping or loss of supportrectocelepainful scar bandsgranulation tissuefecal urgency or leakageloss of sensationpelvic floor spasmTreatments may include pelvic floor therapy, scar massage, topical estrogen, injections, perineoplasty, rectocele repair, revision of episiotomy scar, or reconstruction of the perineal body.The goal is not simply to make the vagina “tight.” The goal is to restore comfort, anatomy, support, and function.This is all done in the office under local anesthesia without IVs or intubation or spinals.9. Pelvic organ prolapse: pressure, bulging, looseness, and painful sexTake a look at all the prolapse pictures I showed earlier. Pelvic organ prolapse happens when pelvic floor muscles and tissues no longer support the pelvic organs well. The FDA explains that prolapse can involve the vagina, cervix, uterus, bladder, urethra, and rectum, with the bladder being the most commonly involved organ.Common types include:Cystocele: bladder bulging into the front vaginal wallRectocele: rectum bulging into the back vaginal wallUterine prolapse: uterus dropping into the vaginaVaginal vault prolapse: top of the vagina dropping after hysterectomyEnterocele: small bowel bulging into the vaginal spaceMayo Clinic describes cystocele symptoms such as pelvic or vaginal pressure, a vaginal bulge, increased pressure with straining, urinary difficulty, incomplete bladder emptying, frequency, and leakage. Rectocele symptoms may include a vaginal bulge, trouble with bowel movements, rectal pressure, incomplete emptying, and sexual concerns such as looseness or embarrassment. Uterine prolapse can cause heaviness, tissue bulging, bladder emptying problems, bowel movement difficulty, pelvic pressure, and sexual concerns.During sex, prolapse may cause pressure, bulging, air trapping, bowel urgency, bladder urgency, pain, looseness, or a sense that sex is blocked or out of control.Treatment may include pelvic floor physical therapy, pessary fitting, vaginal estrogen, bowel management, bladder treatment, and surgery when symptoms are significant* What is the Bulge?10. Mesh, sutures, and prior surgery complicationsPrior surgery can help many women. But prior surgery can also cause pain when scarring, permanent sutures, vaginal shortening, adhesions, or mesh exposure develop.In 2019, the FDA ordered manufacturers to stop selling surgical mesh intended for transvaginal repair of pelvic organ prolapse because manufacturers had not demonstrated reasonable assurance of safety and effectiveness. The FDA also notes there are currently no FDA-approved surgical mesh products for transvaginal prolapse repair marketed in the United States.Mesh-related pain may involve:vaginal mesh exposurebleeding or dischargepartner discomfortscratchy or poking sensationpelvic paingroin paindyspareuniascar contractionnerve irritationrecurrent prolapseurinary or bowel symptomsSome patients need estrogen and observation. Some need trimming of a small exposure. Others need complex revision or removal. These are individualized, anatomy-driven decisions.These simple trims sometimes are inadequate to relive Painful Sex or Pelvic Pain. The entire mesh had to be removed by the finest pelvic surgeons in the land. It is a very tough dissection and excision and not for the faint of heart.11. When prior labiaplasty or vaginoplasty causes painThis is a sensitive topic, but it needs to be discussed.Some patients develop painful sex after prior labiaplasty, clitoral hood reduction, vaginoplasty, perineoplasty, or “tightening” surgery. ACOG cautions that female genital cosmetic procedures can have complications including pain, bleeding, infection, scarring, adhesions, altered sensation, dyspareunia, and need for reoperation. Cleveland Clinic also lists labiaplasty complications such as wound breakdown, scarring, ongoing pain, pain with sex, or loss of sensitivity.Patients may search online for “botched labiaplasty” or “botched vaginoplasty.” In the office, I prefer to describe what actually happened anatomically:wound breakdownnotchingpainful scarover-resectionassymetrykeloid or hypertrophic scartethered tissuepainful clitoral hood scarringover-tightened introitusinternal vaginal scar bandsshortened vaginal canaldistorted openingloss of tissue mobilityRevision surgery is highly specialized. It may involve scar release, layered closure, flap advancement, RF Feathering, mucosal advancement, perineoplasty, grafting, fat grafting, or careful reconstruction of the opening and canal. You have to find the highest volume revision specialist to avoid being botched.The goal is comfort, function, appearance, sensation, and mobility — not simply “making it look better.”Dr. Alinsod’s professional materials describe his long-standing work in aesthetic vulvovaginal surgery, pelvic reconstructive surgery, physician training, and development of surgical techniques, with more than 28 years of teaching and presentations worldwide.Examples of Labiaplasty Surgery resulting in Pain:* Feathering for Botched Labiaplasty Repair12. Vaginismus and pelvic floor guardingVaginismus is involuntary tightening or spasm of the pelvic floor muscles around the vagina. It can make penetration painful or impossible.Sometimes vaginismus is the main condition. Other times it develops secondarily because the body has learned that penetration hurts. A woman with GSM, endometriosis, lichen sclerosus, birth trauma, mesh pain, or vaginal scarring may begin to guard. The pelvic floor tightens in anticipation of pain, which creates more pain.Mayo Clinic lists vaginismus as a cause of painful penetration and notes that stress can tighten pelvic floor muscles, contributing to pain during intercourse.This is why telling a patient to “relax” is not enough. The muscles may be reacting automatically to a real pain generator.13. Pelvic floor physical therapy and dilator therapyPelvic floor physical therapy is often one of the most important parts of treating painful sex, especially when muscle guarding, vaginismus, pelvic floor dysfunction, postpartum injury, scar pain, or chronic pain cycles are present.Therapy may include:external and internal muscle assessmenttrigger point releasemyofascial releasescar mobilizationbreathing and nervous system down-trainingbiofeedbackpelvic floor coordinationhome exercisesgraded dilator therapyreturn-to-intercourse planningDilators: what they do and what they do not doDilators are not used to “force the vagina open.” They are used to gradually teach the tissues and pelvic floor muscles that gentle insertion can be safe.Memorial Sloan Kettering explains that vaginal dilators can help when the vagina becomes drier, less elastic, narrower, or shorter after menopause, cancer treatment, or surgery, and that patients usually start with the smallest dilator and increase size gradually. Cleveland Clinic describes dilators as a treatment option for pain with penetration and pelvic floor dysfunction, helping gradually improve flexibility and comfort.A safe dilator plan should be gentle, guided, and never forced. Pain is information. If dilators worsen symptoms, the plan needs to be adjusted. Here is a video example link on Vaginal Softening Exercises to show it is done in my office:Vaginal Softening Exercise14. Treatment options: matching the treatment to the causePainful sex does not have one universal treatment. The best treatment depends on the diagnosis.Foundational treatmentsProblem: Common treatments:GSM dryness/tightnessVaginal estrogen, vaginal DHEA, moisturizers, lubricants, vulvar carePelvic floor spasm/vaginismusPelvic floor PT, dilators, breathing, manual therapy, sometimes medications/injectionsLichen sclerosus/lichen planus diagnosis, topical steroids or immune therapy, vulvar care, estrogen if GSM overlaps.Endometriosis/adenomyosis: Imaging, medical management, surgical evaluation when appropriate.Birth trauma/scarringScar therapy, estrogen, pelvic floor PT, perineoplasty or revision if neededProlapsePelvic floor PT, pessary, estrogen, bowel/bladder management, prolapse repairMesh exposure/pain, Estrogen, observation, trimming, revision, removal, pelvic floor therapy.Prior labiaplasty/vaginoplasty pain: Scar release, reconstruction, revision surgery, pelvic floor therapySize/depth mismatch, tissue restoration, position changes, depth control, PT, treatment of anatomy/pain source.15. Hormonal and prescription options for GSM-related painful sexVaginal estrogenAs mentioned earlier, vaginal estrogen is often foundational. It can improve tissue thickness, elasticity, moisture, pH, and comfort. ACOG lists vaginal estrogen creams, rings, and tablets as options that deliver lower estrogen than systemic hormone therapy and have fewer risks.Vaginal DHEAVaginal DHEA, also called prasterone, is a prescription intravaginal option for GSM-related dyspareunia. The 2025 AUA/SUFU/AUGS guideline recommends offering vaginal DHEA for GSM-related dryness and painful sex.It should not be called “hormone-free,” because it works through local hormone conversion inside tissues. A better phrase is a non-estrogen intravaginal prescription option.OspemifeneOspemifene is an oral selective estrogen receptor modulator that may be used in selected patients for GSM-related dryness or dyspareunia. The 2025 AUA/SUFU/AUGS guideline says clinicians may offer ospemifene for these symptoms.Vaginal testosteroneVaginal testosterone is sometimes discussed for low arousal, low sensitivity, vestibular pain, or GSM-related symptoms, but it is generally off-label and evidence is still developing. The 2025 AUA/SUFU/AUGS guideline notes insufficient evidence to support clinical recommendations for vaginal or systemic testosterone for GSM symptoms.In a Substack article, I would present testosterone as individualized and investigational/off-label, not as a proven standard GSM therapy.And don’t forget about Carboxytherapy! It is non-hormonal, non-prescription and available at our office.16. Energy-based treatments, biologics, and regenerative adjunctsThis section is important, and it must be written with balance.Patients hear about “vaginal rejuvenation,” radiofrequency, lasers, plasma, PRP, and carboxytherapy online. Some patients have had good experiences. Others have been disappointed or harmed. The best approach is honest counseling.ACOG states that the FDA has not approved laser or other energy-based treatments for vaginal cosmetic surgery, menopausal symptoms, urinary incontinence, or sexual problems, and warns that serious problems can include burns, scarring, pain with sex, and long-lasting pain. With that being said, ACOG is a decade behind the times and closes its eyes to progress made. The energy based devices such as radiofreuquency and lasers are exceptionally safe in the well trained hands. And they work. Go watch the video on this dedicated Newsletter for more details:The 2025 AUA/SUFU/AUGS GSM guideline states that evidence does not support CO₂ laser, Er:YAG laser, or radiofrequency for GSM-related dryness, discomfort, dysuria, quality of life, satisfaction, or dyspareunia outcomes; it also says CO₂ laser may be considered only in shared decision-making when patients are not candidates for or prefer alternatives to FDA-approved treatments, with disclosure that therapy is experimental outside clinical trials.That does not mean these tools have no role in any patient. It means they should be framed as adjuncts, not replacements for diagnosis, tissue evaluation, GSM treatment, pelvic floor therapy, or surgery when anatomy is the problem.* The Synergy of Energy Plus BiologicsThermiVa radiofrequencyThermiVa is a radiofrequency technology associated with vulvovaginal tissue heating and tightening. The Alinsod Institute states that ThermiVa was invented by Red Alinsod, MD, and developed in collaboration with ThermiAesthetics. Link for info:* Feminine Restoration 2024: State-Of-The-Art Introduction to FemXHA* ThermiVa from Start to Finish* What is ThermiVa Radiofrequency Treatment?Jett Plasma / plasmaporationThe Alinsod Institute describes Jett Plasma as a direct-current technology used in vulvovaginal therapy, with proposed mechanisms involving heat, membrane depolarization, and reversible electroporation. Link for info:* Plasmaporation for Gynecology ISCG 2025Fractional CO₂ and Erbium lasersExamples include MonaLisa Touch-type CO₂ platforms and Erbium systems such as Sciton diVa. These should be discussed with clear consent about evidence, FDA status, risks, alternatives, and expected outcomes.PRP and biologicsPlatelet-rich plasma and related biologic approaches are used by some clinicians for tissue quality, sensitivity, lubrication, and healing support. These should also be presented as adjunctive and individualized. Link for info:* Feminine Restoration 2024: State-Of-The-Art Introduction to FemXHA* Clitoxin for Improved Female Sexual Response17. Surgical treatment: when anatomy is the problemSurgery is not the answer for every patient. But when anatomy is the pain generator, surgery may be the most direct solution.Surgical options may include:perineoplastyrevision of episiotomy scarvaginal scar band releasevaginal cuff revisionrectocele repaircystocele repairuterine prolapse repairvaginal vault prolapse repairmesh exposure revision or removallabiaplasty revisionvaginoplasty revisionvulvar scar releaselysis of adhesionsendometriosis surgerybirth trauma reconstructionA successful surgical plan must respect function, sensation, tissue health, estrogen status, pelvic support, and the patient’s goals.* It’s Too Tight!18. Why integrated care mattersPainful sex rarely belongs to only one specialty.A menopausal patient may also have lichen sclerosus.A prolapse patient may also have GSM.A hysterectomy patient may have cuff pain and pelvic floor spasm.A cancer survivor may have stenosis, dryness, and fear of penetration.A postpartum patient may have scar pain, rectocele, and muscle guarding.A mesh patient may have exposure, estrogen-deprived tissue, and nerve pain.A prior labiaplasty patient may have scar tethering plus vestibular pain.This is why an integrated approach matters.At the Alinsod Institute and Revique Medical & Aesthetics in Arlington, Texas, Dr. Red Alinsod, Amy Haddad, RNP, and Dian White, MA, provide a model that brings surgical and non-surgical options together. The Alinsod Institute describes Dr. Alinsod’s work in urogynecology, pelvic reconstructive surgery, aesthetic vulvovaginal surgery, physician education, Gynflix, and innovation in vulvovaginal techniques. Gynflix is as an online training platform for physicians and surgeons in reconstructive pelvic surgery and aesthetic vulvovaginal surgery. The 1st and only one of its kind in the world. 20 years in the making.Revique Medical & Aesthetics lists services including hormone replacement, peptide therapy, advanced lab testing, women’s intimate health, ThermiVa, Emsella, O-Shot, Clitoxin, and related wellness services.The goal is not to sell one procedure. The goal is to identify the real cause and match the treatment to the tissue, anatomy, muscles, hormones, and patient goals. The goal is teamwork, excellence, and Platinum Service.Pelvic Pain Review written by my friend John Paulson:Pelvic Pain Review PaulsongorcppDownload19: Interstitial Cystitis / Bladder Pain Syndrome: The Great Imitator of Pelvic PainAnother major cause of painful sex that is often missed is Interstitial Cystitis, also called Bladder Pain Syndrome, or IC/BPS. I am going go spend a bit more time on this because it is so frequently missed and overlooked. The average patient sees about 7 doctors before this diagnosis is even brought up.IC is a chronic pain condition involving the bladder and surrounding pelvic tissues. It can cause bladder pressure, bladder pain, pelvic pain, urinary urgency, urinary frequency, and pain with sex. Mayo Clinic describes IC as a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain, with pain ranging from mild discomfort to severe pain. It also notes that symptoms can flare with menstruation, stress, sitting for a long time, exercise, and sexual activity.I often call IC “The Great Imitator” because it can look and feel like so many other pelvic pain conditions.It can feel like endometriosis.It can feel like adenomyosis.It can feel like a recurrent urinary tract infection.It can feel like pelvic floor spasm.It can feel like vaginal cuff pain after hysterectomy.It can feel like deep dyspareunia or collision pain.It can even trigger burning, urgency, and pelvic pressure that patients may assume is coming from the vagina, uterus, ovaries, or bowel.This is why IC must be part of a thorough painful-sex evaluation, especially when a patient has chronic pelvic pain, urinary urgency, bladder pressure, pain that worsens with bladder filling, or pain that persists despite treatment for endometriosis.IC and endometriosis: the “evil twins”Interstitial cystitis and endometriosis frequently overlap. Some studies in chronic pelvic pain populations have reported very high coexistence rates. One review reported that among patients with endometriosis, 86% were also diagnosed with IC, and among patients with IC, 72% were also diagnosed with endometriosis.I would word this carefully for patients: “In some chronic pelvic pain studies, IC has been found in nearly 90% of women with endometriosis.” That is powerful and accurate, but it avoids implying that 90% applies to every endometriosis patient in every setting. Broader reviews show wide variation in coexistence rates, with one 2024 meta-analysis reporting coexistence of endometriosis and IC/BPS in chronic pelvic pain populations ranging from 15.5% to 78.3%.The practical point is this: if a woman has endometriosis and painful sex, bladder pain syndrome should be on the checklist. Treating endometriosis alone may not resolve pain if IC is also present.What IC feels likePatients with IC may describe:bladder pressurepelvic pressureburning pelvic painpain with bladder fillingrelief after urinationurinary urgencyurinary frequencywaking at night to urinatepain during or after sexpain with pelvic examspain that flares before or during the periodpain after certain foods or drinkssymptoms that feel like a UTI but urine cultures are negativeNIDDK explains that IC pain often worsens as the bladder fills and improves after urination. Patients may also feel pain in the groin and pelvic floor muscles, and symptoms may include pelvic pressure, tenderness, urinary urgency, and urinary frequency. Mayo Clinic similarly notes that IC symptoms can resemble a chronic urinary tract infection, but there is usually no infection.This “UTI feeling without infection” is one of the biggest clues.Why IC causes painful sexSex can irritate the bladder, urethra, pelvic floor muscles, and anterior vaginal wall. For some women, penetration places direct pressure on the bladder base. For others, the pelvic floor muscles tighten in response to bladder pain, creating a secondary vaginismus-like guarding pattern.This can produce:burning during penetrationdeep anterior vaginal painbladder pressure during sexurgency during or after sexpain after orgasmpelvic cramping after sexa flare that lasts hours or daysNIDDK notes that chronic pelvic pain and vulvodynia can be associated with pain during sex, and that sex may increase bladder pain flares in some patients with IC. This is one reason IC can be confused with endometriosis, pelvic floor dysfunction, GSM, vulvodynia, hysterectomy cuff pain, or prolapse-related pressure.What causes IC?The exact cause is not fully known. It is likely not one single disease in every patient, but a syndrome with multiple pathways.Possible contributors include:a damaged or “leaky” protective bladder liningbladder wall inflammationoveractive pain nervespelvic floor muscle dysfunctionimmune or allergic factorsmast-cell activationprior infections that trigger lingering pain sensitivitycentral sensitization, where the nervous system becomes more reactiveoverlap with other chronic pain conditions such as IBS, fibromyalgia, vulvodynia, migraine, and chronic fatigueMayo Clinic states that the exact cause is unknown, but possible contributors include a defect in the protective bladder lining that may allow irritating substances in urine to affect the bladder wall, as well as possible autoimmune, hereditary, infection-related, or allergy-related factors. NIDDK also notes that IC is more likely to occur with other chronic pain conditions, gastrointestinal disorders, allergies, autoimmune diseases, depression, and anxiety.How IC is diagnosedThere is no single simple test that proves every case of IC. The diagnosis is usually made by listening carefully to the symptoms, examining the pelvis and pelvic floor, ruling out infection, and looking for other conditions that can mimic or coexist with IC.Evaluation may include:urinalysis and urine culturepelvic examassessment of pelvic floor tenderness and spasmscreening for endometriosis, adenomyosis, vulvodynia, GSM, and prolapsebladder symptom questionnairescystoscopy in selected patientsevaluation for Hunner lesions in more severe or classic bladder-centered casesThe important point is that repeated antibiotics for “UTIs” without positive cultures may delay the real diagnosis. If the cultures are negative and the symptoms keep returning, IC/BPS deserves consideration.Treatment for IC/BPSTreatment is individualized. There is no one-size-fits-all cure, but many patients improve when the correct pain generators are addressed.Lifestyle and trigger managementMany patients learn that certain foods or drinks flare their bladder. Common triggers include caffeine, carbonated drinks, citrus, tomatoes, alcohol, spicy foods, artificial sweeteners, and high-acid foods. Mayo Clinic lists the “four Cs” as common bladder irritants: carbonated beverages, caffeine, citrus products, and high-vitamin-C foods.A bladder diary or food diary can help identify patterns without making the patient feel afraid of food.Bladder trainingBladder training can help reduce urgency and frequency by gradually increasing the time between voids. NIDDK notes that bladder training may help the bladder hold more urine, reduce pain and urgency, and decrease bathroom trips.Pelvic floor physical therapyPelvic floor physical therapy is often essential. Many IC patients have tight, reactive, painful pelvic floor muscles. These muscles may need relaxation, lengthening, trigger-point release, myofascial work, breathing techniques, and down-training.This is not the same as Kegels. In fact, NIDDK specifically advises that patients with IC symptoms should avoid pelvic floor strengthening exercises such as Kegels unless working with a physical therapist.Oral medicationsDepending on the patient, medications may include:anti-inflammatory pain relieversbladder pain medicationstricyclic antidepressants such as amitriptyline to help calm pain signaling and relax the bladderantihistamines in selected patients with allergic or mast-cell featurespentosan polysulfate sodium, also known as Elmiron, in selected casesMayo Clinic lists tricyclic antidepressants, antihistamines, and pentosan polysulfate sodium among medication options for IC. It also notes that pentosan polysulfate may take months to help and has been associated with macular eye disease in some patients, requiring eye monitoring.Bladder instillationsSome patients benefit from bladder instillations, where medication is placed directly into the bladder through a small catheter. Mayo Clinic describes DMSO bladder instillation and other instillation mixtures that may include lidocaine, sodium bicarbonate, heparin, or pentosan.Neuromodulation and proceduresFor persistent symptoms, options may include TENS, sacral nerve stimulation, bladder hydrodistention, Botox injections into the bladder wall, and treatment of Hunner lesions when present. NIDDK lists neuromodulators, bladder instillation, bladder stretching or hydrodistention, Botox, and electrocauterization of Hunner lesions among treatment approaches.Surgery is rarely needed for IC and is generally reserved for severe, refractory cases because major bladder surgery does not always cure the pain.Why IC belongs in a painful-sex articleIC is one of the most important missed diagnoses in women with painful sex and chronic pelvic pain.A woman may come in thinking she has recurrent UTIs.Another may think her endometriosis has returned.Another may believe her hysterectomy cuff is the only problem.Another may have GSM dryness and bladder pain at the same time.Another may have pelvic floor spasm that started because the bladder was painful.The key is to look for all contributors, not just the most obvious one.When IC is present, treating the bladder, pelvic floor, hormones, vulvar tissue, endometriosis, prolapse, or scar pain together can make the difference between partial relief and meaningful recovery.20. When should you schedule an evaluation?Consider evaluation if you have:pain with sex that keeps returningburning, tearing, or bleeding after sexdryness that lubricant does not fixnew tightness after menopause, hysterectomy, childbirth, or cancer therapydeep pelvic pain with penetrationpain after hysterectomypain after labiaplasty or vaginoplastyvulvar itching, white patches, fissures, or scarringa vaginal bulge, pressure, or heavinessdifficulty emptying bladder or bowelpain or partner discomfort after mesh surgerysex that has become impossible or frightening because of painYou do not need to know the diagnosis before you call. That is what the evaluation is for.A personal notePainful sex is not just about sex.It affects relationships, confidence, mood, sleep, identity, and how a woman feels in her own body. Many women apologize when they finally bring it up.Please do not apologize. It surely is more common than you think.Your pain is real. Your story matters. And in many cases, there are answers.At the Alinsod Institute and Revique Medical & Aesthetics in Arlington, Texas, our goal is to listen carefully, examine respectfully, explain clearly, and build a plan that fits your body and your life.I hope this Newsletter helps your understanding of Painful Sex. Do something about it. Don’t live with it. Don’t ignore it. It does not get better with time.Watch how these procedures are doneFor Patients and Physicians who want to understand the surgical artistry and technical details, I encourage you to visit www.gynflix.com.Gynflix includes a section called Video Shorts, which is designed for both patients and doctors and features educational videos about procedures, outcomes, and post-operative care. (Gynflix)The Shorts section includes many videos related to vaginoplasty, perineoplasty, posterior compartment repair, combined procedures, and radiofrequency treatments. (Gynflix)Here is an example of the videos found on Video Shorts section of Gynlix.com:FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on InstagramasVageniusMD.I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:Follow me on my Adventures WorldwideMY LOCATIONAlinsod Institute — Red M. Alinsod, MD📞 945-900-7576🌐 www.alinsodinstitute.comwww.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I found this excellent post by @cyrilXBT on X (formerly Twitter). It is about how to present your thoughts, how to speak to an audience, how to communicate effectively and how to make an impact. I use all his advice.A MIT professor gave a 1-hour lecture in 2019 that has 18 million views.He died 5 months after recording it.It was his final gift to the world.Patrick Winston taught at MIT for 50 years.The smartest engineers on earth sat in his classroom.And he spent his last lecture teaching them the one skill their degrees never covered.How to speak.15 lessons that will change how you communicate forever:Never open with a joke. Your audience is not ready to laugh yet. Open with a promise of what they will know by the end.Your ideas are like your children. You are too close to them. What is obvious to you is invisible to everyone else. Explain the obvious.The 5-minute rule: the first 5 minutes of any talk determine whether people will listen for the next 55. Spend more time on your opening than anything else.Repeat your most important idea 3 times in 3 different ways. Once is never enough.Build a fence around your idea. Tell people what it is NOT before you tell them what it IS.Verbal punctuation. Pause. Let the idea land before moving to the next one.Ask questions nobody will answer. Then wait 7 seconds. The silence is not awkward. It is processing.Never read your slides. Your audience can read. They cannot listen and read simultaneously.Use the board not the slides. Writing forces you to slow down. Slowing down forces clarity.Inspire before you inform. Nobody learns from someone they are not inspired by.End with a contribution not a summary. Tell them what you gave them. Not what you said.Never say thank you at the end. It is weak. End with something that lands.Stories make ideas stick. Data makes ideas understood. You need both. In that order.The quality of your communication determines the quality of your ideas in the eyes of the world. Not the ideas themselves.Practice is not preparation. Practice IS the skill.Patrick Winston understood something most people spend their entire careers missing.Your ideas are only as powerful as your ability to transfer them into someone else’s mind.You can be the smartest person in the room and be completely invisible.Or you can master communication and make average ideas feel like breakthroughs.He chose to spend his last lecture teaching this.Watch it tonight.Follow @cyrilXBT on X for more lessons from the people who built the future.FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:MY LOCATIONAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Are we trusting science, or marketing?At the ISCG 2026 congress, I presented a critical analysis of one of the most promoted technologies in pelvic health today: magnetic field chairs.These devices claim to induce supramaximal pelvic floor muscle contractions and to be more effective than physiotherapy. Strong claims. Widely marketed. Repeated across scientific publications.So I asked a simple question:Where is the objective evidence?After reviewing more than 100 scientific articles, one fact became clear:none of them directly measured pelvic floor muscle contraction during the use of these devices.No objective quantification.No direct validation.Only assumptions.To go further, I conducted my own test. The result was clear: the contraction generated was approximately 10% of my maximum voluntary contraction.This is not a minor detail. It fundamentally challenges the core claim behind these technologies.This issue goes beyond one device or one field. We have seen similar patterns before, in cases such as Theranos, the opioid crisis, and surgical meshes in gynecology. Different contexts, same problem: claims ahead of evidence.Science without methodological rigor is not science.And publications without transparency do not produce reliable results.This presentation is not about rejecting innovation. It is about demanding evidence.Because patient safety cannot be based on assumptions.Dr. Laira RamosPhysiotherapist PhD in urogynecologySexologistwww.rpaeserie.comwww.perineo.infoPowerpoint SlidesThank you Laira Ramos for this excellent an unbiased review on the science of High Intensity Focused Electromagnetic Waves. FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:MY LOCATIONAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I have used Carboxytherapy for almost a decade to make sure my patients have the best skin before surgery and to have the best recovery after surgery. For the first time the problem of gynecologic oncology vulvar surgery healing is addressed specifically by Dr. Ramos. Eye opening results. My personal experience with CO2LiftV has been nothing short of amazing for GSM/Atrophy and healing. It is now used for plastic surgery cases for neck and body with recovery and tissue healing found to be quite remarkable. CO2Lift Pro for the face has also given outstanding cosmetic results and is widely used by the higher end dermatology practices. I will cover those topics and specifically areas in future posts. Here are my recent past newsletters covering CO2LIft V Carboxytherapy:* CO2LiftV with Jennifer Owens, October 27, 2025* CO2LiftV’s New Role for Post Op Healing, April 15, 2025* How CO2LiftV is Helping Patients, From a Panel of Urogynecologists, March 19, 2025* The Synergy of Energy & Biologics, December 8, 2024* CO2LiftV for Vaginal Restoration, March 14, 2023* How Vaginal Restoration with Carboxytherapy is Changing in 2023, January 25, 2023* Carboxytherapy for Gynecologic Conditions, April 25, 2022PowerpointsThank you Dr. Serrano for sharing your knowledge with my Cosmetic Gynecology Newsletter audience. Truly appreciate your generosity.For more information on Lumisque Carboxytherapy products go to the website HERE: http://co2lift.comCONTACTE: [email protected]: (954) 780-8739FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:MY LOCATIONAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

As the use of Testosterone shots/pellets/gels/creams goes up so does the sheer number of the enlarged clitoris complaints also. It can be an aesthetic problem as well as functional dilemma. Dulce presents a marvelous presentation on this relatively recent phenomena and reviews the current available techniques used around the world to treat the problem surgically when conservative management is not enough. Stopping Testosterone alone often does not solve the problem. Pros and Cons, good and bad, and her personal reflections on the various techniques are covered. My personal technique is briefly introduced as are those of famed clitoral surgeons Amr Seifeldin, Tina Batalha, Ricardo Krause, Alvaro Ochoa, Ozgur Aglamis. At the Alinsod Institute in Arlington, Texas, we specialize in Feminine Intimate Surgeries such as those presented in this wonderful video. Thank you Dulce Henriquez, MD, and Marco Pelosi III, MD, for allowing me to share this information to my patients and medical professional audiences.Presented at the ISCG 2026 World Congress. Copyright 2026 International Society of Cosmetogynecology, LLC. Used with permission. See the entire three-day program with over 70 world-class cutting edge lectures at www.iscgmedia.com/video2026For more free videos on Cosmetic Gynecologic Surgeries visit www.gynflix.com:Dr. Dulce HenriquesWebsite: http://www.dradulcehenriques.com.brAwards and RecognitionInternational Speaker of Aesthetic and Regenerative Gynecology – CLITOROPLASTYPortugal, Argentina, EUA, Venezuela, México, Turkey , Peru,SOGIRE International Member – VenezuelaBest Clitoroplasty,Labiaplasty and Hoodoplasty Effect ISCG Award 2023 – Fort LauderdaleBest Reconstruction after Botched Labiaplasty - SOGIRE Award 2023 -VenezuelaBest Clitoroplasty,Labiaplasty and Hoodoplasty Effect ISCG Award 2024 – Fort LauderdaleBest Clitoroplasty,Labiaplasty and Hoodoplasty Effect ISCG Award 2025 – Fort LauderdaleMaster’s Degree in Health Technology – PUC-PrSpecialist in LASER SURGERY and Regenerative and Functional GynecologyCoordinator of the 1st and 2nd International Perfect Labiaplasty Course by Dr Dawid SerafinCoordinator of the 1st, 2nd and 3rd International Perfect Clitoroplasty by Dr Dulce HenriquesScientific and Executive Coordinator of the Perfect Clitoroplasty Coursein 2023, 2024 and 2025 Curitiba – Pr - BrCRM - 11281 Pr / RQE- 4169For Training Program Information: f: +5541 3015-5212f: +5541 99263-1311 - WhatsApp +5541 99915-5156 - ComercialPERSONAL REFLECTIONS ON DULCE HENRIQUEZ, MDDulce and I have been friends for many many years and have traveled the world speaking at Congress's and giving workshops on Cosmetic Gynecology in this specialized field. She has tackled the problem of clitoral enlargement with a great deal of zeal. It is the focus of her clinical practice and training programs. Her personal training background travels to Poland under the tutelage of Dr. Dawid Serafin, also a good friend of mine who has visited me at least twice when I was in my Laguna Beach practice years back. I love Dulce’s keen mind and openness to learning. I love the banter we share when we discuss techniques and surgical approaches. We have many educational adventures ahead. More Alinsod AdventuresClick picture below for more pictures of Dr. Alinsod teaching worldwideFOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!For Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:MY LOCATIONAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Click RSVP for our GRAND OPENING & OPEN HOUSEIt’s finally here next week! Put this in your Calendar and don’t miss it. We want to meet all of you: Red and Amy and the TEAM: Grand Opening & Open House, March 26, 2026!!!🩺 Our New Partnership in ArlingtonThis part brings me deep pride. Red and Amy are a TEAM!Just a few months ago, I opened my independent solo surgical practice here in Arlington. After decades in California, years of teaching around the world, and training thousands, it feels good to bring my craft into a private, intimate setting where I can focus on the highest-quality surgical work.Now, Amy Haddad, RNP, opens Revique in the same medical complex.Two practices.Two experts.One integrated vision for women’s health.Together, we offer:✔ surgical + nonsurgical excellence✔ personalized and private care✔ evidence-based regenerative therapies✔ advanced aesthetic and anti-aging medicine✔ a team with 50+ years combined experience✔ a bond built over nearly a decadeThis is a union you will not find anywhere else. Teamwork at its best.INTRODUCING AMY HADDAD, MSN, APRN, FNP-C🩺 Her Professional Journey: Built on DedicationOver the last decade, Amy carved out a powerful career in Dallas at one of the most prestigious centers in the country. She served as:* Clinician for all nonsurgical and med-spa procedures* Lead clinician for sexual wellness, pelvic tissue regeneration, and hormone optimization and pellets. She learned the “Cream” practice directly from me.* A regional expert in BioTE® pellet therapy for both women and men* Aesthetic injector for fillers, neuromodulators, and regenerative skin techniques* An educator and advocate for patient-centered treatment plans* A clinician performing thousands of vaginal and vulvar rejuvenation proceduresHer CV speaks for itself — but her reputation speaks even louder.She became one of the most trusted providers in North Texas because she listens, she cares, and she wants her patients to thrive long beyond the treatment room.🌸 What Amy Will Offer at ReviqueAmy brings broad and deep expertise in:Hormone Optimization & Anti-Aging Medicine* Bioidentical hormones with Creams/Pills/Patches* Pellet therapy (men & women)* Thyroid & adrenal support* Sexual wellness optimization* GLP-1 weight loss support* Peptide OptimizationNonsurgical Cosmetic Gynecology & Regenerative Medicine* PlasmaPoration® tightening and Tissue Engineering* Plasmaporation Vulvar Lightening* Plasmaporation for Vulvar and Vaginal Dryness and Painful Sex* RF Vulvar and Vaginal tightening (ThermiVa®)* O-Shot®* Clitoxin™* Vampire Wing Lift®* BTL Emsella and pelvic floor strengthening* Amniotic Fluid Injections for Overactive Bladder* Carboxytherapy with CO2LiftVAesthetic & Anti-Aging Procedures* Botox® & fillers* Sculptra®* Microneedling* PRP/PRF Treatments* Exosome Treatments* Chemical peels* Facial rejuvenation protocols* Low Level Light Laser Therapy* GetHairMD Hair Restoration and RegenerationAdvanced Intimate Enhancement* FemXHA™ vulvar contouring (trained one-on-one by me)Amy treats the full spectrum of Feminine Wellness — from the functional to the aesthetic, from the regenerative to the deeply personal.AMY AT WORK⭐ North Texas Is Now the Center of the Universe for Cosmetic GynecologyI have taught surgeons from just about every continent.I have seen the evolution of this specialty from the inside. I am part of the history.And I can say with total confidence:North Texas is now the epicenter of modern Feminine Wellness. THANK YOU ARLINGTON for all the support! Thank you to the Chamber of Commerce.With Amy leading nonsurgical care at Reviqueand my surgical services through the Alinsod Institute,Texas patients no longer need to travel across the country for world-class expertise.It is here.It is local.And it is unmatched.We welcome the world and the other 49 states.Now Welcoming Patients in Arlington, TexasDr. Alinsod invites you to experience the highest standards of aesthetic, functional, and reconstructive gynecology in a private, elegant, and patient-centered environment. Whether you seek cosmetic improvement, functional enhancement, or expert repair after previous surgery, you will be treated with dignity, precision, and the full depth of a lifetime dedicated to women’s health.DR. ALINSOD IS THE SURGEON AND AMY HADDAD, RNP, DOES EVERYTHING ELSE!DR. ALINSOD AT WORKDr. Alinsod in his own word: A Podcast from May 3, 2024CV and BioBio Cv Inventions Awards Pubs Nov 2024 V244.2MB ∙ PDF fileDownloadAlinsod AdventuresClick picture below for more pictures of Dr. Alinsod teaching worldwideFor Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.FOR THE SURGEONI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!NOW AVAILABLE IN SPANISH: CLICK HERE FOR GYNFLIX ESPANOL!Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod InstituteI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:OUR LOCATIONRevique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 [email protected]🌐 www.reviquemedical.comAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

CAVS (Congress on Aesthetic Vulvovaginal Surgery) and ISCG (International Society of Cosmetogynecology) grew up together for a decade starting about 20 years ago. The goals were to introduce and expand Aesthetic/Cosmetic Gynecology in the United States and Abroad. After CAVS had its last Congress in 2015, the two Brother Societies joined. Now all grown up, ISCG reigns supreme. Congratulations to the Pelosis for the perseverance, foresight, structure, sheer will and determination to help create our field of Cosmetic Gynecology. In fact, the term “Cosmetogynecology” was created by Team Pelosi.To those of you who are landing in Fort Lauderdale, Florida, for our annual ISCG shindig, do enjoy the moments and be amazed at where we are now and what lies ahead. I cannot be there this year in person but will be there in spirit and in 3 videos. My grandson is about to born and that is the most important in life right today.Here is a look back at the years in pictures from my files. Just click and it will lead you to SmugMug.com. Download and print the picture you want of our shared history. Let me know what you think about the development of our specialty and what lies ahead. CAVS 2012, Las Vegas, NVCAVS 2013, Las Vegas, NVCAVS 2015, Orlando, FLESAG 2016, Rome, ItalyISCG 2017, San Diego, CAISCG 2018, Las Vegas, NVISCG 2019, Orlando, FLISCG 2020, Ft. Lauderdale, FLISCG 2021, Ft. Lauderdale, FLISCG 2022, Ft. Lauderdale, FLISCG 2023, Ft. Lauderdale, FLISCG 2024, Ft. Lauderdale, FLISCG 2025, Ft. Lauderdale, FLThank you to all my friends for the unforgettable memories.🎉 Introducing Gynflix Español: Two Year in the Making!Advanced Cosmetic Gynecology Education — Now Available in Spanish. And so affordable!At Gynflix, our mission has always been to provide high-quality, clinically relevant, and low cost education for physicians practicing cosmetic and aesthetic gynecology. Today, we are proud to expand that mission with the official launch of Gynflix Español — a Spanish-language learning experience designed for Spanish-speaking healthcare professionals worldwide.This new module removes language barriers while maintaining the same depth, clarity, and surgical excellence Gynflix is known for. With exceptional value pricing and convenience and Top Notch support also in Spanish.✨ What Gynflix Español Offers* Spanish-language surgical and non-surgical video content* Expert instruction focused on real-world clinical application* Flexible, on-demand learning — anytime, anywhere* Personalized Zoom discussions with Dr. Red Alinsod* Member newsletters and dedicated technical supportWhether you are refining existing skills or expanding your practice offerings, Gynflix Español allows you to learn confidently and efficiently — in your preferred language.📌 Membership Options for Gynflix Español* $69/month* $759/yearYour subscription includes access to all current Spanish-language content, with additional videos added over time.Over 100 full length videos I have used in my teaching programs for the past 20+ years are now yours to learn from in Spanish. No place else to find such depth of content with all my secrets. Nothing is held back.👉 Start Learning TodayVisit https://gynflix.com/gynflix-espanol/ to subscribe and begin exploring GynFlix Español.Thank you for being part of our growing global community of dedicated medical professionals. We’re honored to support your continued education and commitment to exceptional patient care.Warm regards,The Gynflix TeamEnglish: Suzette Peterson, +1 (909) 374-1000, [email protected]: Marizol Carranza: +1 (949) 573-5804, [email protected]ón en español:Ahora disponible: Gynflix Español — Educación avanzada en ginecología cosméticaAhora disponible: Gynflix Español — Educación avanzada en ginecología cosmética. Y bastante asequible.Nos complace compartir un hito importante para la comunidad de Gynflix.🎉 Presentamos Gynflix EspañolEducación Avanzada en Ginecología Cosmética — Ahora Disponible en EspañolEn GynFlix, nuestra misión siempre ha sido ofrecer educación de alta calidad y clínicamente relevante para médicos que ejercen la ginecología cosmética y estética. Hoy, nos enorgullece ampliar esa misión con el lanzamiento oficial de Gynflix Español, una experiencia de aprendizaje en español diseñada para profesionales de la salud de habla hispana en todo el mundo.Este nuevo módulo elimina las barreras del idioma, manteniendo la misma profundidad, claridad y excelencia quirúrgica por las que Gynflix es reconocido.✨ ¿Qué ofrece Gynflix Español?* Contenido en video quirúrgico y no quirúrgico en español* Instrucción experta enfocada en la aplicación clínica real* Aprendizaje flexible y bajo demanda — en cualquier momento y lugar* Conversaciones personalizadas por Zoom con el Dr. Red Alinsod* Boletines informativos para miembros y soporte técnico dedicadoYa sea que esté perfeccionando habilidades existentes o ampliando los servicios de su práctica, Gynflix Español le permite aprender con confianza y eficiencia — en su idioma preferido.📌 Opciones de membresía: Gynflix Español* $69/mes* $759/añoSu suscripción incluye acceso a todo el contenido actual en español, con nuevos videos que se agregarán continuamente.Más de 100 vídeos completos que he usado en mis programas docentes durante los últimos 20+ años ahora están a tu disposición para aprender en español. No hay otro lugar donde encontrar tanta profundidad de contenido con todos mis secretos. Nada se retiene.👉 Comience a aprender hoyVisite https://gynflix.com/gynflix-espanol/ para suscribirse y comenzar a explorar GynFlix Español.Gracias por formar parte de nuestra creciente comunidad global de profesionales médicos comprometidos. Nos honra apoyar su educación continua y su dedicación a brindar una atención excepcional a sus pacientes.Cordialmente,El equipo de GynflixEnglish: Suzette Peterson, +1 (909) 374-1000, [email protected]: Marizol Carranza: +1 (949) 573-5804, [email protected] INSTITUTE and REVIQUE IN ARLINGTON, TEXASThe Warm Glow is real. You will be pampered. We have moved in!We are having our Ribbon Cutting on March 25, 2026 at 11 AM!We are having our Grand Opening on March 26, 2026 from 4-7 PM!It has taken many months of planning and many more months of building out our beautiful new office here in the Veridian of Arlington, Texas. We will have family and friends and Arlington’s leaders for our ribbon cutting the day before. On Thursday, March 26, a little more than a month away, we will open our doors to you our patients and our friends and show off our new home and what we offer. Read the announcement below and click on it to sign up and attend. Or just show up! If you show up in person you may win one of my raffled treatments! Can’t beat FREE!🩺 Our New Partnership in ArlingtonThis part brings me deep pride.Just a few months ago, I opened my independent solo surgical practice here in Arlington. After decades in California, years of teaching around the world, and training thousands, it feels good to bring my craft into a private, intimate setting where I can focus on the highest-quality surgical work.Now, Amy Haddad, RNP, opens Revique in the same medical complex.Two practices.Two experts.One integrated vision for women’s health.Together, we offer:✔ surgical + nonsurgical excellence✔ personalized and private care✔ evidence-based regenerative therapies✔ advanced aesthetic and anti-aging medicine✔ a team with 50+ years combined experience✔ a bond built over nearly a decadeThis is a union you will not find anywhere else. Teamwork at its best.⭐ North Texas Is Now the Center of the Universe for Cosmetic GynecologyI have taught surgeons from just about every continent.I have seen the evolution of this specialty from the inside. I am part of the history.And I can say with total confidence:North Texas is now the epicenter of modern Feminine Wellness.With Amy leading nonsurgical care at Reviqueand my surgical services through the Alinsod Institute,Texas patients no longer need to travel across the country for world-class expertise.It is here.It is local.And it is unmatched.We welcome the world and the other 49 states.📍 Location & ContactRevique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 [email protected]🌐 www.reviquemedical.comAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comA Personal Closing NoteMy career has been blessed with great teachers, great students, and great colleagues.Amy is all three.She has earned every accomplishment through relentless dedication and genuine care for her patients.I am honored to work alongside her once again.I am proud to welcome her into her own private practice.And I truly believe she will set a new standard of excellence for women in North Texas.Revique Medical & Aesthetics is OPEN!!!Appointments are now being accepted.— Red M. Alinsod, MDLearn more about Amy Haddad, RNP: Click on pictureLearn more about Red Alinsod, MD: Click on pictureSocial Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576 Contact: Dian WhiteDr. Red Alinsod: [email protected] Contacts:English: Suzette Peterson, +1 (909) 374-1000, [email protected]: Marizol Carranza: +1 (949) 573-5804, [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Cosmetic Gynecology Newsletter! This post is public so feel free to share it. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

We’re excited to share an important milestone for the Gynflix community. English Version:🎉 Introducing Gynflix Español: Two Year in the Making!Advanced Cosmetic Gynecology Education — Now Available in Spanish. And so affordable!At Gynflix, our mission has always been to provide high-quality, clinically relevant, and low cost education for physicians practicing cosmetic and aesthetic gynecology. Today, we are proud to expand that mission with the official launch of Gynflix Español — a Spanish-language learning experience designed for Spanish-speaking healthcare professionals worldwide.This new module removes language barriers while maintaining the same depth, clarity, and surgical excellence Gynflix is known for. With exceptional value pricing and convenience and Top Notch support also in Spanish.✨ What Gynflix Español Offers* Spanish-language surgical and non-surgical video content* Expert instruction focused on real-world clinical application* Flexible, on-demand learning — anytime, anywhere* Personalized Zoom discussions with Dr. Red Alinsod* Member newsletters and dedicated technical supportWhether you are refining existing skills or expanding your practice offerings, Gynflix Español allows you to learn confidently and efficiently — in your preferred language.📌 Membership Options for Gynflix Español* $69/month* $759/yearYour subscription includes access to all current Spanish-language content, with additional videos added over time. Over 100 full length videos I have used in my teaching programs for the past 20+ years are now yours to learn from in Spanish. No place else to find such depth of content with all my secrets. Nothing is held back. 👉 Start Learning TodayVisit https://gynflix.com/gynflix-espanol/ to subscribe and begin exploring GynFlix Español.Thank you for being part of our growing global community of dedicated medical professionals. We’re honored to support your continued education and commitment to exceptional patient care.Warm regards,The Gynflix TeamEnglish: Suzette Peterson, +1 (909) 374-1000, [email protected] Spanish: Marizol Carranza: +1 (949) 573-5804, [email protected]ón en español:Ahora disponible: Gynflix Español — Educación avanzada en ginecología cosméticaAhora disponible: Gynflix Español — Educación avanzada en ginecología cosmética. Y bastante asequible.Nos complace compartir un hito importante para la comunidad de Gynflix.🎉 Presentamos Gynflix EspañolEducación Avanzada en Ginecología Cosmética — Ahora Disponible en EspañolEn GynFlix, nuestra misión siempre ha sido ofrecer educación de alta calidad y clínicamente relevante para médicos que ejercen la ginecología cosmética y estética. Hoy, nos enorgullece ampliar esa misión con el lanzamiento oficial de Gynflix Español, una experiencia de aprendizaje en español diseñada para profesionales de la salud de habla hispana en todo el mundo.Este nuevo módulo elimina las barreras del idioma, manteniendo la misma profundidad, claridad y excelencia quirúrgica por las que Gynflix es reconocido.✨ ¿Qué ofrece Gynflix Español?* Contenido en video quirúrgico y no quirúrgico en español* Instrucción experta enfocada en la aplicación clínica real* Aprendizaje flexible y bajo demanda — en cualquier momento y lugar* Conversaciones personalizadas por Zoom con el Dr. Red Alinsod* Boletines informativos para miembros y soporte técnico dedicadoYa sea que esté perfeccionando habilidades existentes o ampliando los servicios de su práctica, Gynflix Español le permite aprender con confianza y eficiencia — en su idioma preferido.📌 Opciones de membresía: Gynflix Español* $69/mes* $759/añoSu suscripción incluye acceso a todo el contenido actual en español, con nuevos videos que se agregarán continuamente. Más de 100 vídeos completos que he usado en mis programas docentes durante los últimos 20+ años ahora están a tu disposición para aprender en español. No hay otro lugar donde encontrar tanta profundidad de contenido con todos mis secretos. Nada se retiene.👉 Comience a aprender hoyVisite https://gynflix.com/gynflix-espanol/ para suscribirse y comenzar a explorar GynFlix Español.Gracias por formar parte de nuestra creciente comunidad global de profesionales médicos comprometidos. Nos honra apoyar su educación continua y su dedicación a brindar una atención excepcional a sus pacientes.Cordialmente,El equipo de GynflixEnglish: Suzette Peterson, +1 (909) 374-1000, [email protected] Espanol: Marizol Carranza: +1 (949) 573-5804, [email protected] INSTITUTE and REVIQUE IN ARLINGTON, TEXASThe Warm Glow is real. You will be pampered. We have moved in!We are having our Grand Opening on March 26, 2026 from 4-7 PM!It has taken many months of planning and many more months of building out our beautiful new office here in the Veridian of Arlington, Texas. We will have family and friends and Arlington’s leaders for our ribbon cutting the day before. On Thursday, March 26, a little more than a month away, we will open our doors to you our patients and our friends and show off our new home and what we offer. Read the announcement below and click on it to sign up and attend. Or just show up! If you show up in person you may win one of my raffled treatments! Can’t beat FREE!🩺 Our New Partnership in ArlingtonThis part brings me deep pride.Just a few months ago, I opened my independent solo surgical practice here in Arlington. After decades in California, years of teaching around the world, and training thousands, it feels good to bring my craft into a private, intimate setting where I can focus on the highest-quality surgical work.Now, Amy Haddad, RNP, opens Revique in the same medical complex.Two practices.Two experts.One integrated vision for women’s health.Together, we offer:✔ surgical + nonsurgical excellence✔ personalized and private care✔ evidence-based regenerative therapies✔ advanced aesthetic and anti-aging medicine✔ a team with 50+ years combined experience✔ a bond built over nearly a decadeThis is a union you will not find anywhere else. Teamwork at its best.⭐ North Texas Is Now the Center of the Universe for Cosmetic GynecologyI have taught surgeons from just about every continent.I have seen the evolution of this specialty from the inside. I am part of the history.And I can say with total confidence:North Texas is now the epicenter of modern Feminine Wellness.With Amy leading nonsurgical care at Reviqueand my surgical services through the Alinsod Institute,Texas patients no longer need to travel across the country for world-class expertise.It is here.It is local.And it is unmatched.We welcome the world and the other 49 states.📍 Location & ContactRevique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 [email protected]🌐 www.reviquemedical.comAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comA Personal Closing NoteMy career has been blessed with great teachers, great students, and great colleagues.Amy is all three.She has earned every accomplishment through relentless dedication and genuine care for her patients.I am honored to work alongside her once again.I am proud to welcome her into her own private practice.And I truly believe she will set a new standard of excellence for women in North Texas.Revique Medical & Aesthetics is OPEN!!!Appointments are now being accepted.— Red M. Alinsod, MDLearn more about Amy Haddad, RNP: Click on pictureLearn more about Red Alinsod, MD: Click on pictureSocial Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD.I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576 Contact: Dian WhiteDr. Red Alinsod: [email protected] Contacts:English: Suzette Peterson, +1 (909) 374-1000, [email protected] Spanish: Marizol Carranza: +1 (949) 573-5804, [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. It’s only $10 a month. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is a free preview of a paid episode. To hear more, visit cosmeticgynecology.substack.comI want to cover a true Bread and Butter surgery for the Cosmetic Gynecologist. The Hybrid Labiaplasty. I last covered this topic on February 13, 2024: Barbie and Hybrid Labiaplasty Steps Explained using Stop Motion Photography on my Labiaplasty Newsletter created for the surgeon. This current video is a complete case sped up 20x. You can watch the e…

At my Arlington practice, feminine wellness is never fragmented—it is fully integrated. I bring decades of surgical expertise in cosmetic and functional gynecology, while Amy Haddad, my NP, brings deep, specialized mastery in non-surgical wellness, Bioidentical Hormones, and now Peptide Therapy. Together, we have intentionally united our two worlds into one coordinated approach, allowing us to care for women comprehensively—before, during, and long after treatment—so you receive thoughtful, personalized care designed to support your health, healing, confidence, and longevity. To my Cosmetic Gynecology doctors out there consider adding this evolving opportunity to your Private Practice.I released a Lay Public version of this current Cosmetic Gynecology Newsletter, on January 14, 2026, in my Feminine Wellness Newsletter, that you can use and forward to your patients: Peptide Therapy, Hormones, and Whole-Body Wellness.🧬 Introducing Advanced Peptide Therapy — A Personalized, Science-Driven Wellness PathwayFor years, many of you have offered and provided functional wellness through bioidentical hormone replacement therapy (BHRT). Today, I want to introduce you to the next layer of optimized health: clinically guided peptide therapy, expertly managed. In my office the program is guided by Amy Haddad, NP, founder of Revique Medical Aesthetics and leader of our wellness protocols.Peptide therapy is not a fad — it’s a biologic signaling approach that helps bodies communicate internally. Peptides are short chains of amino acids. They are nature’s messengers for cellular repair, metabolism, growth, inflammation modulation, and tissue regeneration. When combined with hormone optimization, peptide therapy adds a powerful, personalized layer to overall health planning. (WebMD)Amy manages this side of the practice with thoughtfulness and scientific precision. As Medical Director, I oversee protocols and ensure each treatment plan integrates safely with our patient’s individual health goals. To my Cosmetic Gynecology Doctor and Nurse and PA audience, this is a fresh field to get into that can help your patients.Why Peptides Matter (In Plain Language)Peptides are biologic signaling molecules—short chains of amino acids that tell your cells how to function.As we age, those signals weaken. Healing slows. Sleep suffers. Fat becomes harder to lose. Muscle recovery declines. Skin quality changes. Energy dips.Peptide therapy is designed to restore or enhance those natural signals, helping your body work better, not artificially forcing it to do something it can’t.This is why peptides pair so powerfully with Bioidentical Hormone Replacement therapy (BHRT):* Hormones create the foundation* Peptides fine-tune cellular performance🔍 What Peptides Are: A Quick Science SnapshotPeptides send messages to your body’s cells to do something — like support healing, enhance growth hormone release, or improve metabolic function. Unlike supplements, peptide therapy works at physiologic levels under medical supervision. (WebMD)As we age (and under stress), our natural peptide signaling declines.Peptide therapy helps restore those signals, supporting:* Cellular repair and recovery* Metabolism and fat loss* Lean muscle and strength* Energy, stamina, and sleep quality* Cognitive clarity and mood* Skin, hair, and tissue health* Sexual wellness and vitality* Immune function and inflammation controlThis is not cosmetic fluff.This is biologic optimization.Here is Dr. Grant Pagdin summarizing what Peptides are and what they do:Peptide SummarHere is Dr. Taz going a bit deeper on how she uses Peptides:Dr. Taz on PeptideHere is Dr. Shelley Meyer with the most in-depth exploration of Peptides on YouTube:Deep Dive into PeptidesWho Is This For?Peptide therapy for your medical practice may be right for patients who:* Feel “off” despite doing all the right things* Struggle with stubborn weight or fatigue* Want better sleep and recovery* Are navigating perimenopause or menopause* Want to age with strength, clarity, and confidence* Want a proactive, science-based approach to longevityThese therapies are appropriate for women and men, and always guided by medical oversight. 🧠 Detailed Breakdown of Available PeptidesThe Peptides We Use — and What Each One Is Intended to DoBelow is a clear, patient-friendly explanation of the primary peptides available to us. Not everyone needs every peptide. Amy carefully selects protocols based on labs, symptoms, age, goals, and medical history. Most MDs and RNs are ignorant of these products like I was. Deep digging helped me find what is safe and works. BPC-157 (Body Protection Compound)Tissue healing, gut support, inflammation controlBPC-157 is best known for its ability to support soft-tissue repair—including muscles, tendons, ligaments, and connective tissue. It also plays a role in gut lining integrity, which is essential for immune health, nutrient absorption, and systemic inflammation control.Why it may be recommended:* Slow or incomplete healing* Chronic aches or tendon irritation* Gut sensitivity or inflammation* Recovery after procedures or injuryCJC-1295 + IpamorelinGrowth hormone stimulation, sleep, metabolism, body compositionThis peptide combination encourages your body to release more of its own natural growth hormone, following physiologic patterns rather than forcing hormone levels.Patients often notice improvements in:* Sleep quality* Energy and stamina* Lean muscle preservation* Fat metabolism* Recovery after activityWhy it may be recommended:* Age-related decline in energy or recovery* Difficulty maintaining muscle tone* Sleep disruption* Metabolic slowdownSermorelinGentle growth hormone support and vitalitySermorelin stimulates the pituitary gland to release growth hormone in a controlled, natural rhythm. It is often chosen for patients who want a more conservative or introductory approach to peptide therapy.Why it may be recommended:* Fatigue* Poor sleep* Early aging changes* Desire for improved vitality without aggressive protocolsGHK-Cu (Copper Peptide)Skin quality, collagen support, tissue healthGHK-Cu is widely used in regenerative and aesthetic medicine due to its ability to support collagen production, tissue remodeling, and skin integrity. It may be used systemically or locally, depending on goals.Why it may be recommended:* Skin aging or thinning* Post-procedure tissue support* Desire for improved skin quality and repairPT-141 (LIBIDO & SEXUAL FUNCTION)Known as the Viagra of peptides, unlike other sexual health treatments that target the vascular system, PT-141 works directly on the central nervous system to enhance sexual desire and arousal.* Widely recognized for its ability to improve libido and sexual satisfaction in both men and women.* Enhances Sexual Desire: Increases arousal and responsiveness through central nervous system activation.* Improves Erectile Function in Males* Supports Female Sexual Health: supports arousal, desire and sensation.* Rapid Onset: Research indicates effects within 30–60 minutes of administration.* Non-Hormonal Mechanism: Works independently of testosterone or estrogen levels* Helps augment my O-Shot and Clitoxin practice as well as my ThermiVa/RF/Plasmaporation services to improve sexual functionNAD + (ANTI-AGING)Is an essential coenzyme in regulating metabolism, longevity, DNA repair, and the immune system.* NAD+: Reduces the effects of aging at the telomere level* Boosts energy, sharpens focus at the cellular ATP level* Can improves sleep* Can aid in brightening skin* It’s a quick way to feel more alert, refreshed, and restored from the inside out.Dr. Ashley Froese Explains NAD+ and Methylene Blue. We recommend OTC Methylene Blue Gummies. NAD+ and Methylene BlueHow Peptide Therapy Is PersonalizedAmy does not “sell peptides.” She spends a great deal of time with the patient.She prescribes protocols and follows response with regular follow ups via Zoom or FaceTime or onsite appointments.Every patient evaluation includes:* Medical history* Symptom assessment* Lifestyle review* Hormone status and lab data (when appropriate)Protocols are adjusted over time based on:* Response* Tolerance* Goals* Life stage (perimenopause, menopause, high-stress periods, recovery phases)FAQ — Peptide TherapyAre peptides the same as hormones?No. Peptides signal your body to do something. Hormones are chemical messengers that regulate systems. They are complementary, not interchangeable.Are peptides steroids or performance drugs?No. Peptides are biologic signaling compounds, not anabolic steroids or synthetic stimulants.How are peptides administered?Most peptides are given via small subcutaneous injections using very fine needles. Some may be topical or compounded differently depending on indication.Do peptide injections hurt?Most patients describe them as minimal to painless, similar to insulin injections.How soon will patients feel results?This varies:* Sleep and energy improvements: often within weeks* Body composition changes: 1–3 months* Tissue repair and recovery: progressive over timePeptides are not instant fixes—they work biologically and cumulatively.Are peptides safe?When prescribed appropriately, sourced from reputable medical suppliers, and monitored by trained clinicians, peptides are generally well tolerated. This is why medical oversight matters. Cosmetic Gynecologists, nurses, PAs will need to bone up and learn this since it is not taught in traditional training programs. There are several quality courses out there. Do your research. Do you need labs first?Not always—but labs are often helpful, especially when peptides are combined with hormone therapy or metabolic goals.Can women use peptide therapy safely?Yes. Peptide therapy is widely used in women, particularly for:* Perimenopause and menopause support* Energy and sleep* Recovery and tissue health* Body composition and longevity* Not for those who are pregnant or planning to be pregnant soonDo men use these therapies too?Yes. Our peptide and hormone programs are available for both women and men.How long do patients stay on peptides?Some peptides are used in cycles. Others are used longer-term depending on goals and response. Amy guides this carefully. She recommends follow up intervals. Will peptides replace my hormone therapy?No. Peptides enhance hormone therapy—they do not replace it. Peptide therapy works best when it complements bioidentical hormone optimization. We handle both Bioidentical Hormones and Peptide Therapy. When hormones and peptides are used together, patients often experience:* More consistent energy* Better metabolic results* Improved sleep and recovery* Enhanced sexual health* Better long-term anti-aging outcomesI am very fortunate that my NP, Amy, is nationally respected for her work in Bioidentical Hormone Replacement Therapy (BHRT) for women and men and able to manage this new Peptide part of my practice. Hormones set the foundation.Peptides fine-tune and amplify the results.A Personal Note from MeI want to be very clear about something important.I personally use peptide therapy before and after my surgical procedures.I do this to:* Optimize healing* Reduce inflammation* Support tissue recovery* Achieve the best possible outcomesI would not recommend these therapies—or integrate them into our practice—if I did not believe in their value and use them myself. I believe that Cosmetic Gynecologist should seriously consider Peptide Therapy as an integral part of Bioidentical Hormone Therapy. Amy and I work as a true team.Her expertise in peptide and hormone management complements my surgical work, allowing us to support patients before, during, and after treatment in a way that isolated care simply cannot.Learn More or Schedule a ConsultationPeptide therapy is offered through Revique Medical Aesthetics, located within our Arlington office.👉 https://www.reviquemedical.com/peptidetherapy🧠 How Providers can Tailors Peptides for a wide variety of patientsWe start with a 30-60 minute consultation to get to know the patient and get a complete medical history and exam as needed. We help define the patient’s functional goals, and evaluate their lifestyle — to personalize every protocol. That means two patients with similar complaints may receive different peptide combinations aimed specifically at their:* Fatigue and metabolic slowdown* Injury support and recovery* Skin and aging concerns* Body composition goals* Sleep and energy patterns* Long-term systemic regenerationThis isn’t one protocol fits all — it’s medicine shaped around the patient.🌼 Peptides Are Most Powerful When IntegratedWe’ve seen the best results when peptide therapy works with bioidentical hormone optimization. Hormones provide foundational balance. Peptides fine-tune and amplify the body’s signaling — improving recovery, systemic health, tissue quality, and metabolic resilience.That synergy is the reason we integrate these therapies under one roof — with my nurse practitioner managing peptide and hormone care, and my oversight as Medical Director ensuring safety, personalization, and results. Plus I do all the Feminine Surgeries you may need or desire! 📍 Final ThoughtsPeptide therapy isn’t a quick fix. It’s a medical strategy grounded in regenerative science, meant to help bodies optimize function, recovery, aging, and performance over time — with ethical oversight, measurable goals, and a supportive team guiding every step of the way. The patient will come to feel as cared for by a warm family of professionals. To learn more about our Peptide Therapy program you can visit:👉 Revique Medical Aesthetics – Peptide Therapyhttps://www.reviquemedical.com/peptidetherapyRevique Medical & Aesthetic provides information that, while useful, must not be used as a substitute for the advice of your own advisors. Information available from Your Revique Medical & Aesthetic is NOT intended to be used to diagnose or treat any medical condition or disease. Products sold are for laboratory research purposes only. The information provided and the products offered by Your Revique Medical & Aesthetic are for research use only. The products are not medicines or drugs and they have not been approved by the FDA to prevent, treat, diagnose, mitigate, or cure any disease, ailment or medical condition.ALL ARTICLES ANDPRODUCT INFORMATION PROVIDED BY REVIQUE MEDICAL & AESTHETIC ARE FORINFORMATIONAL AND EDUCATIONAL PURPOSES ONLY.DISCLAIMER YOU MUST BE OVER 21 YEARS OLD TO PURCHASE FROM REVIQUE MEDICAL & AESTHETIC.To my fellow Cosmetic Gynecologists, Gynecologists, Plastic Surgeons, Cosmetic Surgeons, Nurses and PAs, thank you for considering adding Peptide Therapy to your practices.— Red Alinsod, MDBibliography & Further Reading(For readers who want to explore the science in more depth)* WebMD – What Are Peptides?https://www.webmd.com/a-to-z-guides/what-are-peptides* National Institutes of Health (NIH) – Peptides and Tissue Repairhttps://pubmed.ncbi.nlm.nih.gov/?term=peptides+and+tissue+repair* BPC-157: https://pubmed.ncbi.nlm.nih.gov/?term=BPC-157* Thymosin Beta-4 and tissue healing: https://pubmed.ncbi.nlm.nih.gov/?term=thymosin+beta+4* Growth hormone–releasing peptides (CJC-1295, Ipamorelin, Sermorelin)https://pubmed.ncbi.nlm.nih.gov/?term=growth+hormone+releasing+peptides* GHK-Cu copper peptide research:https://pubmed.ncbi.nlm.nih.gov/?term=GHK-Cu🌸 What Amy Haddad, NP, Offers and what you can do in your officeAmy brings broad and deep expertise in:Hormone Optimization & Anti-Aging Medicine* Bioidentical hormones with Creams/Pellets/Pills/Patches* Pellet therapy (men & women)* Thyroid & adrenal support* Sexual wellness optimization* GLP-1 weight loss support* Peptide OptimizationNonsurgical Cosmetic Gynecology & Regenerative Medicine* PlasmaPoration® tightening and Tissue Engineering* Plasmaporation Vulvar Lightening* Plasmaporation for Vulvar and Vaginal Dryness and Painful Sex* RF Vulvar and Vaginal tightening (ThermiVa®)* O-Shot®* Clitoxin™* Vampire Wing Lift®* BTL Emsella and pelvic floor strengthening* Amniotic Fluid Injections for Overactive Bladder* Carboxytherapy with CO2LiftVAesthetic & Anti-Aging Procedures* Botox®, Dysport, Xeomin* Fillers* Microneedling* PRP/PRF Treatments* Exosome Treatments* Facial rejuvenation protocols* Low Level Light Laser Therapy* GetHairMD Hair Restoration and RegenerationAdvanced Intimate Enhancement* FemXHA™ vulvar contouring (trained one-on-one by me)Amy treats the full spectrum of Feminine Wellness — from the functional to the aesthetic, from the regenerative to the deeply personal. She is key for the success of my Surgical Practice here in TexasREVIQUE and ALINSOD INSTITUTE IN ARLINGTON, TEXASThe Warm Glow is real. We moved in and started pampering our patients!🩺 Our New Partnership in ArlingtonThis part brings me deep pride.Just a few months ago, I opened my independent solo surgical practice here in Arlington. After decades in California, years of teaching around the world, and training thousands, it feels good to bring my craft into a private, intimate setting where I can focus on the highest-quality surgical work.Now, Amy opens Revique in the same location.Two practices.Two experts.One integrated vision for women’s health.Together, we offer:✔ surgical + nonsurgical excellence✔ personalized and private care✔ evidence-based regenerative therapies✔ advanced aesthetic and anti-aging medicine✔ a team with 50+ years combined experience✔ a bond built over nearly a decadeThis is a special union you can emulate in your practice. Teamwork at its best.⭐ North Texas Is Now the Center of the Universe for Cosmetic GynecologyI have taught surgeons from just about every continent.I have seen the evolution of this specialty from the inside. I am part of the history.And I can say with total confidence:North Texas is now the epicenter of modern Cosmetic Gynecology and Feminine Wellness.With Amy leading nonsurgical care at Reviqueand my surgical services through the Alinsod Institute,Texas patients no longer need to travel across the country for world-class expertise.It is here.It is local.And it is unmatched.We welcome the world and the other 49 states.📍 Location & ContactRevique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 [email protected]🌐 www.reviquemedical.comAlinsod Institute — Red M. Alinsod, MD📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.comA Personal Closing NoteMy career has been blessed with great teachers, great students, and great colleagues.Amy is all three.She has earned every accomplishment through relentless dedication and genuine care for her patients.I am honored to work alongside her once again.I am proud to welcome her into her own private practice.And I truly believe she will set a new standard of excellence for women in North Texas.Revique Medical & Aesthetics is OPEN!!!Appointments are now being accepted.— Red M. Alinsod, MDSocial Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. Only $10 a month. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

ABOUT DR. RED ALINSODFounder, The Alinsod Institute for Aesthetic Vulvovaginal SurgeryFounder, Gynflix – Global e-Learning for Cosmetic GynecologyCosmetic Gynecologist • Urogynecologist • Surgeon • InnovatorThis post is an update of my January 8, 2026 Newsletter post with a new personal reflection of my journey. Multiple links have been placed with photos.Personal Note: My good friend and Marco Pelosi III released this hilarious AI Video of me on Instagram yesterday and it cracked me up!!! ISCG 2026 is around the corner (March 12, 13, 14 2026) in Fort Lauderdale, Florida, and I will be there to talk about surgery surgery surgery. If you are doing Cosmetic Gynecology YOU HAVE TO GO!!! Meet the world leaders and learn from the Best of the Best. Click here for more info: ISCG 2026. One of The World’s Most Influential Cosmetic Gynecologist — Now in Arlington, TexasFor more than 30 years, Dr. Red M. Alinsod has shaped, guided, and redefined the field of cosmetic gynecology. He is not simply a practitioner—he is the surgeon and teacher who invented many of the core techniques, technologies, and in-office surgical methods used by specialists worldwide today. Women seeking labiaplasty, vaginoplasty, or complex reconstructive repair routinely travel from across the U.S. and abroad to be treated by the physician who created the methods now considered global standardsHis work blends surgical precision, restorative artistry, and a gynecologist’s deep understanding of vulvovaginal anatomy and function. This rare combination has made him a trusted authority for patients, surgeons, and medical societies around the world.Dr. Alinsod now brings this lifetime of innovation and excellence to Arlington, Texas, offering women access to one of the most experienced and respected cosmetic gynecologic surgeons on the planet.A Pioneer Who Reimagined Modern Labiaplasty and VaginoplastyDr. Alinsod is internationally recognized as the originator of modern aesthetic vulvovaginal surgery, including signature procedures such as:Surgical Innovations* Barbie Look® Labiaplasty* Hybrid Look® Labiaplasty* Medial Curvilinear Labia Majoraplasty* Central, Lateral & Vertical Clitoral Hood Reductions* Clitoral Reduction with Medial Hoodoplasty* In-Office Awake No-IV Labiaplasty & Vaginoplasty (his original protocol)* Pudendo-Levator Block & Micro-Tumescent Labial Block for comfortable awake surgery* Grooving Technique for natural labial contouring* Radiofrequency Feathering for revision surgery* RF Grooving for postoperative contour restoration* LightScalpel & RF Anal Skin Tag Excision TechniquesThese advances are now taught internationally—and began directly with Dr. Alinsod’s creativity, research, and hands-on development.Patents, Devices & TechnologiesDr. Alinsod is the inventor or co-inventor of numerous patented medical devices and technologies, including:* ThermiVa® and temperature-controlled RF for feminine rejuvenation* Lone Star APS Vaginal Retractor* Alinsod Surgical Table & Instrument System* Alinsod Scissors, Speculum, and Surgical Tools* Predictive Permeation Technology* O2Vasc, a topical system for enhanced genital blood flow* Implants & devices for pelvic floor reconstructionHis inventions revolutionized how cosmetic and functional gynecologic surgery is performed in clinics worldwide.Founder of the Field’s Most Respected Training ProgramsDr. Alinsod created the Alinsod Institute for Aesthetic Vulvovaginal Surgery, the first international program to integrate cosmetic, functional, and pelvic reconstructive principles. For more than 20 years, he has trained many of today’s top cosmetic gynecologists—surgeons who now lead societies, lecture internationally, and teach their own courses.He is also the founder of:* CAVS – Congress on Aesthetic Vulvovaginal Surgery, the field’s oldest and most respected congress* Gynflix, the world’s first comprehensive cosmetic gynecology e-learning platform* Honorary founder of multiple Aesthetic Gynecology Societies worldwideHis reach extends across all continents, shaping standards, guidelines, and techniques used by the global medical community.A Recognized Leader in Revision Surgery & Restorative Feminine RepairDr. Alinsod is deeply committed to women who suffer from botched or poorly performed labiaplasty or vaginoplasty—a growing concern as more non-specialists attempt these procedures with minimal training.His signature innovations—Radiofrequency Feathering, RF Grooving, and new labia minora reconstruction methods—allow him to correct scarring, asymmetry, tissue loss, over-resection, and deformities once believed to be unfixable. His published reconstructive work includes new techniques for repairing injuries from female genital cutting as well as complex surgical errors.Patients choose him for repairs because:* Few surgeons worldwide have his reconstructive mastery* He invents the techniques that others use* He restores both appearance and function* He focuses on compassionate care, privacy, and emotional recoveryAir Force Major, Surgeon, and PatriotDr. Alinsod’s medical career began with a proud 12-year service in the United States Air Force, rising to the rank of Major while serving as Chief of Gynecologic Services at Nellis Air Force Base and George Air Force Base.The discipline, integrity, and calm professionalism he developed during his military service continue to define his surgical philosophy today.A Surgeon of Creativity, Precision, and HeartThough he is acclaimed for his inventions and surgical innovations, Dr. Alinsod is equally known for his warmth, kindness, and ability to make patients feel deeply understood and respected. His background in photography sharpens his aesthetic eye; his decades in gynecology ensure complete anatomical mastery; and his commitment to minimally invasive, comfortable, in-office surgery reflects his dedication to patient safety and well-being.Women choose Dr. Alinsod not only for his expertise—but because they feel safe, informed, and cared for in his hands.Why Choose a Gynecologist Over a General Plastic Surgeon?Cosmetic gynecology requires specialized anatomical knowledge far beyond what most plastic surgeons receive. Many perform only 1–2 labiaplasty cases per year. Even fewer have experience in vaginoplasty or clitoral hood surgery.Dr. Alinsod offers:* Thousands of procedures performed* Decades of specialization* Techniques and devices he personally pioneered* The most advanced reconstructive capabilities available* A gentle, awake, no-IV surgical experience* Natural, elegant, functionally sound outcomes* The trust of surgeons who come from around the world to learn from himWhen it comes to the most intimate parts of a woman’s body, experience matters—and no one has shaped this field more than Dr. Alinsod.Now Welcoming Patients in Arlington, TexasDr. Alinsod invites you to experience the highest standards of aesthetic, functional, and reconstructive gynecology in a private, elegant, and patient-centered environment. Whether you seek cosmetic improvement, functional enhancement, or expert repair after previous surgery, you will be treated with dignity, precision, and the full depth of a lifetime dedicated to women’s health.Dr. Alinsod in his own word: A Podcast from May 3, 2024CV and BioBio Cv Inventions Awards Pubs Nov 2024 V244.2MB ∙ PDF fileDownloadAlinsod AdventuresClick picture below for more pictures of Dr. Alinsod teaching worldwideLet’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I am very proud of my Alinsod Fellow. Listen to Sejal identify the problem, break it down, and offer solutions for the modern Gynecologist interested in this newly evolving field of Cosmetic Gynecology.🎥 Video OutlineNew Horizons in Sexual Dysfunction TherapyPresented by Sejal Ajmera, MDMentorship & Surgical Foundation: Red Alinsod, MDI. Introduction: A New Era in Sexual Health Care* Overview of sexual dysfunction as a medical, neurologic, vascular, and hormonal condition* Why traditional models of treatment have failed many patients* The need for integrated, anatomy-based, and function-preserving therapies* Purpose of this presentation: expanding therapeutic horizons for clinicians and patientsII. Defining Sexual Dysfunction in the Modern Clinical Context* Female sexual dysfunction as a multifactorial condition* Desire disorders* Arousal disorders* Orgasmic disorders* Pain syndromes (dyspareunia, vulvodynia, vestibulodynia)* The overlap between:* Pelvic floor dysfunction* Hormonal depletion* Neurovascular compromise* Prior surgery or traumaIII. The Shift From Symptom Management to Root-Cause Treatment* Moving beyond:* Empiric medications* One-size-fits-all hormone therapy* Emphasis on:* Detailed anatomic evaluation* Neural pathways of arousal and orgasm* Blood flow, tissue quality, and structural support* Treating sexual function as a legitimate medical outcomeIV. Advanced Therapeutic Modalities in Sexual Dysfunction* Overview of modern treatment tools:* Energy-based therapies (RF, laser)* Regenerative medicine (PRP, biologics)* Neuromodulation concepts* Hormonal optimization* Importance of proper patient selection and technique* Risks of under-trained providers using advanced technologiesV. The Alinsod Mentorship: Surgical and Functional Foundations* Dr. Ajmera’s advanced training under Red Alinsod, MD* Exposure to:* In-office awake procedures* Anatomy-first philosophy* Preservation of neurovascular structures* Functional outcomes over cosmetic appearance alone* How this training shaped her evidence-based, patient-centered approach* Emphasis on safety, precision, and long-term outcomesVI. From Training to Leadership: The Founding of IAVA* How mentorship translated into mission* Founding and leadership of IAVA (International Association for Vaginal Aesthetics)* IAVA’s goals:* Physician education grounded in anatomy and function* Ethical adoption of new technologies* Elevating standards in sexual wellness care* Carrying forward the Alinsod philosophy into global educationVII. Multidisciplinary Care Models for Sexual Dysfunction* Importance of collaboration:* Gynecology* Urology* Pelvic floor physical therapy* Mental health professionals* Integrating surgical, nonsurgical, and regenerative therapies* Creating customized care pathways for patientsVIII. Patient Outcomes and Clinical Impact* Restoring:* Sexual confidence* Physical comfort* Intimacy and quality of life* Reframing sexual dysfunction as treatable—not inevitable* Long-term benefits of properly executed interventionsIX. The Future of Sexual Dysfunction Therapy* Where the field is heading:* Regenerative and restorative medicine* Precision-based interventions* Better training standards* Role of physician leaders trained at the highest level* Continuing evolution of education through organizations like IAVAX. Closing Message* Call for:* Higher standards of care* Deeper anatomical understanding* Responsible innovation* Acknowledgment of mentorship, lineage, and legacy in advancing the field* Commitment to improving patient lives through excellence in training and careGood Practce Guidelines for Aesthetic, Functional Regenerative Gynaecology is a click away.Practical tips from experts all around the globe for effective and safe practice. Ur book is a click away ( for all nationalities)https://iava.co.in/good-practise-guidelines-book/✨ Editorial Note for Substack & PodcastThis presentation reflects the direct lineage of surgical, functional, and ethical training pioneered by Red Alinsod, MD, and carried forward by Dr. Sejal Ajmera through her leadership of IAVA—representing the next generation of excellence in sexual dysfunction therapy.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

ABOUT DR. RED ALINSODFounder, The Alinsod Institute for Aesthetic Vulvovaginal SurgeryFounder, Gynflix – Global e-Learning for Cosmetic GynecologyCosmetic Gynecologist • Urogynecologist • Surgeon • InnovatorOne of The World’s Most Influential Cosmetic Gynecologist — Now in Arlington, TexasFor more than 30 years, Dr. Red M. Alinsod has shaped, guided, and redefined the field of cosmetic gynecology. He is not simply a practitioner—he is the surgeon and teacher who invented many of the core techniques, technologies, and in-office surgical methods used by specialists worldwide today. Women seeking labiaplasty, vaginoplasty, or complex reconstructive repair routinely travel from across the U.S. and abroad to be treated by the physician who created the methods now considered global standardsHis work blends surgical precision, restorative artistry, and a gynecologist’s deep understanding of vulvovaginal anatomy and function. This rare combination has made him a trusted authority for patients, surgeons, and medical societies around the world.Dr. Alinsod now brings this lifetime of innovation and excellence to Arlington, Texas, offering women access to one of the most experienced and respected cosmetic gynecologic surgeons on the planet.A Pioneer Who Reimagined Modern Labiaplasty and VaginoplastyDr. Alinsod is internationally recognized as the originator of modern aesthetic vulvovaginal surgery, including signature procedures such as:Surgical Innovations* Barbie Look® Labiaplasty* Hybrid Look® Labiaplasty* Medial Curvilinear Labia Majoraplasty* Central, Lateral & Vertical Clitoral Hood Reductions* Clitoral Reduction with Medial Hoodoplasty* In-Office Awake No-IV Labiaplasty & Vaginoplasty (his original protocol)* Pudendo-Levator Block & Micro-Tumescent Labial Block for comfortable awake surgery* Grooving Technique for natural labial contouring* Radiofrequency Feathering for revision surgery* RF Grooving for postoperative contour restoration* LightScalpel & RF Anal Skin Tag Excision TechniquesThese advances are now taught internationally—and began directly with Dr. Alinsod’s creativity, research, and hands-on development.Patents, Devices & TechnologiesDr. Alinsod is the inventor or co-inventor of numerous patented medical devices and technologies, including:* ThermiVa® and temperature-controlled RF for feminine rejuvenation* Lone Star APS Vaginal Retractor* Alinsod Surgical Table & Instrument System* Alinsod Scissors, Speculum, and Surgical Tools* Predictive Permeation Technology* O2Vasc, a topical system for enhanced genital blood flow* Implants & devices for pelvic floor reconstructionHis inventions revolutionized how cosmetic and functional gynecologic surgery is performed in clinics worldwide.Founder of the Field’s Most Respected Training ProgramsDr. Alinsod created the Alinsod Institute for Aesthetic Vulvovaginal Surgery, the first international program to integrate cosmetic, functional, and pelvic reconstructive principles. For more than 20 years, he has trained many of today’s top cosmetic gynecologists—surgeons who now lead societies, lecture internationally, and teach their own courses.He is also the founder of:* CAVS – Congress on Aesthetic Vulvovaginal Surgery, the field’s oldest and most respected congress* Gynflix, the world’s first comprehensive cosmetic gynecology e-learning platform* Honorary founder of multiple Aesthetic Gynecology Societies worldwideHis reach extends across all continents, shaping standards, guidelines, and techniques used by the global medical community.A Recognized Leader in Revision Surgery & Restorative Feminine RepairDr. Alinsod is deeply committed to women who suffer from botched or poorly performed labiaplasty or vaginoplasty—a growing concern as more non-specialists attempt these procedures with minimal training.His signature innovations—Radiofrequency Feathering, RF Grooving, and new labia minora reconstruction methods—allow him to correct scarring, asymmetry, tissue loss, over-resection, and deformities once believed to be unfixable. His published reconstructive work includes new techniques for repairing injuries from female genital cutting as well as complex surgical errors.Patients choose him for repairs because:* Few surgeons worldwide have his reconstructive mastery* He invents the techniques that others use* He restores both appearance and function* He focuses on compassionate care, privacy, and emotional recoveryAir Force Major, Surgeon, and PatriotDr. Alinsod’s medical career began with a proud 12-year service in the United States Air Force, rising to the rank of Major while serving as Chief of Gynecologic Services at Nellis Air Force Base and George Air Force Base.The discipline, integrity, and calm professionalism he developed during his military service continue to define his surgical philosophy today.A Surgeon of Creativity, Precision, and HeartThough he is acclaimed for his inventions and surgical innovations, Dr. Alinsod is equally known for his warmth, kindness, and ability to make patients feel deeply understood and respected. His background in photography sharpens his aesthetic eye; his decades in gynecology ensure complete anatomical mastery; and his commitment to minimally invasive, comfortable, in-office surgery reflects his dedication to patient safety and well-being.Women choose Dr. Alinsod not only for his expertise—but because they feel safe, informed, and cared for in his hands.Why Choose a Gynecologist Over a General Plastic Surgeon?Cosmetic gynecology requires specialized anatomical knowledge far beyond what most plastic surgeons receive. Many perform only 1–2 labiaplasty cases per year. Even fewer have experience in vaginoplasty or clitoral hood surgery.Dr. Alinsod offers:* Thousands of procedures performed* Decades of specialization* Techniques and devices he personally pioneered* The most advanced reconstructive capabilities available* A gentle, awake, no-IV surgical experience* Natural, elegant, functionally sound outcomes* The trust of surgeons who come from around the world to learn from himWhen it comes to the most intimate parts of a woman’s body, experience matters—and no one has shaped this field more than Dr. Alinsod.Now Welcoming Patients in Arlington, TexasDr. Alinsod invites you to experience the highest standards of aesthetic, functional, and reconstructive gynecology in a private, elegant, and patient-centered environment. Whether you seek cosmetic improvement, functional enhancement, or expert repair after previous surgery, you will be treated with dignity, precision, and the full depth of a lifetime dedicated to women’s health.Dr. Alinsod in his own word: A Podcast from May 3, 2024Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This textbook was published by Springer on October 2, 2025. Dr. Pablo Gonzales and I Co-Edited this very first textbook dedicated to all things Majora. I wrote Chapter 2 on the History of Labia Majora Surgery. Below is the full unedited version. Enjoy. My Christmas gift to my loyal Cosmetic Gynecology Newsletter subscribers.Historical Aspects of Labia Majoraplasty SurgeryA Personal Perspective by Red Alinsod, MDLabia Majoraplasty has evolved significantly since its inception as a procedure for gynecologic malignancies to its current stage as a cosmetic procedure for beauty and a functional procedure for comfort. In this chapter I will trace the significant historical developments and focus on key contributions by pioneering surgeons. I will start and end with my personal story. You will notice that there is a common theme. The core is exposure to female genital cancer surgery.My first introduction to labial surgery was in 1985 as a 3rd year medical student at Wilford Hall Medical Center in San Antonio, Texas. Kenneth Hancock, MD, gynecologic oncologist, was instrumental in helping me learn gynecologic anatomy and introduced me to vulvar surgeries. I was fascinated by radical vulvectomies I saw him teach his residents. Dr. Hancock was fresh out of his Gynecologic Oncology Fellowship at University of Texas MD Anderson Cancer and Tumor Institute (no MD Anderson Cancer Center). “Anderson” was well known for its aggressive and radical surgeries headed by Felix Rutledge, MD. He was known for Total Pelvic Exenterations (aka Exents) for advanced cervical and uterine cancer. Dr. Hancock became instrumental in writing a letter for me to obtain my residency at Loma Linda University Medical Center who had three Gynecologic Oncologists. Robert Wagner, MD, and Elden Keeney, MD, were graduates of MD Anderson. The Chairman of the department was Alan King, MD, also a Gynecologic Oncologist from Memorial Sloan Kettering Medical Center in New York. My path was set. I was going to be a Gynecologic Oncologist.In my third year of residency at Loma Linda I heard about competitive Fellowships that were going to be started by the two biggies: The Rutledge Fellowship by MD Anderson and the Galloway Fellowship by Memorial Sloan Kettering. With great support and encouragement by my Loma Linda faculty I was accepted to both. I chose to be a Rutledge Fellow, the first one ever, and off I went to Houston. That was 1988, the year L.A. Dodger Kirk Gibson hit that walk off home run against the Oakland As. I was post call and watching it when it happened that evening. My month at MD Anderson was an eye opener. I had never seen any program work their residents harder and with full support and dedication. Their stated goal was to build the finest surgeons with the best hands to be the boss and run departments. A bit intimidating for sure. I met Dr. Rutledge who was retired and on his 3rd wife but who came to all the meetings and even showed up for the endless number of Exents done by the Fellows. I was completely overwhelmed being among legends like David Gershenson, MD, Taylor Wharton, MD, Michelle Follen, MD, Mitchell Morris, MD.The Exenterations removed all the reproductive organs, bladder, anus, vulva, bowel, and we created pouches for urine and stool. There was an “Above Team” that took care of the abdominal hysterectomies and bowel and bladder surgery. There was a “Below Team” that did the complete vulvectomies and made neovaginas out of Gracilis muscle. I made sure I spent most of my time as part of the Below Team. I loved that they let this 3rd year resident do the Fellows work to recreate labias and vaginas from the inner thigh tissue. I was in my element. The staff was very encouraging and pushed me to pursue pelvic surgery. There was no urogynecology Fellowship at that time, so the next logical step was to see if infertility surgery was for me. So, I went to Yale to do a one-month elective in Reproductive Endocrinology in my senior year of residency. I was completely unimpressive. The Chairman at the time was the famous Alan DeCherney, MD. I worked exceptionally hard with the Fellows doing inseminations and IVF. I was in meetings almost every day doing Case Planning with the team headed by Dr. DeCherney. At the end of my rotation, I went up to Dr. DeCherney and thanked him for his mentorship and he said, “and who are you again?” I realized REI was not for me.As disappointed as I was for my lackluster performance at Yale’s REI division, I was blessed to meet one of the most modest and brilliant man I had ever encountered. E. Albert Reece, MD. He was a Maternal Fetal Medicine attending along with John Hobbins, MD. They are the giants who deciphered the causes and treatments for Gestational Diabetes. Dr. Reece was a devout Seventh Day Adventist Christian and taught me the ropes of Academia counseling me to ALWAYS make sure to thank the Attending Staff personally and with letters, so they do not forget me. He encouraged me not to be narrow minded and just automatically go to MD Anderson for my GYN ONC Fellowship, so he introduced me to Peter Schwartz, MD, and Setsuko Chambers, MD, who later offered me the one Fellowship position that was to start on July 1990. I accepted. Then disaster struck. The 1st Gulf War was about to heat up, so the Air Force told me I had to be on active duty and that my deferral for starting my Gynecologic Oncology Fellowship at Yale was rescinded. I was heartbroken notifying Dr. Schwartz that I was not able to be his 1990 Fellow. This disappointment turned into excitement as I served for four years at George and Nellis Air Force Base.I had the privilege to care for the women of the military and retirees. I ran the Gynecology Department and did hundreds of pelvic reconstruction cases. I was surprised to see a demand for labial reduction surgery even then in the early 1990s. So, I did them with both electrocautery and my CO2 laser. I lasered so many venereal wart lesions then. I started using the laser on the labia minora and majora not just for venereal warts. Air Force salaried soldiers and their wives, retirees, dependents, could not afford seeing a plastic surgeon in town so I was more than happy to do their surgeries labial surgeries and prolapse and tightening surgeries. In my eyes it was an easy surgery when compared to the exenterations I had been doing with the teams at MD Anderson.After my Air Force career, I entered private practice in Los Angeles and for a medium sized multi-specialty group. The field of urogynecology was starting to grow rapidly and this really was what I wanted to pursue. From 1994 to 2004 I worked with industry and designed slings and mesh repair kits and surgical tools. I did a few labiaplasty surgeries because it was not a thing back then. Urogynecology was starting to be “The Thing” that gave birth to unofficial Fellowship programs like Ostergaard’s at UC Irvine. Laparoscopy was booming with the rise of Marco Pelosi II and III, Harry Reich, John Miklos, C.Y. Liu, David Redwine. I saw gynecology change slowly from being a specialty for vaginal surgery to laparoscopic surgery. It made me more determined to try and retain and expand vaginal surgery and ensure it was not a lost art. I active taught for Caldera Medical, AMS, BARD, Ethicon. I taught the UCLA residents and eventually became the mesh repair clinical instructor for Harbor UCLA’s Urogynecology Fellowship from 1997 to 2005. I focused strictly on labial and vaginal surgeries.In 2000 I heard about David Matlock and reached out to him right after he completed his MBA at UC Irvine. He had just finished his MBA Group Project of launching the Laser Vaginal Rejuvenation Institute of America. His group aced it. The project became his outline for successfully launching LVRIA. He graduated his first LVRIA class soon after his MBA graduation. I heard about it and was in awe that people would pay so much money for such a course. I saw him take labiaplasty surgery and vaginoplasty surgery into the mainstream with lots of headwinds and naysayers. To this day!I recently asked David why he even went back to school to get his MBA. He said“One thing I learned about an MD, MBA, is that people look at you differently in the business world. A very good friend of mine asked “Why do you need this? You’re already a good businessman,” and I told him I felt that I was holding myself back. That’s why I did it. In my interview with one of the professors, she was called away for a short period of time she had my essay in front of her and what I noticed was that she had highlighted, and I stated I seek knowledge. When I saw that I knew I was in. I have a whole lot of stories, my friend.”“Obviously, with any business, they’re going to be critics. You had to have a thick skin and push through it. The criticism was weird, was the lack of research. There was plenty of research there because of what some of these procedures were drawing from. I knew 100% that the research would come! Therefore, I pushed forward. I was able to grow this nationally in internationally. The media came to me, and I really understood that sex sells. I’ve been on everything. Television shows nationally and internationally, magazines, Vogue, Harper Bazar, Cosmopolitan, Nationally, Internationally, etc., etc. So, look where we are today! I knew that’s what would happen. Now it’s accepted and it’s International. F*** all those nay sayers in the beginning!”David ran the first Cosmetic Gynecology courses in history in Beverly Hills starting in 2000 and said this:“As you may or may not know I entered it as a business venture and first secured intellectual property with a patent attorney. I trained I’ve 436 surgeons in over 46 countries. I would train up to 10 at a time. I did world, European, and Asian, organized by the marking company. Get this we were able to charge $60k per doctor. Crazy money. But I liked at it as a business deal.”“Run those numbers serious money was made. Some people may have rejected for me commercializing it but that’s what I learned in my MBA program. That’s what the professors told us to do. Just like many grad students coming out and launching businesses.”“I only trained gynecologist, plastic surgeons, and urologist. That’s it. The doctor spent three days with me. One day of didactics, one day seeing me in surgery, performing the cases, and one day in the lab working on inanimate objects to simulate all the procedures. The support group putting all this together was a marketing company. A laser marketing company. It was a well-oiled machine.”“I started a movement, and I was right. Let alone that I publicized it nationally in internationally with free marketing for everyone. Actually, that’s why we are where we are, and I understood, and I told the media I need them, and they need me.”In the beginning, David taught Designer Laser Vaginal Rejuvenation (Labiaplasty Surgery) and Laser Vaginal Rejuvenation (Vaginoplasty, Perineoplasty). For the saggy labia majora, he initially used a wide perineoplasty technique to pull the labia majora downward to reduce the sag and draping effects but ultimately found this to be unsatisfactory. The problem of a tight introitis and potential for dyspareunia were present with this method. I asked him if his perineoplasty was his initial approach to a saggy labia majora and he said “that was one of the ways that I used to help reduce the majora. Ultimately, I didn’t get the results that I wanted, and I’ve stopped that approach. I’m sure I showed them (his Fellows) both. The best approach is the vertical elliptical/reduction.”“For the majora, I found that the best approach would be a midline vertical elliptical excision. You can do anything to reduce the length, thickness, decrease thickness with that incision. With a medial approach you can’t get that and then that has the potential to fish-mouth labia minora.”Jack Pardo, MD, from Chile, one of Dr. Matlock’s earliest graduates, remembers learning the midline vertical elliptical excision from Dr. Matlock. Jack’s grandfather and father were tailors and his exposure to gynecologic oncology made him secure about female genital anatomy. He did not do many vulvectomy surgeries early in his career but had the exposure to become confident in knowing where the vessels and nerves were located. To his recollection he did his own first solo “U.S. Football” shaped labia majora excision in 2009. Here are photos from Dr. Pardo’s landmark publication showing the medial incision going close to the labia minora and the pale white scar at the top of the labia majora ridge. Shown with permission (Fig. 1, 2):Marco Pelosi III gained valuable experience working with pelvic surgeons and gynecologic oncologists and plastic surgeons early on after residency. Again, the common thread seems to be the work with the Gynecologic Oncology specialists. Macro Pelosi III also remembers the Midline Vertical Elliptical excisions that removed a football shaped area of labia majora tissue on each side (Fig. 3). However, in Dr. Pardo’s recollection, the elliptical excision was horizontal going across the middle of the labia majora and when sutured “pinched” the majora to reduce the sagging. This technique morphed into a more aesthetically pleasing vertical elliptical excision (“more banana shaped and not symmetrical” per Pardo) and changed the horizontal scar across the labia minora to a vertical scar on each majora.An American shaped football excision of labia majora was developed by Pelosi and Pardo. The only problem was that now there was a railroad track scars on the middle of the labia majora. This was not a big problem in the days when women were not shaving everything off. However, when the days of the Brazilian waxing and laser hair removal became more prevalent Dr. Pardo, and his colleagues, modified their techniques further and placed the medial incision closer to the labia minora to hide the scar once healed. Doctors Jack Pardo, Vicente Sola, and Paolo Ricci submitted their landmark research on 60 Labia Majora Lifting patients on September 18, 2011, and it was published in The American Journal of Cosmetic Surgery in 2012. Patients were collected from May 2004 through June 2011. At that point in history, David held the surgical secrets close to the vest like the Chamberlains did with their obstetrics delivery forceps. I was much the same as David and did not publish any of my cosmetic gynecology techniques. Jack remembers telling David Matlock and John Miklos about an earlier publication regarding colpoperineoplasty on Acta Scandinavia that initially drew David Matlock’s and John Miklos’ disapproval of revealing secrets, but this turned out to be a positive attraction towards David’s LVRIA program.As comfort and experience grew with labiaplasty surgery (Minora and Majora and Clitoral Hood) Dr. Jack Pardo brought his surgeries into the office in Latin America and began teaching his surgery under local anesthesia. Dr. Michael Goodman had the same experience as he taught local anesthesia techniques worldwide for labial and vaginal cosmetic surgeries in 2010.Listen and watch my in-depth interviews of these GIANTS on my Cosmetic Gynecology Newsletter:Jan 3, 2025: Walking Down Memory Lane with Marco Pelosi III: The Birth of ISCG:Jan 27, 2025: Jack Pardo, MD, and the Genesis of Cosmetic Gynecology in Latin AmericaAs David Matlock’s LVRIA empire was rapidly expanding in stature and influence in the early 2000s and my pelvic surgical world focused on design of products for use in pelvic reconstructive surgery. Many of these products would ultimately be instrumental in allowing for in-office awake No IV surgeries for cosmetic gynecology. My patented Alinsod Stand Surgical Table allowed still and calm hands for delicate labial surgery. My Alinsod Scissors and pickups and clams allowed for deep pelvic reach and placement of sutures. The Lone Star Retractor allowed for vision deep into the vagina. The slings and ultralightweight mesh and dermal allografts we brought out to market helped transform urogynecology. I was in Los Angeles at this time in my career (1994-2004) and watching how successfully David and his Fellows were changing the gynecology landscape. I was recruited as a urogynecologist to Laguna Beach, California, by South Coast Medical Center, who envisioned capturing the pelvic floor surgery business in the South Orange County region where the average age of women was in the mid 40s. My vision was to combine urogynecology with cosmetic gynecology and integrate the two. So, I moved and opened shop on January 5, 2005. I did the large majority of my labiaplasty and vaginoplasty surgeries in my office and started teaching and giving courses in both urogynecologic surgery and cosmetic gynecology. My big secret was the pudendal-levator block and labial blocks with microtumescent anesthesia I had developed that allowed deep pelvic floor dissections in the office. I kept all my labiaplasty and vaginoplasty secrets as well as my anesthesia techniques very private and only for my Alinsod Fellows. I chose not to publish at the time but to collect and share my thousands of Before and After pictures to those in search of surgical results. I had non-disclosures signed as did Dr. Matlock.I launched my Alinsod Institute for Aesthetic Vulvovaginal Surgery training program in 2006 and started the Congress of Aesthetic Vulvovaginal Surgery (CAVS) in 2006 in conjunction with the now defunct AAOCG (American Academy of Cosmetic Gynecology). The first lecture on labia majoraplasty was at that Congress in Las Vegas with the first live course in Laguna Beach in October 2007. Prominent surgeons I had the thrill to work with in those early years were Dr. Alexander Bader in 2008, Dr. Michael Goodman in 2010, Dr. Sejal Ajmera in 2012, Dr. Christine Hamori in 2013, Dr. Amr Seifeldin in 2015, Dr. Joao Jaenisch in 2015, Dr. John Miklos, and Dr. Robert Moore in 2017. They have taught, spoken, or have published on Labia Majoraplasty and have been the most influential surgeons in the field of labia majoraplasty. I thank them for their contributions. One significant publication of note is the May-June 2011 article written by Miklos and Moore titled Simultaneous Labia Minora and Majora Reduction: A Case Report, published in the Journal of Minimally Invasive Gynecology. Theirs is the first publication of a combination surgery involving the labia majora. I had taught this method in my Fellowship program and presented it in several Congresses showing dozens of videos I call the “Universal Approach.”My first labia majoraplasty were done in the office in 2005. Looking back at all my photos and videos and reading all the available materials published shows that my first photographed labia majoraplasty using the Curvilinear Labia Majoraplasty technique was on March 1, 2007. There are no sets of labia majoraplasty photos I can find that predate these photo sets. I believe these to be the very first non-cancer labia majoraplasty photos ever taken. My technical modification was to hug the medial incision line to be as close to the labia minora as possible to hide the scar but not remove so much tissue that a gaping introitus appears. Going short of this junction and leaving the scar line lateral to the minora-majora junction risked a visible white pale scar being visible. Here is that labia majoraplasty case and the photos I used to teach my Alinsod Fellows (Fig 4 – 10):The second set of labia majoraplasty pictures I took were 3 weeks later May 21, 2007, as I expanded my teaching sets as more and more surgeons were showing interest in my surgical preceptorship. Here is Case 2 that highlighted the tightening of the vagina, perineum, and labia majora (Fig. 11 – 17):On August 29, 2007, I took pictures of Case 3 that would turn out to be the most influential teaching set of Labia Majoraplasty photos that I have used around the world and on my lectures and website (Fig 18 – 22):Historically, only the skin of the labia majora is removed when doing a labia majoraplasty. When a large “Camel Toe” is present, liposuction has been tried to remove fat. It has not been very successful. In vulvar cancer surgery, the labia majora is often removed as well as the fat with dissection done all the way to the muscles beneath the pubic ramus. Lymph node dissection is performed in these cases. This surgery has been modified to be a cosmetic labia majora reduction that includes a great deal of normal but voluminous fat. The first case of Labia Majoraplasty with Fat Pad Reduction for cosmetic indications was performed in my Laguna Beach office on Feb 29, 2012 (Fig. 23 – 30): These life changing and confidence building surgeries are now offered and performed worldwide as the training programs add these procedures to their agendas. My online teaching platform called Gynflix (www.gynflix.com) was developed during the pandemic and launched in September of 2022 to served dozens of countries and all 50 United States (Fig. 30, 31). Its mission is to train surgeons to safely perform labial and vaginal surgeries as well as nonsurgical procedures. With the growing international demand for Cosmetic Gynecology and availability of very few high quality and professional preceptorship programs worldwide, I decided to share my 20+ years of experience and digital collection to a hungry and growing audience. Gynflix is the first online educational platform with 4K and HD videos and exquisite photography of core procedures, to improve the surgical standard, and reduce botched cases for my global audience. It has a secondary goal of educating Providers and the Lay Public, giving access to solutions, and to connecting the two.Red Alinsod, MDChapter written on January 31, 2025Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I released this video on my Pay Only Labiaplasty Newsletter on September 10, 2025. I also released a prior version on July 2, 2025 called “Radiosurgery for the Cosmetic Gynecologist: A Bried Tour Through Time.” I want to share the new updated version to you, my Cosmetic Gynecology Newsletter members, to announce that Labiaplasty Newsletter will get a massive Face Lift and Content Upgrade and will now be called “Labiaplasty and Vaginoplasty Newsletter” starting January 2026. A perfect newsletter for the surgically inclined that now will include all surgical topics relating to Cosmetic Gynecology. A perfect kissing cousin for my Gynflix.com online e-Learning platform. More news coming. Stay tuned right here! Radiosurgery 101 for 2026: The Soniquence DifferenceOne of the most frequent questions I get is “Dr. Alinsod how do you do your labiaplasty surgeries? Do you use lasers or radiofrequency, scissors or knives?” I have this discussion quite a bit with surgeons from around the world. I cover this on my practice website (www.alinsodinstitute.com) and have lots of photos and videos. I’ve never really covered it for the Lay Public so I created this video that shows what radio frequency can do for Cosmetic Gynecology and why I use it for the right person. I gear this for non-medical people who wondered how this surgery is done in my office, awake, with no IV, under local anesthesia.I first covered Radiosurgery 101 for the Cosmetic Surgeon on May 30, 2022. Go see that 15 min video if you have not already done so. An update and full length version on what radiosurgery can do for labiaplasties, botched surgeries, clitoral hood surgeries, anal skin tags was released on July 2, 2025 on my Cosmetic Gynecology Newsletter called Radiosurgery for the Cosmetic Gynecologist: A Brief Tour Through Time. Today’s newest video is an update with an extra section at the end that instroduces my just released Soniquence A1 Bipolar forceps. Enjoy the learning. Let me know what you think as a lay person seeing this. Does it help explain how labiaplasties are done with radio waves?Red Alinsod, MD ([email protected])www.alinsodinstitute.comwww.gynflix.comIntroducing my new Arlington, Texas, PracticeDear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special. I am also proud to announce that Amy Haddad, RNP, of Revique Medical & Aesthetics, will lead and provide new services such as weight management, Peptide Therapy, BioIdentical Hormones, O-Shot/P-Shot and Vampire Wing Lift and injectable services. She will lead in Non-Surgical treatments like ThermiVa, Jett Plasmaporation, Lasers, Emsella, and others energy devices. Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis on Revision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results. I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Dr. Charles Runels and Dr. Alexandra Runnels create a powerful team of Physician Scientists whose clinical research into the use of PRP for genital conditions have transformed Feminine Wellness and Sexual Medicine worldwide. This is a Must Listen video for both clinician and lay public. Learn more from this generous offer given by Charles and Alexandra below. The book is free. Just cover shipping.PRP Research + O-Shot® Evidence — Free Book (Just $5 Shipping)Discover the science, data, and clinical frameworks behind the O-Shot® procedure — including research presented at the Marrakesh European Society of Aesthetic Gynecology Congress.WHAT YOU GET FOR $5* The printed PRP Research & Sexual Wellness Book​​​​​​​* Clinical frameworks for patient selection + expected outcomes* The latest regenerative medicine trends shaping sexual wellness* A preview pathway to full O-Shot® certificationPresented internationally byDr. Charles Runels, MD& Alexandra Runnels, MD, FACOG,most recently at the Marrakesh meeting of theEuropean Society of Aesthetic Gynecology.After requesting your book,​​​​​​​you’ll have the option to enroll in fullO-Shot® procedure training.Get the PRP Research Book for $5ABOUT CHARLES RUNELSClitoxinGroundbreaking research presented March 2024 at the International Society of Cosmetogynecology Annual Congress. Presented by Drs. Charles and Alexandra Runels.Alinsod Institute Has Moved to Arlington, Texas!Dear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in the Veridian Community of Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special. I will introduce Amy Haddad, RNP, to you on a separate newsletter. I will be working along side her at Revique Medical Aesthetics. Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis onRevision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results.I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Jett Plasmaporation/Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.This same focus on clinical excellence and teaching will continue on at Revique Medical Aesthetics with a foundation built on the Alinsod Institute. Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTE4040 N Collins Rd, Suite 134, Arlington, Texas 76005Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] and www.gynflix.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Let me tell you a story.I fly into London, take a ride to Cambridge. Many of the top leaders in the field of regenerative medicine are present for this special World Congress. One particular gentleman stands out and appears to be worshiped and adored by the Europeans. Patrick Treacy, MD. He presents his brilliant lecture and I am supremely impressed. Listen to his talk and learn. I sure did. Thanks for sharing your video Patrick.About Patrick TreacyDr. Patrick Treacy, a globally renowned Irish aesthetic physician, Visiting Professor of Dermatology at Isra University (Pakistan), and Honorary Fellow of the Australian College of Cosmetic Surgery and Medicine, is a pioneer in regenerative aesthetics. Voted “Top Aesthetic Doctor in the World 2019” and honored with the World Regenerative Medicine Innovation Award in 2025 for his work in PRP, stem cells, and secretomes, Dr. Treacy frequently lectures on innovative therapies at international conferences. His presentations emphasize evidence-based advancements in skin rejuvenation, wound healing, and longevity medicine, often integrating his clinical experience from treating high-profile patients.Key Lectures on SecretomesDr. Treacy’s talk positions secretomes as a “cell-free” evolution in regenerative medicine, building on his foundational work in PRP and hyaluronidase protocols. Recent lectures include:“Secretomes – The New Kid on the Block” (2025): Delivered as a keynote at the 46th Congress of the Italian Society of Aesthetic Medicine (SIME) in Rome (May 2025) and the 2nd International Regenerative & Aesthetic Conference (IRAC) in Dubai (November 2025). A notable video of this lecture was filmed at the FACE CAMP Congress Bodrum 2025, where he explored secretomes as a breakthrough for tissue repair, contrasting them with traditional stem cell therapies. He highlighted their role in addressing complications like filler-induced blindness, tying into his HELPIR technique for vascular occlusion reversal.Expert Panellist on Secretomes (2025): At the World Scientific Conference on Regenerative Medicine at King’s College, Cambridge (August 2025), Dr Treacy discussed “Secretomes or Exosomes – What’s the Difference?” alongside panels on bovine colostrum secretomes for skin and intimate wellness. He was awarded for pioneering non-invasive solutions in hair restoration and anti-aging.Broader Context in Regenerative Sessions: In events like AMWC Americas 2026 (Miami, February 2026), where he will present on “The Pathways of Ageing,” and earlier forums (e.g., MyFaceMyBody Awards), he weaves secretomes into discussions on exosomes, polynucleotides, and biostimulatory treatments. His lectures often reference his research awards from the British College of Aesthetic Medicine (2017) and AIDA Trophy (2017) for complication protocols.These talks are interactive, featuring case studies from his Ailesbury Clinics (Dublin, Cork, London), where secretome-based therapies have achieved high patient satisfaction (80%+ in trials for skin regeneration). The FACE CAMP Congress Bodrum 2025 video captures his engaging style, blending art, ethics, and data to appeal to clinicians, researchers, and patients.How Secretomes Function in Cell RegenerationSecretomes are the complete repertoires of bioactive molecules secreted by cells into the extracellular environment, including growth factors, cytokines, chemokines, lipids, and extracellular vesicles (EVs, such as exosomes). In regenerative contexts—especially mesenchymal stem cell (MSC)-derived secretomes—they mediate paracrine signaling, where secreted factors influence nearby cells without direct cell-to-cell contact. Core Mechanisms:Paracrine/Autocrine Effects: Secretomes promote cell proliferation, migration, and differentiation by activating pathways like PI3K/Akt for survival and VEGF for angiogenesis. For example, factors like TGF-β1, HGF, and BDNF reduce apoptosis and enhance matrix remodeling.Immunomodulation: They suppress inflammation (e.g., via IL-10 and PGE2) while recruiting endogenous stem cells to injury sites, fostering a pro-regenerative microenvironment.Tissue-Specific Repair: In skin/wound healing, secretomes from adipose-derived MSCs (ADSCs) or umbilical cord MSCs boost collagen synthesis, re-epithelialization, and neovascularization. Studies show they increase granulation tissue formation by 40-50% in animal models.Production: Harvested from conditioned media (CM) after culturing MSCs in serum-free conditions, secretomes can be concentrated (e.g., via ultrafiltration) for topical, injectable, or systemic delivery.Dr. Treacy often illustrates this with analogies in his FACE CAMP Bodrum 2025 video: secretomes act like “messengers” in a symphony, coordinating repair without the “orchestra” (cells) needing to relocate.Advantages of Secretomes Over Stem Cells in Cell Regeneration. Dr. Treacy champions secretomes as a safer, more scalable alternative to stem cell transplantation, aligning with global research trends (e.g., the 2025 Wound Repair and Regeneration review). While stem cells offer direct engraftment (low survival post-transplant: Key advantages:Safety: No risk of tumor formation, ectopic differentiation, or immune rejection (acellular). GMP-compliant production minimizes contamination.Potential for oncogenicity, graft-vs-host disease, or low engraftment. Requires HLA matching.“Cell-free therapy avoids ethical hurdles and side effects seen in early stem cell trials—perfect for aesthetic safety.”Stability & StorageShelf-stable (lyophilized: months/years at -80°C); easy to standardize and transport.Viable cells need cryopreservation; short shelf life (hours-days post-thaw).“Secretomes enable off-the-shelf use, like hyaluronidase for emergencies—shown live in Bodrum.”EfficacyEquivalent or superior paracrine effects (e.g., 30-50% faster wound closure in trials); tunable via culture conditions (hypoxia boosts VEGF).Relies on survival/differentiation; variable results due to heterogeneity.“Secretomes amplify native repair—e.g., bovine colostrum variants for intimate wellness outperform cell grafts in sustainability.”Scalability/CostParallel production (one cell line yields liters of CM); lower regulatory barriers (no live cells). Cost: $500-2000/dose vs. $10,000+ for cells.Labor-intensive expansion; high failure rates in scaling.Clinical TranslationFaster trials (e.g., Phase II for skin regeneration); approved derivatives (e.g., exosome isolates) in EU/Asia.Slower FDA/EMA approval due to variability; ethical concerns.“From Bodrum to Rome: Secretomes bridge aesthetics and longevity without stem cell debates.”Parallel trials (e.g., 2023 IJMS) confirm secretomes match stem cell outcomes in 70-80% of models for muscle, bone, and neural repair, with 2x faster recovery in some cases. In the FACE CAMP Bodrum 2025 video, Dr. Treacy notes their edge in aesthetics: “Secretomes restore without ‘overfilling’—ideal for natural rejuvenation.”Future Outlook: Dr. Treacy predicts secretomes will dominate by 2030, integrated with AI diagnostics for personalized dosing.By Patrick Treacy, written 02:05 PM IST on Thursday, October 16, 2025.Alinsod Institute Has Moved to Arlington, Texas!Dear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special.Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis onRevision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results.I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is happening in New York City Friday October 31 through Sunday November 2. Go to this live event if you are in town. Otherwise, watch this video that summarizes the amazing effects you can obtain from Carboxytherapy Gel made by Lumisque. It is called CO2LiftV. In my practice, it is “Rocket Fuel” to improve atrophy and GSM problems rapidly, comfortably, and consistently. It is a complete Game Changer.What does CO2Lift® V treat?It can improve the symptoms of genito-urinary syndrome of menopause (GSM) as well as patients report reduction in symptoms of lichen sclerosus. Many women report significant improvement in the following conditions:* Dryness* Burning* Itching* Pain during sex* Post-coital bleeding* Loss of sensitivity* Vaginal Laxity* Urinary Incontinence* Cosmetic appearanceWho is CO2Lift® V for?CO2Lift® V can be for every woman:* Women for self-care and general intimate health* New Mothers* Menopausal Women* Women on prescription medication* Women concerned about the vulva’s cosmetic appearance* Women who have had chemotherapy* Women with a history of breast cancer who have GSM symptoms but cannot take estrogen* Women with Lichen Schlerosus* Women with PCOSProtocolsSTAND ALONE: Most women report results in as little as 3 treatments.* A 10-day treatment course is recommended to start.* Initial treatment protocol:* 3-15 treatments every day* Maintain 1 treatment monthlyCOMBOTHERAPY: Reduce complications and recovery time while improving procedural outcomesWith plasma/o-shot* 5 treatments post-procedureWith labiaplasty* 3 CO2Lift® V gel treatments prior to procedure* 1 CO2Lift® V gel treatment 24 hours post-procedure* 3 CO2Lift® V gel treatments every other day afterWatch Past Presentations by Michael Reed, MD, and myself on CO2LiftV:* Reed 2025: CO2LiftV’s New Role for Post Op Healing* Panel 2023: How CO2LiftV is Helping Patients* Alinsod 2023: CO2LiftV for Vaginal RestorationAlinsod Institute Has Moved to Arlington, Texas!Dear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special.Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis onRevision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results.I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

My good friend, Carolyn DeLucia, MD, presented this talk a couple of days ago at the Masters Are Live 2025 Global Virtual Conference. A great deep dive on the use of Exosomes for aesthetics and hair restoration. I learned a great deal. Thank you for sharing this with my Cosmetic Gynecology Newsletter audience Carolyn! The Hair Restoration market is booming and technology is outpacing the doctor’s ability to incorporate the newest findings. Many of the most up to date Cosmetic Gynecology practices have added both Bioidentical Hormone Management as well as Hair Restoration services into their quivers. Makes total sense. For those interested in the full line of hair restoration and maintenance services, my practice will be the region’s GetHairMD Center of Excellence in Arlington, Texas. More details in upcoming newsletters. Enjoy the talk. Thank you Prabhu Mishra for the invitation to speak at Master’s Are Live 2025. Carolyn DeLucia Disclosure* Board certified OB/GYN with over 30 years of experience* KOL for several device companies* Faculty for several CME medical groups in Europe, Middle East, Dubai, Asia, and USA.* Author of two Amazon best selling books* Chapter contributor to several textbooks on aesthetic and regenerative medicine* Contributor to Tony Robbin’s BestsellingBook, Life Force* Latest scientific article published in 2023 on HIFEM technology for intimateHope you enjoyed this Feminine Wellness Newsletter. Please share this Newsletter with your interested friends:Red Alinsod, MD ([email protected])www.alinsodinstitute.comJOIN DR. ALINSOD’S CLINICAL STUDY: I need 10 VolunteersAlinsod Institute Has Moved to Arlington, Texas!Dear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special.Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis on Revision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results.I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This was first released on September 19, 2025, on my Feminine Wellness Newsletter created for the Lay Public. This is the material I share with patients on consults to try and guide them into the right labiaplasty choices for their anatomy. Now I want to share this with you, the Medical Professional and Cosmetic Gynecologist. Many of you have seen and heard me talk about this around the world for the past 20 years. I hope you enjoy this and I hope it helps your practice. This Newsletter edition is the very last freebie after 3+ years. It was launched on April 17, 2022 and has grown to over 130,000 subscribers. Future editions will only be available to paying subscribers. Enjoy and subscribe. It is cheap at only $10 a month.First of all, click the link and go watch my April 17, 2024 video “The Barbie Look Labiaplasty for the Lay Public” to get a well rounded education on my labiaplasty techniques I have taught worldwide since 2005. It is by far the BEST Labiaplasty Education video for the general and lay public. It is 32 minutes long, detailed, and excellent. That newsletter has all the PowerPoint slides shown and explained.I wrote this over a year and a half ago and it still applies today:“Finally finished! Only took me 20 years to get all this content together and compacted into 30 minutes. My life’s work. My treatise on labiaplasty surgery. I dedicate this to all the women out there who have suffered pain and discomfort, humiliation and shame, embarrassment and ridicule. Quit listening to the naysayers that you just have to live with it. You have lots of choices now. Second chances are a blessing. Go grab it!This Newsletter dives into who the best candidates are for my Barbie Look Labiaplasty. Barbie Look is NOT for everyone.”Exploring Labiaplasty Techniques: The Perfect Fit for Your Anatomy and DesiresWelcome to this special edition of my Feminine Wellness Newsletter, where I dive into the world of labiaplasty choices. I invented the Barbie Look and Hybrid Look Labiaplasty in Laguna Beach, California, in 2005, and have taught my methods globally, with emphasis on precision radiofrequency surgery for minimal scarring and optimal results.In this issue, we’ll break down how to choose the right labiaplasty technique based on your unique anatomy (like the size, shape, and pigmentation of your labia minora and majora) and personal desires (whether you want a dramatic change, natural preservation, or something in between). We’ll start with the Big Picture: Linear Excision versus Wedge Excision. Then, we’ll zoom in on linear excision options, including my signature looks—Barbie, Hybrid, and Simple Trim—to help you decide what’s best for you. Remember, this is educational content; always consult a Cosmetic Gynecology Specific Board-Certified Specialist for personalized advice.Step 1: Linear Excision vs. Wedge Excision—Which Base Technique Fits Your Needs?Labiaplasty primarily addresses the labia minora (inner lips), which can become enlarged due to genetics, hormones, childbirth, or aging, causing discomfort during activities like exercise, sex, or wearing tight clothing. The two main techniques are Linear Excision (also called Trim) and Wedge Excision. Both aim to reduce length, create symmetry, and tuck the labia minora within the labia majora (outer lips), but they differ in approach, outcomes, and ideal candidates.Linear Excision (Trim Technique): The Straightforward Edge RemoverThis method involves a curved or straight incision along the outer edge of the labia minora to trim away excess tissue, often following the natural contour for a “Curvilinear” result. It’s like sculpting the edges to shorten and thin the labia while removing pigmented or thickened borders. I use radiofrequency energy in most cases for precise cutting and sealing, minimize bleeding, swelling, and scarring—key for my advanced variants.Pros:- Safer healing with lower risk of wound separation or Swiss Cheese Holes- Excellent for addressing pigmentation issues, as it removes the darker outer edges, resulting in uniform, lighter-colored labia.- Highly customizable for asymmetry—surgeons can adjust the amount removed on each side independently. So much more choice and options on how much to remove.- Versatile for dramatic or subtle changes, making it ideal for aesthetic goals like a “petite” or streamlined look.Cons:- The straight or curved edge may look less “natural” if not done artistically and not following the natural curves of the labia potentially creating a more uniform but less contoured appearance. It can look “Too Plastic.”- Scalloped edges if sutured too tightly- In most cases, Linear Excision will require a companion clitoral hood reduction if the hood appears prominent post-surgery. You have to avoid the “Top Heavy” look that can occur of you leave the top clitoral hood alone and then dramatically trim down the middle and bottom labia minora.Who Should Get Linear Excision?Opt for this if your anatomy includes uneven pigmentation, thickened edges, or significant asymmetry that needs targeted removal. It’s best for patients desiring a cleaner, more uniform aesthetic—think women who want to eliminate dark borders or achieve a “hidden” look without preserving the original edge texture. Functionally, it’s great for those with irritation from rubbing or pulling, especially if you prioritize quicker recovery and minimal complications. Athletes or active individuals often favor it for its reliability in high-movement lifestyles. Swimmers, bikers, horseback riders, volleyball and tennis players are examples. If your labia majora are fuller, linear excision ensures the minora stay tucked away seamlessly. The chance of having Swiss Cheese Holes is less than 1%.Wedge Excision: The Natural Contour PreserverThis technique removes a V- or wedge-shaped piece of tissue from the widest part of the labia minora, then stitches the edges together to shorten without altering the outer border. It can be more complex and involving advanced modifications like Z-plasty for better blood flow and reduced tension. Variants include Central Wedge Excision, Superior and Inferior Wedge Excision.Pros:- Preserves the natural ruffled edge, color, and contour of the labia, leading to a more “original” appearance that blends seamlessly with the clitoral hood. In my personal practice and in clinical research done by highly respected friends of mine, only a very small percent of women actually want to keep that ruffled and dark edge. Only about 4-6% of women wanting labiaplasty want to keep the original edges. About 94-96% of them want those darker edges removed and made smoother. This is the perfect choice for women who want to keep that original edge appearance.- Scarring can be less visible once healed in many but some may continue to have a pale white line at the site of suturing.- Effective for reducing length without changing the labia’s overall texture, can be ideal for subtle functional improvements. Most wanting labiaplasty are not looking for a subtle change and seek more dramatic changes.Cons:- Higher Tension on the closure site pulling the wedge edges apart, with a significant risk of dehiscence (wound reopening), Pac Man Breakdown, or Swiss Cheese Holes. In the very best of hands this wound breakdown rate averages 10-20%. Compare that to less than 1% Swiss Cheese holes and less than 5% dehiscence when the Linear Labiaplasty is done.- Doesn’t address pigmentation well—if your edges are dark or irregular, they remain. You keep those dark and ruffled or irregular edges.- Can be more technically demanding, so outcomes vary by surgeon experience; poor execution can lead to bunching or narrowing or dehiscence and Swiss Cheese Holes. The dreaded Pack Man Look happens 10-20% of the time.Who Should Get Wedge Excision?This is ideal if your anatomy features a naturally pretty edge you want to keep, with hypertrophy mainly in the inner width rather than the borders. Choose it if your desires lean toward maximal preservation of your innate look—women who value a “seamless, untouched” aesthetic or have minimal pigmentation concerns. It’s particularly suited for those with pain from labial hypertrophy but who prioritize natural contours over color uniformity. Avoid it if you have very redundant tissue, as it may not remove enough for dramatic results.Key Decision Factors: Anatomy (e.g., edge quality, majora fullness) and desires (dramatic vs. natural) guide the choice. A 2021 survey showed curvilinear (trim variant) as the most common (52.7%), followed by wedge (36.1%), reflecting its versatility. In speaking with the most renown and exceptional labiaplasty surgeons around the world (primarily Gynecologists) it is closer to 90% Curvilinear Labiaplasty versus Wedge Labiaplasty. I prefer linear/curvilinear techniques for fewer complications, and I avoid wedge techniques altogether. I just do not want problems.Step 2: Within Linear Excision—My Alinsod Looks: Barbie, Hybrid, or Simple Trim?If linear excision aligns with your needs, my radiofrequency-enhanced curvilinear approach offers refined sub-techniques. These vary by how much tissue is removed, balancing aesthetics, function, and reversibility. All use precise energy to cut and cauterize, reducing downtime and results in speedy recoveries and fewer complications.The Barbie Look: The Ultimate Tucked-Away TransformationI invented this in 2005. This aggressive linear excision removes *all or nearly all* of the labia minora, creating a smooth and straight vertical line with no protruding inner lips, even when legs are apart. It often pairs with clitoral hood reduction for a fully streamlined vulva.Where did this “Barbie Look” terminology come from? It was from my patient in the San Fernando Valley who came up to me and announced “Dr. Alinsod, I want to look like Barbie!” I said to her “Barbie has no labia!” She said “EXACTLY!!!” The Barbie Look was born. Don’t blame me for the lay public terminology because it came from my lay public patient who visualized a certain look and gave it a certain name. And it went around the world like a wildfire. I did lots of interviews for magazines and got invited around the world for me to show what in the world this Barbie and Hybrid stuff is all about. Thank you San Fernando Valley!Who Should Get the Barbie Look?Anatomy: Best for those with sufficient labia majora volume to fully cover the vaginal opening post-removal—flat or deflated majora might leave you feeling exposed. Ideal if your minora are extremely elongated (e.g., >4-5 cm) or asymmetrical beyond correction and you have labia majora that have enough fat to protrude out and does not lie flat. If you have a very flat labia majora then a Hybrid or Rim may be better for cosmesis.Desires: Women seeking zero maintenance—no more adjusting during sports, sex, or swimsuits. Popular among athletes, Olympians, and those prioritizing ultimate comfort and a “hidden” aesthetic. It’s irreversible, so only for the fully committed; not for the indecisive. If psychological factors like embarrassment or hygiene issues dominate, this delivers confidence-boosting minimalism. It has very high satisfaction rates in my practice (most requested there). Hybrid Looks is a close second depending on the month and whether the patient is from the West Coast or East Coast. Definitely more of a West Coast Look. Southern California Beaches, specifically Laguna and Newport Beach, inspired the Barbie and Hybrid Looks.The Hybrid Look: The Balanced Middle GroundMy “middle road” removes most of the labia minora but leaves a small remnant, positioned below the majora level for a tucked-in effect. It’s nearly indistinguishable from the Barbie Look externally but retains subtle inner structure. It is a gorgeous look and made for those who are not so sure about the All In Barbie Look. There is an understanding that any Rim or Hybrid Look can always be made into a Barbie Look in the future when tastes or situation changes.Who Should Get the Hybrid Look?Anatomy: Suited for moderate-to-severe hypertrophy where full removal isn’t needed or wanted, but significant reduction is. Works well with average majora fullness, as the remnant provides a natural buffer without protrusion and reduces the chance of visualization of the internal vagina. There is some coverage still present that a Barbie Look may expose. Great for asymmetries, as the linear cut allows precise tailoring.Desires: Patients wanting Barbie-like smoothness (no tugging or visibility) but with a touch more “naturalness” for sensation or aesthetics. My personal favorite—it’s less extreme, easier to adjust if needed, and appeals to those hesitant about full removal but craving the tucked comfort. Ideal for everyday women dealing with irritation during exercise or intimacy, seeking a competitive alternative to Barbie without full commitment. Healing mirrors Barbie: quick and low-pain with radiofrequency. I do almost all my labiaplasty surgeries in the office under local anesthesia. 99+%.The Simple Trim Look (Rim or Sculpted Linear): The Conservative Edge RefinerThis minimal linear excision trims only the protruding edges, preserving most of the labia minora’s length and shape while removing dark or irregular borders for a refined rim. I get few requests for this surgery. Most want more tissue removed.Should Get the Simple Trim Look?Anatomy: Perfect for mild elongation or just edge irregularities—labia that are slightly longer than desired but not overly hypertrophic. Best when majora are not overly full and even flat, as it maintains proportion without aggressive shortening. Avoid if tissue is very thick, as it may not suffice. This does not really debulk the area like a Hybrid and Barbie Look Labiaplasty can.Desires: Women across ages wanting a subtle, natural enhancement—think removing pigmentation for even tone without altering overall size. Least requested in specialized practices like mine, but ideal for those prioritizing preservation over transformation, like first-timers or those with minimal symptoms. It addresses functional tweaks (e.g., less chafing) while keeping a “real” look, with the shortest recovery among options.Final Thoughts: Your Anatomy + Desires = The Right ChoiceChoosing a labiaplasty technique is deeply personal—start with a consultation with me or your chosen surgeon to assess your labia’s size and shape, skin quality, and majora support. Linear excision shines for customization and speed, especially the looks I developed: Barbie for bold minimalism, Hybrid for balanced elegance, and Simple Trim for gentle refinement. Wedge suits naturalists. Whichever path, seek surgeons experienced in your specific look. I personally do not do Wedge Labiaplasty anymore because of the higher complication rate and I am more than happy to refer you to the best Wedge Labiaplasty Surgeons I know. I just do not want 2 out of 10 patients to have problems and regrets when a Wedge is done. I would rather have zero out of 10 breakdown. My personal favorites are definitely Barbie and Hybrid Labiaplasties with Clitoral Hood Reductions that are tailored and personalized and infinitely adjustable. A perineoplasty is sometimes needed to complete the makeover down under.Choose Wisely! If you have questions, drop us a line. Until next time, embrace your body. Be thankful for choices!BARBIE AND HYBRID LABIAPLASTY RESULTS: How I thinkHope you enjoyed this Feminine Wellness Newsletter. I am off to Maui for a much needed Vacay. Then back for more Barbie, Hybrid, and Rim labiaplasties!Please share this Newsletter with your interested friends:Red Alinsod, MD ([email protected])www.alinsodinstitute.comJOIN DR. ALINSOD’S CLINICAL STUDY: I need 10 VolunteersAlinsod Institute Has Moved to Arlington, Texas!Dear Friends, Patients, and Colleagues,I’m thrilled to share some exciting news with you! After years of serving our patients at the Alinsod Institute in Dallas, we’ve relocated to a beautiful new home in Arlington, Texas. This move is all about making your experience with us even better, and I can’t wait to welcome you to our new space. You can find us at www.alinsodinstitute.com, and I’m eager to share why this change is so special.Why Arlington?We chose Arlington for its unbeatable convenience. Nestled just minutes from Dallas Fort Worth International Airport (DFW), our new location makes it a breeze for patients flying in from across the country or even internationally. With an array of hotels nearby, your visit—whether for a consultation, procedure, or follow-up—will be as seamless as possible. Arlington places us right in the heart of America, and I like to think of it as the Center of Cosmetic Gynecology for the United States. It’s the perfect spot to continue our mission of transforming lives through innovative care.A Legacy of Care and InnovationFor the past 30 years, I’ve dedicated my practice to helping women feel confident, comfortable, and empowered. My focus has been on labiaplasty, vaginoplasty, vaginal rejuvenation, and pelvic reconstructive surgery, with a special emphasis on Revision Surgeries for those seeking to correct less-than-ideal outcomes from prior procedures. It’s been a privilege to develop techniques like the Barbie Look Labiaplasty, Hybrid Look Labiaplasty, Curvilinear Labia Majoraplasty, and in-office, no-IV labiaplasty and vaginoplasty—approaches that prioritize comfort and natural results.I’m also humbled to have invented tools that make these procedures safer and more precise, including the Lone Star APS Vaginal Retractor, Alinsod Surgical Stand, and specialized scissors, clamps, and forceps. My work with ThermiVa, a groundbreaking radiofrequency treatment for feminine restoration, and Predictive Permeation for gynecologic conditions has opened new doors for non-surgical solutions. It’s all about giving you options that fit your needs and lifestyle.Beyond the operating room, I’m proud to serve as the Founder, Editor, and Director of Gynflix.com, the premier online e-learning platform for cosmetic gynecology. For 20 years, I’ve had the honor of training dozens of Alinsod Fellows worldwide, sharing techniques that blend artistry and science to elevate patient care.Dr. Alinsod’s CV: CV and BioComprehensive Women’s WellnessAt the Alinsod Institute, we go beyond aesthetics. We specialize in addressing fallen bladder, overactive bladder, and leaky bladder issues, tackling challenges like incontinence, urgency, and frequency with personalized solutions. Menopause brings its own set of concerns—vaginal dryness, painful intercourse, hormonal imbalances, recurrent infections, and changes in sexual function—and we’re here to help. All with an eye towards beauty and aesthetics. Our modern, innovative therapies, often with near-zero downtime, are designed to improve your quality of life and restore your confidence. Aging and gravity may be inevitable, but their impact doesn’t have to be.Leading the Way with PlasmaporationWe’re proud to be the Plasmaporation Center for the United States, harnessing Direct Current Plasma for tissue engineering and vulvovaginal skin tightening. This cutting-edge technology offers remarkable results with minimal invasiveness. Curious to learn more? Check out our detailed overview here: Jett Plasma for Electroporation.Let’s Stay ConnectedI’m so grateful for the opportunity to serve you, whether you’re a patient, a colleague, or someone curious about what we do. Our new Arlington location is ready to welcome you with the same compassionate, personalized care you’ve come to expect. Explore our services, my background, and our mission at:* alinsodinstitute.com* About Dr. Red Alinsod* About Alinsod Institute* Gynflix.comI’d love to hear from you—reach out with questions, feedback, or just to say hello. Together, we’re shaping a brighter, healthier future for women everywhere.For more Cosmetic Gynecology Short Videos (free for all) go to Video Shorts on Gynflix. This is made for the Lay Public. Dozens of high def, high quality videos.GYNFLIX COMMUNITY HAS LAUNCHED! For the SurgeonI built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is a free preview of a paid episode. To hear more, visit cosmeticgynecology.substack.comWHAT IS IN THIS VIDEO:I give an update on Gynflix, I discuss my recent trip to Cambridge, UK, I pick a tough topic, I show my video on Exposure of Buried Clitoris, and finished with a detailed discussions with my World Experts Faculty. We dissect and discuss how to be better surgeons. Those secrets are for the Subscribers. I have a special section o…

Plasmaporation, made by COMPEX of the Czech Republic, will be the CORE device for Gynecologists and Primary Care Providers worldwide. It is just hitting its stride and getting known around the world. Listen in on why this is inevitable. Here are my slides to follow along with the lecture and the notes. PRIOR NEWSLETTERS ON PLASMAPORATION SCIENCE:* Part 1: Jett Medical Obtains FDA Clearance* Part 2: Jett Medical II Plasmaporation for Topical Anesthesia and Tissue Engineering* Part 3: Plasmaporation from a European Perspective: Dr. Lucas Pasnisin Webinar* Part 4: Plasmaporation for Gynecology ISCG 2025LINKSwww.neonaturals.comwww.gynflix.comwww.alinsodinstitute.comGYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber. Only $10 a month. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I am interviewed for my Yearly Update on Cosmetic Gynecology, hosted ty Rob Greer, CEO of Arms Medical, makers of VNew Dermal Allograft for pelvic floor reconstruction. I have worked with Rob for over 20 years and so he knows my background quite well. He called me up and asked what I was up to at the Alinsod Institute in Arlington, Texas, now that we are half way through 2025. Here is our fun conversation, between two friends, who both share a passion for Women’s Health. This video will be released on Cosmetic Gynecology Newsletter (made for doctors and Medical Professionals) and on Feminine Wellness Newsletter (made for the non-medical public). Be sure to join both of those. Link below.Red Alinsod, MD ([email protected])Chapters00:00 Introduction to Advanced Gynecological Techniques03:06 Transition from Combat Gynecology to Aesthetic Surgery05:57 Innovations in Plasma Operation Technology09:14 The Role of Low Level Light Lasers in Healing12:08 Understanding FemXHA and Its Applications14:58 Navigating Patient Care and Surgical Techniques18:10 The Importance of Training in Cosmetic Gynecology21:00 GynFlix: A Resource for Medical Professionals23:58 Final Thoughts and Patient Guidance28:42 Gynflix.com history, launch, Cheat Sheet and Shorts34:20 Training with Alinsod Onsite and Online37:25 Advice to Doctors, Get Trained38:45 Advice to patients, Be careful who you pickFor more information: Email Rob Greer at [email protected] GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a paid subscriber. It’s only $10 a month. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I could not fly to India this year so I prepared a special presentation video that covers the treatment of Lichen Sclerosus from both the European and US points of view. I will present this on Thursday India Time and will release this Friday India time. Thank yous go out to brilliant plastic surgeon Massimiliano Brambilla and dermatologist Katerina Ghkouvi for sharing their precious research. I previously published their videos on May 29, 2023 that you can watch here: Management of Lichen Sclerosus by Max Brambilla and Katerina Gkouvi. I added my FemXHA technique to use PRP+HA to achieve long LS symptoms free intervals. I also added 4 minutes of introduction to my Gynflix Cosmetic Gynecology e-Learning Platform. For more information on the FemXHA Protocol and Connections to Juventix, makers of PRP+HA Kits, go to www.femxha.com. GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

My friend and Cosmetic Gynecologist from Bucharest, Rumania, shares her thoughts with you LIVE on Sunday, July 27, 2024. A great rundown on what’s what for Cosmetic Gynecology Tech. I will be speaking at her International Congress in 2026.CLICK: REGISTER HERE FOR FREEFree Webinar With Dr. Diana Mihai | Sunday July 27th09 AM London | 10 AM Berlin | 11 AM Bucharest | 12 PM DubaiWHAT YOU’LL LEARN:In this FREE live session with Dr. Diana Mihai, international trainer and founder of the Romanian Society of Aesthetic Gynaecology, you’ll dive into:✅ What treatments ChatGPT is actually suggesting to women—and why it matters for your clinic✅ The 7 most in-demand procedures in 2025: CO₂ laser, PRP injections, HIFEM, hyaluronic acid fillers, monopolar radiofrequency, CarelessFlow therapy, and more✅ How to integrate these into your practice—even if you don’t have time or your own clinic✅ Why your patients’ confidence, relationships, and quality of life depend on more than estrogen and pelvic floor exercises✅ How to position yourself as the go-to doctor in your area for menopausal and postnatal rejuvenationWHO THIS IS FOR:This webinar is for you if you are a:👩‍⚕️ Gynecologist, OB-GYN, or clinic owner🧠 Curious about the real science behind modern vaginal rejuvenation💼 Looking to grow your revenue with recurring, effective treatments🤝 Want to attract and retain patients who expect more than a prescriptionWHY THIS MATTERS:Your patients are searching for help with:- Painful sex- Vaginal dryness- Urinary and anal incontinence after childbirth- Vaginal laxity syndrome- Perineum Rupture- Low desire and low confidenceAnd when they don’t get answers in your clinic… they’re turning to AI for help.ChatGPT is telling them what you should be.Don’t let outdated tools and vague advice cost you trust, revenue, and retention.DR. DIANA MIHAIDr. Diana Mihai is a board-certified OB-GYN, PhD in infertility techniques, and President of the Romanian Society of Aesthetic Gynecology and Regenerative Medicine (SREG). Based in Bucharest, Romania, she is one of the pioneers of aesthetic gynecology in Eastern Europe—founding SREG and becoming the first national trainer and keynote speaker in this field.She completed her doctoral studies in Assisted Human Reproduction (IVF) and has trained over 700 doctors across Europe, Asia, Africa, and the U.S. in modern vaginal rejuvenation techniques. Dr. Mihai was also the first physician in Romania to study and implement the CO₂ laser (Deka Monalisa Touch) in clinical practice and currently serves as the national trainer for this platform. She is an internationally certified PRP trainer in gynecology and an active user and educator of HIFEM (EMSELLA) technologies for urinary incontinence, pelvic floor dysfunction, and vaginal laxity.Dr. Mihai previously served as Vice President of the International Association for Stem Cell & Regenerative Medicine (IASRM) and is a faculty member of the European Society of Aesthetic Gynecology (ESAG). Her advanced clinical training includes extensive studies in regenerative medicine, ultrasound, hysteroscopy, laparoscopy, colposcopy, urogynecology, and clinic management.She has continued her education with specialized training in aesthetic and functional genital procedures in cities such as Dubai, New York, London, Moscow, Edinburgh, Paris, New Delhi, Milan, Istanbul, Sofia, Rome, Barcelona, Athens, Bratislava, and Tbilisi. GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Jun 18, 2025 Response to the June 16, 2025 FIGO Publication🚨 They say it’s unethical. They say it lacks evidence. But what they’re really afraid of… is women choosing for themselves. In this explosive takedown of FIGO’s latest position on Female Genital Cosmetic Surgery (FGCS), Dr. Marco A. Pelosi III — master surgeon and global educator — exposes the hypocrisy, bias, and selective outrage behind the medical establishment's attacks on labiaplasty and other aesthetic gynecologic procedures. 🎯 Why does FIGO stay silent on breast implants and Botox, but condemn cosmetic vaginal surgery? 🎯 Is this about patient safety... or preserving power? 🎯 What’s the real agenda behind the “no medical indication” excuse? 🧠 What You’ll Learn in This Video: * The truth behind FIGO’s flawed ethics and medical claims * Why FGCS is held to a double standard in global medicine * The real-world evidence of safety, satisfaction, and autonomy * How the field of cosmetic gynecology has evolved over 25+ years * What critics won’t say about surgical training, consent, and outcomes 📚 Referenced Topics: Labiaplasty • Vaginal Rejuvenation • Cosmetic Gynecology • Surgical Autonomy • FGCS Ethics • FIGO Rebuttal • Informed Consent • Medical Paternalism • Women’s Health Rights 💡 Subscribe to learn what the mainstream won’t tell you. 🔔 Turn on notifications to get more unfiltered insights from the front lines of modern aesthetic surgery. 🔗 Learn more: https://www.iscgmedia.com 📩 For professional training and course info: [email protected] concerns in female cosmetic genital surgeryFIGO 16 June 2025 AbstractCosmetic genital surgeries in women—such as labiaplasty, clitoral hood reduction, hymenoplasty, vaginoplasty, and laser-based procedures—have seen a notable rise in popularity in recent years. In response, the FIGO Committee for Ethical Aspects of Human Reproduction and Women's Health has published a new statement in the International Journal of Gynecology & Obstetrics (IJGO), raising serious ethical, medical and societal concerns. The committee calls for increased caution and better-informed patient care.Recommendations include:* Ensuring patients understand that cosmetic genital procedures are not medically indicated.* Educating about natural variations in genital anatomy.* Screening for underlying psychological issues such as body dysmorphic disorder.* Avoiding surgical interventions in adolescents unless thoroughly justified.* Promoting transparency in marketing and discouraging misleading claims.“Cosmetic genital procedures are ethically permissible if four ethical criteria outlined by FIGO are met; (1), it is not medically necessary, (2), there is evidence-based clinical validation proving the procedure’s safety and effectiveness, (3), risks and complications should be minimised, (4), the patient must provide informed and voluntary consent.Due to the lack of strong evidence supporting the claim that cosmetic genital surgery is safe and effective, the second criterion is not fulfilled. Consequently, FIGO asserts that it is ethically inappropriate for obstetrician gynaecologists to recommend, perform or refer patients for these procedures."Dr Lourdes Capito, Lead AuthorThe statement emphasises that these procedures are not medically necessary and often carry risks including infection, dissatisfaction with outcomes and changes in sexual function. Key ethical principles such as autonomy, non-maleficence and justice are also explored in depth. While respecting a woman's right to make decisions about her body is vital, the paper highlights how societal pressures can distort autonomous decision-making. The potential for physical harm, psychological distress and widened health disparities—especially among adolescents—requires cautious, ethical consideration.This comprehensive review urges clinicians to prioritise evidence-based care, accurate information, and ethical responsibility over commercial interests. By doing so, healthcare professionals can help women make truly informed decisions while protecting their physical and psychological well-being.Full TextKnowledge in Field: A typical trajectory GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, become a paid subscriber.Thanks for reading Cosmetic Gynecology Newsletter! This post is public so feel free to share it. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

I last covered Radiosurgery 101 for the Cosmetic Surgeon on May 30, 2022. Go see that 15 min video if you have not already done so. This is an update and full length version on what radio surgery can do for labiaplasties, botched surgeries, clitoral hood surgeries, anal skin tags. The video Below shows specifically Soniquence Radiosurgery in action. Soniquence is the rebirth of Ellman International. I first worked with Ellman in 2005 and taught worldwide to advance radiosurgery. Cynosure acquired them and buried them deep in their closet and it faded in use and memory. Very sad. The original brains behind Ellman then created Soniquence to advanced radiosurgery once more. Soniquence was able to get Ellman back from Cynosure and now they live under one umbrella. Soniquence will do the repairs, provide disposables, and support the Ellman brand. Top notch company with the most precise surgical tool made. Check out the precision and power of Soniquence RF:SONIQUENCE RF FOR COSMETIC GYNECOLOGYHere is a link to Gynflix to watch the Full-Length Soniquence Videos: GYNFLIXAIAVS Fellows Video 219 Live Narrated Perineoplasty w Hybrid LabiaplastyFellows Video 201 LN Vagino Perineoplasty Barbie Lab Clit Hood Jett Plasma, O-ShotBackground history on RadiosurgeryI started using a radio surgical device called the Ellman Surgitron with a fine Hair Tip back in 2005. Super precise with lateral thermal spread measured in microns (10-20 microns). I taught many Fellows at Laguna Beach for almost 20 years. Around 2009 Ellman’s newest upgrade became known as “Pelleve.” This device had the advantage of being able to do non-surgical tightening of tissues. It was meant for face and body but of course I used it on the labia! I even designed a vaginal probe for it. Here is my prototype no one has seen before. It was meant to go inside the vagina:Here is video of me doing a Pelleve demonstration at a Congress in Las Vegas in 2012:Of course I was more well known for labial surgery so I focused on applications for labiaplasty and vaginoplasty and clitoral hood and anal skin tag surgeries. I taught and promoted Ellman’s Next Generation Pelleve: The Beginning of the End for EllmanIn 2009 Ellman and I had agreed to proceed to create the first intravaginal probe for radiofrequency application. Unfortunately Ellman chose to purchase Sandstone Lasers and it did not go well. Ellman was forced to eventually sell itself to Cynosure, the Big Gorilla at the time. Cynosure had a different culture and relationships developed over decades by Ellman were lost. I stopped working with this version of Ellman. Ellman became a product lost in the vast array of devices that Cynosure managed. Cynosure would then sell itself to another buyer and Ellman was cast off. You could not get service, supplies, disposables. It was very stressful for Ellman users for a couple of years from about 2019 to 2021. ENTER SONIQUENCE!!!In 2021 I got a call from Bill Bernstein. He used to run the Ellman division for Ellman International then Cynosure. Little did I know that a new company named Soniquence had been created by Alan Ellman, son of the founder of Ellman International. He brought back the old team and placed Bill as VP! Bill sent me the newest SmoothWave i200 to try. The big selling point was the much improved Turbo Mode on the Bipolar settings that dramatically improved the hemostatic abilities of the device. RF has long been known to be poor at hemostasis and now with the improved Bipolar energies it had overcome those issues! I tried it for several months, did tons of cases, and I am solidly on board! They focused on surgery and stopped trying to be a Swiss Army knife. No more non-surgical portion. I became a Soniquence believer because of their dedication to the surgical arts and their excellent customer support. Soniquence has dedicated itself to be the Tool of Choice for Cosmetic Gynecology and labiaplasty surgery. Various precision bipolar designs will be out soon to make surgery simpler. I will let you know when it arrives and is ready for sale.Soniquence at The Aesthetic ShowJust Having a Little Fun with Dian!!!GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] for reading Cosmetic Gynecology Newsletter! Subscribe for free to receive new posts and support my work.Cosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Cosmetic Gynecology Newsletter! This post is public so feel free to share it. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

In this recent GetHairMD webinar, Dr. Ezzat provides an in-depth look at the clinical data and scientific evidence behind GetHairMD's comprehensive hair loss solutions. I am a provider of these services in the DFW area of Texas.What makes this presentation particularly valuable is Dr. Ezzat's firsthand experience with these treatments and his detailed explanation of how they work synergistically as combination therapy to deliver exceptional results for patients experiencing hair loss.GetHairMD hosts monthly webinars that offer valuable insights into the latest advances in hair restoration. You can stay informed about upcoming sessions by following them on their website and social media channels.Their evolving suite of solutions represents one of the most innovative approaches to hair loss treatment available today, with new breakthrough technologies being added regularly. As a member of the Clinical Advisory Board, I take pride in helping to evaluate and ensure that every product and treatment in their portfolio meets the highest standards for the physicians in our network.The commitment to evidence-based, clinically-proven solutions is what sets GetHairMD apart in the hair restoration field. Red Alinsod, MDWHAT’S UP NEXTOn Wednesday evening, 6 PM CT, July 9, 2025, the next webinar from GetHairMD will be on this: Cost is one of the biggest reasons patients delay or decline treatment. In this webinar, you’ll learn how top practices are using financing to reduce friction and increase booked procedures—without discounting. Sierra Wolf from PatientFi shares key data and insights on how financing impacts patient behavior, while Dr. Grant Stevens brings a surgeon’s perspective on how it plays out in real aesthetic practices.In this webinar, you’ll learn:* How financing options help convert hesitant patients* The real numbers: case studies, stats, and impact on revenue* How to talk about financing without sounding salesy* What tools and workflows make it easy for your team* Why offering financing can differentiate your practiceSierra Wolf from PatientFi shares key data and insights on how financing impacts patient behavior, while Dr. Grant Stevens brings a surgeon’s perspective on how it plays out in real aesthetic practices.Webinar Details:* Time: July 9th at 6pm CST* Duration: 45 minutes with Q&AIf you want to increase bookings without cutting your prices, this session is for you.Go HERE and join the webinar on Wednesday, July 9: Title: How to Close 40% More Aesthetic Treatments with Patient FinancingDate and Time: July 9th at 6pm CTHere is your specific link to next week’s program: GetHairMD Webinar GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] for reading Cosmetic Gynecology Newsletter! Subscribe for free to receive new posts and support my work. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

It was a perfect week for me. Flew in from Peru (got to visit Machupichu), moved into my new office in Arlington, Texas, jumped into my first surgeries (No IV, awake, and under local anesthesia) in my new and just finished surgical suite, and spent precious time with Team Erchonia Laser from South Carolina! Erchonia Founder Steve Shanks and Erchonia Clinical Affairs Manager Travis Sammons both flew for my training in their newest device using Green and Purple/Blue laser for reducing skin laxity and fat melting. They also trained me on their newest “405” laser using Red and Purple/Blue light targeting pain and spasms and tissue regeneration. We also caught up on our FDA research application for the use of LLLL for a variety of gynecologic conditions Erchonia has agreed to pursue with my guidance. Alinsod Institute is a Clinical Research location. Dian (my Medical Assistant and Office Manager) and I are were honored by Steve and Travis’ visit. Thank you Team Erchonia.I flew to Erchonia’s South Carolina headquarters in Greenville last year and met the finest team of scientists and LLLL experts. We discussed gynecologic applications and agreed to pursue several projects. I was given a tremendous crash course in laser physics pertaining to low level energy and got reacquainted with the Electron Transport Chain that I had last looked at in Medical School at Loma Linda over 40 years ago. This video shows my research into the topic geared for the newbie wanting to know more about low level light lasers. Also be sure to view my summary of main points below. By 2026 Erchonia LLLL tech will be brought into the market. Imagine getting RF (ThermiVa/Morpheus/EmFemme) and Laser (Mona Lisa/Diva/etc.) results without patient contact, without disposable, without discomfort. So here is your teaser presentation. Enjoy the video.Join Gynflix.com for more Cosmetic Gynecology e-Learning. Spanish Edition Coming Soon. Red Alinsod, MD ([email protected])LLLL Colors and BenefitsPathophysiology of Low-Level Light Laser (LLLT) Effects Using Red, Violet, and Green LightGeneral Mechanisms of LLLTLow-Level Light Therapy (LLLT), also known as Photobiomodulation, involves the use of light at low power to induce biological effects at the cellular level. The primary mechanism involves:• Cellular Energy Production: LLLT increases mitochondrial activity by enhancing ATP synthesis. This is achieved through the stimulation of cytochrome c oxidase within the mitochondrial respiratory chain, which leads to more efficient electron transport and higher ATP production.• Reduction of Inflammation: By modulating cytokine levels, LLLT can reduce pro-inflammatory markers and promote anti-inflammatory responses. This is crucial for conditions where inflammation plays a significant role.• Cell Proliferation and Tissue Repair: Light energy stimulates fibroblast proliferation, enhancing collagen and elastin synthesis, which are vital for wound healing and skin rejuvenation.Specific Effects by WavelengthRed Light (635nm)• Skin Conditions:• Acne: Red light has antimicrobial properties and reduces sebaceous gland activity, which helps manage acne vulgaris.• Wound Healing: Promotes faster healing by increasing cell proliferation, collagen deposition, and angiogenesis.• Anti-Aging: Stimulates collagen and elastin production, reducing wrinkles and improving skin elasticity.• Vaginal Atrophy and Dryness:• Red light therapy aids in improving vaginal health by enhancing local blood circulation and promoting tissue repair, potentially reducing symptoms of atrophy.• Pelvic Pain:• By reducing inflammation and modulating nociceptive pathways, red light can alleviate chronic pelvic pain.• Hair Growth:• Enhances hair follicle proliferation and increases blood flow to the scalp, potentially aiding in hair regrowth in cases of androgenetic alopecia.Violet Light (405nm)• Antimicrobial Properties:• Violet light is particularly effective against bacteria due to its ability to produce reactive oxygen species, which can kill pathogens. This is useful for treating skin infections, including acne.• Skin Rejuvenation:• Stimulates the production of collagen at a deeper level due to its shorter wavelength, which can penetrate less but still influence cellular processes effectively.• Dermatological Conditions:• Helps in treating conditions like psoriasis by reducing inflammation and promoting healing.Green Light (520nm)• Angiogenesis and Neoangiogenesis:• Green light stimulates the formation of new blood vessels, which is beneficial for wound healing and improving circulation in ischemic tissues.• Pain Management:• Particularly effective for musculoskeletal pain due to its impact on muscle tissues, reducing pain and increasing range of motion.• Neurological Recovery:• Has shown potential in treating conditions involving neural damage or degeneration by promoting neurogenesis and reducing inflammation in neural tissues.Clinical Applications• Musculoskeletal Pain and Inflammation:• All three wavelengths have applications, but green and red are prominent for their deep penetration and pain-relieving effects.• Dermatological Uses:• Combination therapy using red and violet lights can address a wide range of skin conditions from acne to aging signs.• Gynecological Health:• Red light, in particular, has been explored for its benefits in managing vaginal health issues like atrophy and dryness.• Hair Restoration:• Red light therapy is increasingly used for hair loss treatments due to its capacity to stimulate hair follicles.Bibliography and References1. Erchonia Corporation. (n.d.). EVRL Laser - Red and Violet Therapy Laser. www.erchonia.com2. Erchonia Corporation. (n.d.). Harnessing the Power of Violet Lasers: A Comprehensive Guide. erchonia-emea.com3. Erchonia Corporation. (n.d.). GVL Laser: Unlocking the Power of Green & Violet Wavelengths. erchonia-emea.com4. Erchonia Corporation. (n.d.). Is Red Light Therapy Safe for Your Patients?. www.erchonia.com5. Erchonia Corporation. (n.d.). The Future of Healing: Exploring the Power of Light Therapy. erchonia-emea.com6. Erchonia Corporation. (n.d.). Green Laser Therapy: The Power of Light in Modern Treatment. erchonia-emea.com7. Erchonia Corporation. (n.d.). Unlocking the Power of GVL: Revolutionary Green & Violet Laser. erchonia-emea.com8. Erchonia Corporation. (n.d.). Leading Low-Level Laser Therapy (LLLT) Devices. erchonia-emea.com9. Erchonia Corporation. (n.d.). Educational Resources. www.erchonia.comUse of Low-Level Light Therapy (LLLT) for GynecologyConditions Addressed by LLLT in Gynecology:1. GSM and Vulvovaginal AtrophyWavelength: Primarily Red Light (630-670nm) due to its penetration depth and stimulation of tissue repair.Beneficial Effects:▪ Angiogenesis, collagenesis, elastogenesis▪ Improves vaginal lubrication and reduces dryness▪ Restores and enhances tissue elasticity and vascularization▪ Reduces symptoms like dyspareunia and urinary symptoms.Protocol:▪ Device: Red and Violet, Red and Violet and Green Lights▪ Application: 10-20 minute sessions, Typically, 1-2x/week for 6-8 weeksMechanism:▪ Increased Mitochondrial activity▪ Increases blood flow▪ Stimulates collagen and elastin production▪ Increases cellular metabolism and tissue repair▪ Promotes regeneration and healing of vulvovaginal tissues.2. Pelvic PainWavelength: Red and Violet, Red and Violet and Green LightsBeneficial Effects:▪ Reduces inflammation, thus alleviating pain.▪ Modulates pain signals by affecting nerve function and reducing muscle tension.Protocol:▪ Device: 10-20 minute sessions, Typically, 1-2x/week for 6-8 weeks▪ Application: 10-20 minute sessions, Typically, 1-2x/week for 6-8 weeks▪ Maintenance as needed for pain reliefMechanism:▪ Pain reduction through anti-inflammatory effects and improved circulation through Violet and Green lights▪ Reduction in Tumor Necrosis Factor Alpha (TNF Alpha) with Red light3. Lichen SclerosusWavelength: Red light improves the skin thickness, elasticity, tone and moisture and reduces TNF Alpha. Violet and Green lights reduce inflammatory cytokinesBeneficial Effects:▪ May help in reducing skin lesions, itchiness, and pain by promoting healing and reducing inflammation.▪ Could assist in preventing the progression to more severe conditions like squamous cell carcinoma.Protocol:▪ Device: 10-20 minute sessions, Typically, 1-2x/week for 6-8 weeks▪ Application: Typically involves 2-3 sessions per week for several weeks, then maintenance.Mechanism: Stimulates tissue repair, reduces inflammation, and might help in normalizing skin architectureGeneral Considerations for LLLT in Gynecology:• Safety: LLLT is generally non-invasive with minimal side effects, mainly warmth or mild discomfort during application.• Individualization: Protocols can vary based on individual response and severity of symptoms.• Combination Therapy: Often used alongside other treatments like lubricants, moisturizers, or hormone therapy for synergistic effects.Bibliography and References:1. Gambacciani, M., Levancini, M., Russo, E., et al. (2018). Long-term effects of vaginal erbium laser in the treatment of genitourinary syndrome of menopause. Climacteric, 21(2), 142-146.2. Elia, D., Gambacciani, M., Berreni, N., et al. (2019). Genitourinary syndrome of menopause (GSM) and laser VEL: a review. Horm Mol Biol Clin Investig, 41(1).3. Joylux. (n.d.). LED Light Therapy Works for Your Vagina, Too. www.harpersbazaar.com4. Joylux. (n.d.). Does LED Red Light Therapy Live Up To The Hype?. joylux.com5. Deeply Vital Medical. (2024). Red Light Therapy: Science for Vulvar and Vaginal Health. deeplyvitalmedical.com6. Tadir, Y., Gaspar, A., Lev-Sagie, A., et al. (2017). Light and Energy Based Therapeutics for Genitourinary Syndrome of Menopause: Consensus and Controversies. Lasers in Surgery and Medicine, 49(2), 137-159.Please note, the exact protocols can vary due to ongoing research and individual patient responses. Always consult with healthcare providers for tailored treatments. We are currently in the middle of clinical studies at the Alinsod Institute for various gynecologic and cosmetic indications.THEORY OF MECHANISM OF OPERATION OF APPLICATION OF LOW-LEVEL LASER THERAPY (LLLT) USING THE ERCHONIA® VAL TO REDUCE MODERATE TO SEVERE VULVOVAGINAL ATROPHY (VVA) SYMPTOMS.VVA is a condition associated with decreased estrogenization of the vaginal tissue, which can decline naturally during menopause. Estrogen stimulates collagen production, providing structural support and elasticity to the tissues. Additionally, estrogen promotes lubrication and fosters a slightly acidic vaginal environment that hinders the growth of pathogens. With declining estrogen levels, a cascade of events ensues. In the vulva, collagen loss leads to a thinning and flattening of the labia majora and minora. The skin loses elasticity, becoming more susceptible to tears and exhibiting changes in color and texture, often appearing paler and feeling drier or rougher. This dryness and thinning can manifest as significant itching and discomfort, particularly with friction. Within the vagina the lining thins and loses moisture, leading to dryness and a lack of natural lubrication. The vaginal walls lose elasticity, potentially impacting sexual function and comfort. Furthermore, the decline in estrogen disrupts the vaginal pH balance, making it less acidic and more susceptible to infections. The lack of moisture and altered pH can irritate the vaginal lining, leading to inflammation and discomfort.Low-level laser therapy (LLLT) application initiates a photochemical reaction in cells that alters their biological activity. The primary target of this light therapy is the mitochondria, the cell's energy-producing organelles. Specific wavelengths of light are absorbed by protein complexes within the mitochondrial electron transport chain. This translates to enhanced oxidative phosphorylation, the main cellular process for generating adenosine triphosphate (ATP), the fundamental energy molecule powering cellular functions. LLLT influences a broad spectrum of biological activity, with research suggesting a regulation of over 100 genes, impacting various cellular processes like growth, collagen synthesis, microcirculation, apoptosis (programmed cell death), DNA repair, and antioxidant activity [1]. (shown below)Studies investigating red LLLT applied directly to ovarian granulosa cells (responsible for estrogen synthesis) have shown that LLLT appears to stimulate the enzyme 3-β-hydroxysteroid dehydrogenase [2,], a key player in estrogen biosynthesis, and may further influence granulosa cells by increasing their number and improving vascular stability within the ovaries [3,4].In VVA, a decline in estrogen levels often leads to a decrease in collagen production, contributing to vaginal thinning, dryness, and loss of elasticity. Green and red LLLT irradiance, like that applied by the Erchonia VAL have shown to promote collagen synthesis and deposition [5,6,7]. Seo et al (2014), examined the effects of multiple wavelengths and found red and green light were the only wavelengths that increased the expression of collagen type I and TGF-β1 compared to the control [8]. The binding of TGF-β1 to specific receptors on the surface of fibroblasts ultimately leads to the activation of SMAD proteins, the active gene responsible for collagen synthesis (COL1A1 and COL3A1). Investigations with the Erchonia red laser have also demonstrated the ability to modulate TGF-β1, as well as insulin growth factor (IFG-1) which helps maintain the thickness and elasticity of the vaginal lining [9]. Likewise, a study published in the Journal of Cosmetic Dermatology showed low-level green laser enhanced the secretion of Collagen I and III. [10] Additionally, green light can significantly induce leptin [11], which exerts a specific mitogenic response on keratinocyte and fibroblast proliferation, on collagen synthesis, and also acts as a potent angiogenic factor for endothelial cells.The angiogenic factor of LLLT has also been widely reported with red light and especially the effect on vascular endothelial growth factor (VEGF) [12]. VEGF stimulates multiple components of the angiogenic cascade, but also promotes collagen deposition and epithelialization. Exposure to low-level laser radiation with a wavelength of 630nm (red) has been shown to result in a 30% rise in VEGF gene expression within vascular endothelial cells, alongside an elevation in the count of M2 macrophages. [13]The biological effect was also confirmed in an assessment of the impact of laser radiation within the visible and infrared light spectrum on the growth of vascular endothelial cells by Szymanska et al, which determined that low-level laser therapy at a wavelength of red 635 nm resulted in the most significant increase in endothelial cell proliferation. [14]Dr. Kerry Zang, DPM conducted an evaluation of the application of the Erchonia 635nm laser to individuals presenting with chronic lower extremity pain. Blood Doppler assessed baseline microcirculation and microcirculation following each of four laser treatments. The blood doppler results demonstrated a 75% improvement in circulation across all patients (n=20) after 1.5 weeks of treatment, with a cumulative improvement in circulation occurring across successive treatments.References1. Zhang Y, Song S, Fong CC, Tsang CH, Yang Z, Yang M. cDNA microarray analysis of gene expression profiles in human fibroblast cells irradiated with red light. J Invest Dermatol. 2003 May;120(5):849-57. doi: 10.1046/j.1523-1747.2003.12133.x. PMID: 12713592.2. Oubiña G, Pascuali N, Scotti L, Di Pietro M, La Spina FA, Buffone MG, Higuera J, Abramovich D, Parborell F. Low level laser therapy (LLLT) modulates ovarian function in mature female mice. Prog Biophys Mol Biol. 2019 Aug;145:10-18. doi: 10.1016/j.pbiomolbio.2018.11.010. Epub 2018 Nov 27. PMID: 30500339.3. Gregoraszczuk E, Dobrowolski JW, Galas J. Effect of low intensity laser beam on steroid dehydrogenase activity and steroid hormone production in cultured porcine granulosa cells. Folia Histochem Cytochem (Krakow). 1983;21(2):87-92. PMID: 6576968.4. Al-Watban FA, Andres BL. Effect of He-Ne laser (632.8 nm) and Polygen on CHO cells. J Clin Laser Med Surg. 2000 Jun;18(3):145-50. doi: 10.1089/clm.2000.18.145. PMID: 11799979.5. Vinck EM, Cagnie BJ, Cornelissen MJ, Declercq HA, Cambier DC. Increased fibroblast proliferation induced by light emitting diode and low power laser irradiation. Lasers Med Sci. 2003;18(2):95-9. doi: 10.1007/s10103-003-0262-x. PMID: 12928819.6. Vinck EM, Cagnie BJ, Cornelissen MJ, Declercq HA, Cambier DC. Green light emitting diode irradiation enhances fibroblast growth impaired by high glucose level. Photomed Laser Surg. 2005 Apr;23(2):167-71. doi: 10.1089/pho.2005.23.167. PMID: 15910180.7. Poon VK, Huang L, Burd A. Biostimulation of dermal fibroblast by sublethal Q-switched Nd:YAG 532 nm laser: collagen remodeling and pigmentation. J Photochem Photobiol B. 2005 Oct 3;81(1):1-8. doi: 10.1016/j.jphotobiol.2005.05.006. PMID: 16019220.8. Seo YK, Park JK, Song C, Kwon SY. Comparison of light-emitting diode wavelength on activity and migration of rabbit ACL cells. Lasers Med Sci. 2014;29:245–2559. Luo L, Sun Z, Zhang L, Li X, Dong Y, Liu TC. Effects of low-level laser therapy on ROS homeostasis and expression of IGF-1 and TGF-β1 in skeletal muscle during the repair process. Lasers Med Sci. 2013 May;28(3):725-34. doi: 10.1007/s10103-012-1133-0. Epub 2012 Jun 20. PMID: 22714676.10. Gong C, Lu Y, Jia C, Xu N. Low-level green laser promotes wound healing after carbon dioxide fractional laser therapy. J Cosmet Dermatol. 2022 Nov;21(11):5696-5703. doi: 10.1111/jocd.15298. Epub 2022 Sep 19. PMID: 35947511.11. Fushimi T, Inui S, Nakajima T, Ogasawara M, Hosokawa K, Itami S. Green light emitting diodes accelerate wound healing: characterization of the effect and its molecular basis in vitro and in vivo. Wound Repair Regen. 2012 Mar-Apr;20(2):226-35. doi: 10.1111/j.1524-475X.2012.00771.x. PMID: 22380691.12. Rohringer S, Holnthoner W, Chaudary S, Slezak P, Priglinger E, Strassl M, Pill K, Mühleder S, Redl H, Dungel P. The impact of wavelengths of LED light-therapy on endothelial cells. Sci Rep. 2017 Sep 6;7(1):10700. doi: 10.1038/s41598-017-11061-y. PMID: 28878330; PMCID: PMC5587748.13. Stepanov YV, Golovynska I, Golovynskyi S, Garmanchuk LV, Gorbach O, Stepanova LI, Khranovska N, Ostapchenko LI, Ohulchanskyy TY, Qu J. Red and near infrared light-stimulated angiogenesis mediated via Ca2+ influx, VEGF production and NO synthesis in endothelial cells in macrophage or malignant environments. J Photochem Photobiol B. 2022 Feb;227:112388. doi: 10.1016/j.jphotobiol.2022.112388. Epub 2022 Jan 12. PMID: 35074677.14. Góralczyk K, Szymańska J, Linkowska K, et al. Effect of low level laser irradiation on VEGF gene expression in cultured endothelial cells. Medical Research Journal. 2014; 2: 61-65.GYNFLIX COMMUNITY HAS LAUNCHED!I built 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Plasmaporation is the one tech that wins Best of Breed for Cosmetic Gynecology in 2025. And beyond. Listen in and learn why Texas is the new Center of the Universe for Plasmaporation and how I use it in my daily practice to increase patient comfort and improve patient lives. Now available in the USA and Worldwide. For more information contact Distributor: Dan Wray: [email protected] or ‭call (510) 364-1760‬3 Newsletters I wrote on this topic:* Part 1: Jett Medical Obtains FDA Clearance, Feb 3, 2025* Part 2: Jett Medical II Plasmaporation for Topical Anesthesia and Tissue Engineering* Part 3: Plasmaporation from a European Perspective: Dr. Lucas Pasnisin WebinarGYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Eliška O’Malley, head of Marketing and Communications at Compex, gives her updates on Jett Plasma For Her II and Jett Medical II. These devices are approved for use in much of the world and most recently obtained FDA clearance for the Jett Medical II device for the United States. Dr. Lucas Pasnisin, a prominent Gynecologist from the Czech Republic, expounds on his extensive 4 year experience on the use of Jett Plasma For Her II for Gynecologic conditions. He introduces new protocols for the updated machine that has been released. Several doctors call in and ask questions and Lucas shares his experience. A fantastic back and forth discussion is recorded for the viewers. I have learned much from Lucas. Summary of Plasmaporation Uses in Europe and Worldwide:* Placement of micro and macromolecules under the skin (advanced electroporation) for varied effects. * Vaginal Exosomes study using plasmaporation* Rapid effects felt within 2 weeks* Tissue tightening* Surface or vulva and deep inside the vagina* Under the skin (e.g. neck, double chin)* Fat shrinkage/destruction* GSM/Atrophy* Angiogenesis with moisture production* Collagen production* Elastin production* Cervical inflammation management* HPV ablation* Pelvic Pain/Dyspareunia/Vaginismus/Vulvar Vestibulitis* Lichen Sclerosis treatment* Orgasmic and sensitivity improvements with clitoral treatments* Combination therapies with Botox and Fillers and other Energy Based Devices* Vulvar angioma removal* “One Device For All!”My experience with Jett Plasmaporation has been outstanding. My practice in Dallas is the first in the US to use this technology and we are the Center of Excellence at the Alinsod Institute for clinical use and training.Now available in the USA and Worldwide. For more information contact Distributor: Dan Wray: [email protected] or ‭call (510) 364-1760‬2 Newsletters I wrote on this topic for more background:* Part 1: Jett Medical Obtains FDA Clearance, Feb 3, 2025* Part 2: Jett Medical II Plasmaporation for Topical Anesthesia and Tissue Engineering* I will present my Part 4: Plasmaporation for Gynecology ISCG 2025 Lecture at the end of May.GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Lichen Sclerosus can be a very tough problem to manage. When all else fails (steroids, PRP, Exosomes, creams, lasers, RF) sometimes you have have to do surgery. One such case is when the clitoris gets buried and cannot be found. This can lead to reduced sensitivity and sexual dysfunction. I am happy to share with you the work of my very famous Gynflix Fellow Michael Reed, MD. Thank you for sharing.Obtain detailed surgical training at Gynflix.com. Watch these three standards created for Gold Fellows Subscribers: * 31 Release of Buried Clitoris and Frenulum, PRP and Amniotic Fluid Injection* 32 Revision of Buried Clitoris and Frenulum Release, PRP with Amniotic Fluid* 33 Clitoral Hood Release for Buried ClitorisDo a SEARCH on Gynflix.com and find the listings for Buried Clitoris:Do a SEARCH on Gynflix.com and find the listing for Lichen Sclerosus:Link to Soniquence RF: SONIQUENCEI have performed, researched, presented and taught radio surgery since 2005. Here is my newsletter from August 11, 2024 presenting the use of Radiosurgery:Here is an Deep Dive into the Management of Lichen Sclerosus from May 29, 2013 where experts and friends Max Brambilla and Katerina Gkouvi and I dissected the therapies that work on a very advanced level:GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Red Alinsod, MDAlinsod Institute for Aesthetic Vulvovaginal SurgeryDallas, TXBACKGROUND:In 2005 I developed the Barbie Look Labiaplasty, 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.HISTORY: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.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 Grooving Technique 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. 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.”I shared this secret with Amr Seifeldin 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 Reham Awwad, Amr Seifeldin, Natalie Sorial, and myself is attached at the end of this newsletter.PATIENT SELECTION AND GROOVING TECHNIQUE SUMMARY: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.2. Local anesthesia3. Use radiosurgery to create a “Groove” between the labia minora and labia majora, where the crease used to be, the former intralabial fold.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.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.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.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.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.I have videos on how this surgery is performed on Gynflix intended for surgeon training:The Long Version is 2:18:41 long: Vaginoplasty 101, CHR Grooving and Feathering Revision, and O-ShotThe Short Version is 1:24:50 long: Feathering and Grooving Revision, CHR, and O-Shot for Botched LabiaplastyThe Full Length version of this video will be released on www.gynflix.com shortly in May 2025. Just SEARCH the term “Grooving” on the website and it will pop up.Click for more Botched Labiaplasty Repair Photo Sets for you to view: RevisionsPhotography: 20151st Row: Before Barbie Labiaplasty, Vertical CHD, and Labia Majoraplasty2nd Row: Immediately After Surgery3rd Row: Before Grooving4th Row: Immediately After Grooving5th Row: Four Months Post Op6th Row: Six Months Post OpTop Row: Before GroovingMiddle Row: Immediately After GroovingBottom Row: Six Months Post OpFull Surgical History: Before all Surgeries and After Grooving Revision in 2015LABIA MINORA RECONSTRUCTION USING A LABIA MAJORA FLAPDownloadClick HERE for my September 2024 Newsletter on this publication.GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram asVageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

The Updates are Live!We have revamped Gynflix 2.0. Easier, faster, more intuitive, more content, super affordable. Here are the reasons you should subscribe to www.gynflix.com.* Full-length teaching videos in 4K and HD* Monthly updates and NEW videos* Top Watched Videos* Highlighted Videos* “Video Shorts” Collection of 3-5 min abbreviated videos for the Lay Public* “Cheat Sheet” collection of videos to review right before your case starts* ALINSOD LIVE: Quarterly Zooms with Fellows (2021, 2022, 2023, 2024, 2025)* SEARCH Capabilities are exceptional* INDEX/GUIDE TO AIAVS VIDEOS: Descriptions and Keywords and Direct Links* Photo Gallery: Best In Class Before and After Photo Collection * Modules: Specifically dedicated to a narrow topic. Surgical and Non-Surgical* CMA and Charles Runels, MD, personalized connection and training* Industry Resources: Alinsod supported and Approved devices and resources* Access Alinsod: Private One-On-One FaceTime/Zoom/Phone calls* FORMS: Access to Alinsod forms for office use upon Request* NEWSLETTERS:* Cosmetic Gynecology Newsletter: For Medical Professionals* Labiaplasty Newsletter: For Surgeon* Feminine Wellness Newsletter: For the Lay Public* SOCIAL MEDIA: VaginiusMD on IGOn January 2025 I launched Gynflix Community on X (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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Dr. Michael Reed, presents his innovative approach to prepping skin to be the best it can possibly be before surgery and then managing it to heal faster with normalized and improved skin after surgery. All this with Carboxytherapy gel called CO2LiftV.Watch these previous videos on Carboxytherapy:How CO2LiftV is Helping Patients, From a Panel of UrogynecologistsCO2Lift V For Vaginal RestorationGYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I launched Gynflix Community on X (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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

To watch ALL the presentations go here: ISCG 2025 VideosMy Personal Pictures and Memories of ISCG 2025If you want a copy of my pictures email me at [email protected] and I will share my link.GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I launched Gynflix Community on X (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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

A couple of years ago I sat down with good friends at ISCG 2023 to talk about what to do with our worst GSM/Atrophy cases. Lana Kerr of CO2Lift invited me bring along great surgeons and to share our story. Here is our 30 min talk about “The V.” Enjoy! Here are the Key topics we discussed:* Why are Physicians adding CO2LiftV to their practice?* How are they using it pre and post surgery?* How are they using it as a stand alone? also for their cancer patients and for lichen sclerosus? How are they using it with hormone replacement?* How are they using Co2LiftV and CO2Lift Pro with energy based devices?The Panel: Dr. Red Alinsod, Dr. Amy Brenner, Dr. Jaime Sepulveda, and Dr. Maria Canter. Hosted by Lana Kerr, CEO of Lumisque Skincare, Creator of CO2Lift. www.CO2Lift.comFor More Information on CO2Lift V click on the links:* How Vaginal Restoration is Changing in 2023, AMWC, March 30, 2023* CO2LIftV for Vaginal Restoration, ISCG, March 14, 2023 (Slide Set Below)Slide Set Originally Released March 14, 2023For more detailed videos on CO2Lift V and other surgical and non-surgical Cosmetic Gynecology procedures join www.gynflix.com and check out my extensive collection of e-Learning videos. We have both Silver and Gold Fellow level subscriptions. Check it out here: Gynflix.GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I launched Gynflix Community on X (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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally.GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions.Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

A Practical Game Plan for OBGYNs Transitioning to Fee-for-Service Cosmetic GynecologyFor OBGYNs looking to shift from an insurance-based practice to the thriving fee-for-service realm of cosmetic gynecology, the transition can be both liberating and lucrative. This game plan outlines actionable steps to wean off insurance dependency, build a cash-pay patient base for non-surgical cosmetic gynecology, and eventually scale into surgical procedures. Along the way, we'll introduce you to invaluable resources like Gynflix, online learning platforms, global surgical teaching programs, and the unparalleled guidance of Dr. Red Alinsod, a pioneer in this field.Step 1: Assess and Strategize Your Transition* Evaluate Your Current Practice: Start by analyzing your patient demographics, revenue streams, and time allocation. How much of your income comes from insurance versus out-of-pocket services? Identify procedures (e.g., wellness exams, minor cosmetic treatments) that could transition to cash-pay with minimal disruption.* Set a Timeline: Gradually reduce your reliance on insurance over 6-12 months. Begin by dropping lower-paying insurance contracts while maintaining a hybrid model to ensure financial stability.* Educate Yourself: Cosmetic gynecology requires a shift in mindset and skillset. Familiarize yourself with the demand for non-surgical treatments (e.g., plasmaporation, radiofrequency and laser vaginal rejuvenation, O-Shot, Vampire Wing Lift, fillers) and surgical options (e.g., labiaplasty, vaginoplasty, external anal skin tag excision). This is where online learning comes in—more on that later.Step 2: Start with Non-Surgical Cosmetic Gynecology* Why Non-Surgical First: Non-surgical procedures like Jett Medical (plasmaporation), O-Shot (PRP injections), FemXHA Vulvar Filling (PRP + Hyaluronic Acid), are inexpensive low-risk entry points. They require less initial investment, minimal recovery for patients, and can be marketed as "lunchtime procedures" to attract cash-paying clients.* Build Skills: Invest in training for non-surgical modalities. Don’t go hog crazy spending money. Pick what fits your style. If you don’t know your style then speak to Dr. Alinsod or one of his trained experts. InMode Morpheus and ThermiVa (radiofrequency tightening), Sciton Diva, Fotona IntimaLase, Mona Lisa Touch (lasers) are companies to consider when you have more cash on hand. They are not cheap. Many device manufacturers offer certification courses, but for a comprehensive foundation, Gynflix Online e-Learning (detailed below) is a game-changer. It can help guide you in these choices. And this is also the time to invest in Bioidentical Hormone Training. Creams and troches and pellets. This is a low-risk cash business that has grown steadily. I prefer a cream practice because of ease of use and ability to adjust doses quickly and no equipment needed. Others prefer pellet practices. Do your due diligence and research the style that fits you.* Wean Off Insurance: Begin offering non-surgical cosmetic services as cash-pay add-ons to your existing patients. For example, offer feminine treatments to menopause patients already seeking hormone therapy. Reduce insurance appointment slots by 10-20% monthly, replacing them with cosmetic consultations.* Marketing 101:* Website Overhaul: Update your website with a dedicated "Cosmetic Gynecology" section highlighting non-surgical options, benefits (e.g., improved intimacy, comfort, confidence), and pricing.* Social Media: Share educational content on Instagram or Facebook—think short videos on "What is Plasmaporation?" or patient testimonials (with consent). Avoid overt sales pitches; focus on empowerment and wellness and education. Do really try to teach concepts and the options for care.* Local Networking: Partner with med-spas, dermatologists, or fitness centers to cross-refer clients seeking aesthetic enhancements.Step 3: Scale Up to Surgical Cosmetic Gynecology* Master the Craft: Once non-surgical services gain traction, prepare for surgical offerings like labiaplasty or perineoplasty. These procedures command higher fees (often $5,000+ per case) and require advanced training. Dr. Alinsod has trained dozens of surgeons around the world who now have their own World Class programs. Dr. Alinsod and Gynflix can help you find the perfect match.* Invest in Equipment: Purchase tools like plasmaporation, radiofrequency, and laser surgical instruments tailored for cosmetic gynecology. Dr. Red Alinsod’s innovations, such as the Jett Medical Plasmaporation, Soniquence RF, LightScalpel CO2 Laser, Lone Star APS Vaginal Retractor, are industry standards worth exploring. Check out the top companies Dr. Alinsod recommends on this Resources Page. * Full Transition: Phase out remaining insurance contracts as your cash-pay revenue grows. Aim for a 100% fee-for-service practice within 12-18 months, depending on patient uptake. Dr. Alinsod spent 5 years to wean off all insurances smoothly.* Advanced Marketing:* Before-and-After Portfolios: Showcase results (anonymized, with consent) to build trust and credibility. Take pictures of all your cosmetic cases.* Workshops/Seminars: Host local events titled "Feminine Wellness Unveiled" to educate potential patients on surgical options. Medical topics can be “The Synergy of Energy and Biologics,” “Health and Hormones.”* VIP Packages: Offer bundled services (e.g., labiaplasty + non-surgical tightening) to provide added value and retain clients. Dr. Alinsod best-selling bundle is called “The Leaky Bladder Special” that combines radiofrequency, PRP, and electromagnetic “Pee Pee Chair.”Step 4: Leverage Gynflix and Online Learning* What is Gynflix: Created by Dr. Red Alinsod, Gynflix is the premier e-learning platform for cosmetic gynecology. Think of it as "Netflix for Gyns" - hundreds of high-definition videos covering surgical and non-surgical techniques, from basic labiaplasty to complex combination surgeries. It’s designed for you to learn at your own pace, anywhere, anytime.* Why It’s Essential: Residency and fellowships rarely if ever cover cosmetic gynecology. Gynflix fills this gap with step-by-step guidance, narrated by Dr. Alinsod himself. Subscriptions start affordably, with modules for targeted learning (e.g., "Core Labiaplasty" or "Non-Surgical Cosmetic Gynecology” to “Vaginoplasty and Perineoplasty") and certificates of completion to boost your credentials.* How to Use It: Begin with non-surgical modules (e.g., NS1: Synergy O-Shot & RF Training) to launch your practice. As you grow, dive into surgical modules (e.g., S1: Labia Minoraplasty w/ Clitoral Hood) to prepare for bigger cases. Visit gynflix.com to explore.Step 5: Tap Into Global Surgical Teaching Programs* Worldwide Opportunities: Hands-on training is critical for surgical mastery. Programs like the Alinsod Institute for Vulvovaginal Surgery have offered preceptorships for over 20 years. Dr. Alinsod now has graduate Fellows around the world who offer their expert hands-on training. Other options include:* ISCG (International Society of Cosmetogynecology): Hosts cadaver courses and live surgery workshops (e.g., Fort Lauderdale, NJ).* CAVS (Congress on Aesthetic Vulvovaginal Surgery): Founded by Dr. Alinsod, it’s the longest-running event for networking and learning. This is now integrated into ISCG which Dr. Alinsod fully supports and attends every year. The next Congress is just 3 weeks away on March 20-22, 2025.* Why It Matters: These programs bridge the gap between online theory and real-world practice, ensuring precision and patient safety.Step 6: Learn from Dr. Red Alinsod’s Expertise* Who is Dr. Alinsod: A urogynecologist and innovator, Dr. Red Alinsod is a global leader in cosmetic gynecology. With over 30 years of experience, he’s trained countless doctors, invented techniques like the "Barbie Look" and “Curvilinear Labia Majoraplasty, Office Vaginoplasty, and co-authored the seminal textbook Female Cosmetic Genital Surgery. His patents (e.g., ThermiVa, Lone Star Retractor, Genital Predictive Permeation) have transformed the field.* His Guidance: Through Gynflix, preceptorships, and personal mentorship, Dr. Alinsod offers a roadmap to success. His one-on-one teaching—both virtual and in-person—has transformed practices worldwide. Doctors praise his precision, accessibility (email him at [email protected]), and passion for elevating patient care.* Exclusive Video: Check out Dr. Alinsod’s latest video in this newsletter, where he walks you through key steps to kickstart your cosmetic gynecology journey. It’s a must-watch for practical insights!Final Tips for Success* Mindset Shift: Embrace the entrepreneurial spirit—think of yourself as a boutique provider, not just a clinician. Patients pay for results and a feeling of family, not paperwork.* Patient Experience: Offer concierge-level service (e.g., private consultations, follow-up calls) to justify premium pricing. Get started with Zoom and FaceTime.* Stay Curious: Cosmetic gynecology evolves fast. Stay ahead with Gynflix updates and Dr. Alinsod’s newsletters (subscribe at cosmeticgynecology.substack.com, femininewellness.substack.com, labiaplasty.substack.com).The PayoffTransitioning to fee-for-service cosmetic gynecology can triple your per-hour revenue compared to insurance-based practice. Non-surgical treatments build your confidence and cash flow, while surgical expertise cements your reputation as a top-tier provider. With Gynflix, global training, and Dr. Alinsod’s mentorship, you’re not just leaving insurance behind—you’re stepping into a future of autonomy, impact, and prosperity.Ready to start? Dive into Gynflix today and watch Dr. Alinsod’s video for your next steps. Your new practice awaits!Originally published in the Cosmetic Gynecology Newsletter, March 2025. Explore Gynflix coursesSign Ups are Still Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Lots of amazing topics and world leaders to present them. Meet and speak with the BEST.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyHere are some examples of Dr. Pelosi’s presentations at past ISCG Congress:* Cosmetic Gyn State of the Art 2017* Cosmetic Gyn State of the Art 2018* Cosmetic Gyn State of the Art 2019* Cosmetic Gyn State of the Art 2020* Cosmetic Gyn State of the Art 2021* Cosmetic Gyn State of the Art 2022* Cosmetic Gyn State of the Art 2024GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I launched Gynflix Community on X (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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Subscriptions: GYNFLIX PRICINGSILVER BULLET SUBSCRIPTIONS: $98/month. Access all regular subscription videos, SHORTS Videos, Fellows Videos, Free Cosmetic Gynecology and Feminine Wellness Newsletters, scheduled access to Dr. Alinsod personally. GOLD FELLOWS MEMBERSHIP: $198/month. This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com.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. I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you have any questions. Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is Part 2 of my two part introduction to Jett Medical technology. Watch last week’s Part 1 first. Now available in the USA (Dan Wray: [email protected]).Low-level direct current (DC) can have various effects on skin, tissues, and nerves, which are important for both therapeutic applications and understanding the biological response to electrical stimulation. Here’s a detailed explanation of the Plasmaporation effects using DC current.Red Alinsod, MD ([email protected])What is PlasmaThe Jett Medical device, manufactured by Compex in the Czech Republic, utilizes a unique plasma technology for skin treatments. Here's an overview based on available information:Plasma is often referred to as the fourth state of matter, following solids, liquids, and gases. It consists of a gas that has been ionized, meaning it contains free electrons and ions which give it unique properties. Plasma can conduct electricity and is affected by magnetic fields, making it a versatile medium for various applications, including medical treatments.How is Plasma Generated in the Jett Medical Device?* Direct Current (DC) Plasma Generation: The Jett Plasma device uses DC voltage to generate plasma. This method involves creating spark discharges that produce heat. The technology is based on DC fulguration, which is more precise than alternating current (AC) methods because it affects a smaller area of the skin and doesn't damage surrounding tissues.* Mechanism: Plasma is generated between the device's tip and the patient's skin which is conductively connected to the device. The tip is held about 2 mm above the skin, and the high-energy discharge ionizes the air, turning it into plasma. This plasma discharge does not touch the skin but generates a thermal effect on the surface and subsurface layers.Effects on Skin:* Skin Tightening and Lifting: The heat from the plasma stimulates the body's natural healing response, leading to collagen production. This results in skin tightening and a lifting effect, particularly effective for areas like the eyelids for non-surgical blepharoplasty.* Collagen Production: The thermal effect induces immediate skin tightening and promotes long-term collagen synthesis, which can reduce wrinkles, fine lines, and improve skin texture.* Treatment of Skin Imperfections: It's used for non-surgical treatment of various skin conditions including moles, skin tags, warts, and even scars. The plasma energy can sublimate skin lesions without cutting, providing an alternative to traditional surgery.* Minimal Downtime: The Jett Plasma treatment is noted for its minimal downtime compared to surgical options. While there might be some temporary redness, swelling, or crusting, these effects are generally less severe and shorter-lasting than those from surgical procedures.* Versatility: The device can be used in dermatology, aesthetic medicine, non-invasive surgery, ophthalmology, and other medical fields for a range of treatments from skin rejuvenation to lesion removal.* Safety and Precision: Being a non-contact method, it reduces the risk of scarring and infection, provided the procedure is carried out by trained professionals under appropriate conditions.The effectiveness and safety of Jett Plasma treatments are highlighted in various medical studies and applications, indicating its significance in modern skin care and cosmetic procedures.Effects of Low-Level DC Current1. Plasmaporation Skin Effects:* Electrochemical Reactions: When DC current passes through the skin, it can induce electrochemical reactions at the electrode-skin interface. This can lead to the formation of alkaline or acidic environments depending on the polarity of the electrodes, which may cause skin irritation or burns if not carefully monitored. * Vasodilation: DC current can induce vasodilation (widening of blood vessels) due to the release of histamines and other mediators such as heat. This can improve blood circulation in the area, promoting healing.* Increased Permeability: The passage of low-level DC can increase skin permeability, which may enhance the absorption of topical medications. 2. Tissue Effects:* Thermal Effects: Low-level DC can generate heat in the tissues due to resistance. While this effect can be beneficial for promoting healing, excessive heat can lead to tissue damage. Jett Medical maxes out at a safe 40-42 Celsius. Skin burns begin at 55 Celsius. * Stimulation of Cellular Activity: DC can promote cellular activities such as migration, proliferation, and differentiation. This is particularly relevant in wound healing and tissue repair and regeneration.* Electroporation: One of the significant effects of low-level DC is the phenomenon known as electroporation (also known as Plasmaporation, Predictive Permeation, ,Dermoelectroporation/DEP). Specialized and tested software allows safe and comfortable use and passage of nutrients and proteins into the cell.* Electroporation is seen with DC Current and not AC CurrentDefinition: Electroporation refers to the process of creating temporary pores in cell membranes through the application of electric fields. This phenomenon allows for increased permeability of the cell membrane to various substances, including drugs, genes, and other macromolecules.1. Mechanism of Plasmaporation:* When a sufficiently strong electric field is applied across a cell membrane, it induces a charge imbalance, leading to structural changes in the lipid bilayer. These changes create transient pores, allowing substances that normally cannot pass through the membrane to enter the cell.* The size and duration of these pores depend on the strength and duration of the applied DC current.2. Applications in Medicine:* Drug Delivery: Electroporation can enhance the delivery of therapeutic agents into cells, making it a promising technique for gene therapy, cancer treatment, and vaccine delivery. This is particularly useful for delivering large molecules like plasmid DNA.* Tissue Engineering: It can be used to facilitate the incorporation of growth factors or other bioactive molecules into scaffolds used in tissue engineering.* Cancer Treatment: Research is ongoing into the use of electroporation in combination with chemotherapeutic agents to increase the efficacy of treatment while reducing systemic side effects.3. Safety and Considerations:* While electroporation can be beneficial, it must be carefully controlled to avoid cell death or damage to surrounding tissues. The parameters such as current intensity, duration, and frequency must be optimized for each application.DC v AC CurrentDirect Current (DC) vs. Alternating Current (AC)1. Nature of Current:* Direct Current (DC): Flows in one direction steadily. The voltage remains constant over time.* Alternating Current (AC): Changes direction periodically. The voltage varies sinusoidally with time, typically at a frequency of 50 or 60 Hz.* Radiofrequency devices use AC. No electroporation.2. Physiological Responses:* DC:* Skin Response: Electroporation. Can cause a stronger electrochemical reaction at the electrodes, leading to potential burns or irritation if the current is too high. Specialized software is used to precisely regulate the milliampere energy for comfort and speed of poration.* Tissue Response: Can stimulate muscle contractions and may cause localized heating stimulating the healing cascade.* AC:* Skin Response: Generally produces a more uniform sensation. The alternating nature can prevent tissue damage compared to DC.* Tissue Response: Often used for pain relief and muscular stimulation; can induce deeper tissue effects without as much discomfort. * No electroporation.3. Medical Applications:* DC:* Used in electrotherapy for treatments like galvanic stimulation, which can enhance drug delivery through iontophoresis or stimulate nerve and muscle tissues.* Utilized in certain diagnostic tests and in some medical devices like pacemakers.* AC:* Commonly used in TENS (Transcutaneous Electrical Nerve Stimulation) units for pain relief.* Employed in muscle stimulators and for various rehabilitation therapies.* AC is also used in diagnostic imaging and certain types of monitoring equipment.SummaryIn summary, the choice between DC and AC in medical applications depends on the desired physiological effect, as well as safety and comfort considerations for the patient.Low-level DC current has significant effects on skin, tissues, and nerves, including electrochemical reactions, increased permeability, and stimulation of cellular activity. Electroporation, induced by DC current, presents a valuable technique for enhancing drug delivery and tissue engineering applications. Understanding these effects is crucial for the safe and effective use of electrical stimulation in medical practice.PROTOCOL FOR JETT MEDICAL TREATMENTS For more information contact Distributor: Dan Wray: [email protected] Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Lots of amazing topics and world leaders to present them. Meet and speak with the BEST.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyHere are some examples of Dr. Pelosi’s presentations at past ISCG Congress:* Cosmetic Gyn State of the Art 2017* Cosmetic Gyn State of the Art 2018* Cosmetic Gyn State of the Art 2019* Cosmetic Gyn State of the Art 2020* Cosmetic Gyn State of the Art 2021* Cosmetic Gyn State of the Art 2022* Cosmetic Gyn State of the Art 2024GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

This is HUGE! A generational change is upon us. Ten years ago radiofrequency and lasers stormed the stage and became the standard for Feminine Wellness and non-surgical “Vaginal Rejuvenation.” After 7 years of an intense approval process, on January 21, 2025, Compex of the Czech Republic, and their Jett Medical device, received their FDA 510k clearance in the United States. Let me explain why this is so important for the field of Cosmetic Gynecology.* Plasma technology: DC current (Direct Current) in the 1-5 milliampere range is able to create non-ablative plasma energy at the Silver tips. This stimulates comfortable heat up to 42 Celsius, stimulates fibroblasts and tightens skin, results in increased blood flow and moisture, collagen formation, elastin formation, and nerve sensitivity improvement. * Plasma technology: DC current creates plasma energy at the Gold tips for ablation and shrinkage of lesions and skin. Treats HVP/Warts/Molluscum/Angiomas.* Plasma technology: DC current opens up the cell membrane’s water channels and allows for the temporary passage of macro and micro molecules deep into the cell in a process called electroporation.* Infuse PRP, PPP, Exosomes, Amniotic Fluid, topical steroids: to revitalize skin and reduce inflammation (lichen, dermatitis, eczema, psoriasis). Reduce inflammation of skin and give skin a vibrant glow.* Infuse Vitamin A or C or Hydroquinone or Kojic Acid: Vulvar lightening treatments* Infuse Collagen Type 1: Plump up skin and reduce wrinkles. Reduce inflammation of skin and give skin a vibrant glow.* Reusable hand pieces with no disposables. Additional dedicated gynecologic wands arriving in the US market soon.* Affordable Lower Cost: About 1/3rd to 1/4th the price of competing systems allowing this technology to be the CORE device of both cosmetic and functional gynecology.* Synergy: One device for Plasmaporation and Feminine Restoration (equivalent to Radiofrequency results) that is effective and cleared for use on the face and body.Below are the brochures and advertisements used for the European and World markets as well as the FDA Clearance and the Vaginal Laxity Study used to gain US approval. Enjoy this Part 1 video. Part 2 will be released later this week and shows how I use Plasmaporation to numb labial and vaginal tissues (before labiaplasty and vaginoplasty), as well as for vulvar lightening.For more information contact Distributor: Dan Wray: [email protected] Alinsod, MD ([email protected])WHAT IS JETT Technology: European/Worldwide indicationsA patented direct current electrocautery device indicated for non-ablative treatment of vulvovaginal laxity causing tissue tightening and strengthening. Unique direct current technology provides a solution for issues connected to vulvovaginal laxity, such as insufficient vaginal moisture, burning and itching, stress incontinence and sexual discomfort due to vaginal dryness, reduced tightness, elasticity and sensitivity. Developed mainly for women after childbirth and menopause.MECHANISMThe positive effect of JETT Medical II is caused by combination of heat, membrane depolarization and low threshold reversible electroporation. The passage of direct current generates heat, which activates the formation of new collagen connective tissue, leading to a rejuvenation and stronger and more flexible tissue structure. In addition to the heat effect, unique direct current technology causes membrane depolarization and reversible electroporation which reduces the barrier and enable easier passage of ions and molecules through cell membranes.The procedure is painless, well tolerated and it does not require local anaesthetic application. It solves rejuvenation of atrophied vaginal mucosa. It is suitable also in cases when local estrogen vaginal creams cannot be applied (condition after oncological diseases) with estrogen-dependent tumours.VULVOVAGINAL TREATMENT PRINCIPLESmall micro-discharges occur in the gel between the applicator and the tissue. Micro-discharges cause local increase of electric intensity. When this intensity reaches certain threshold value, the electroporation appears. Micro-discharges randomly arise and disappear in huge numbers, which ensures desired effect in the treated area.Local increase of electric intensity causes nanopore formation in the cell membrane. Macromolecules and ions can easily get into the cell through these pores.- The cells are refreshed and increase its volume.- The atrophy of vaginal mucosal and submucosal tissue decrease.- The cohesion between mucosal and submucosal tissue is improved.In studies in Europe and outside the US, treatment using Jett technology, patients reported significant improvement in her sexual quality of life with reduction of incontinence, urgency, and atrophy.INDICATIONS IN EUROPE•Incontinence (SUI, OAB)•Rejuvenation and skin tightening•Atrophy and dryness of skin•Labial shrinkage•Pain and Discomfort from GSM (lack of elasticity and skin thickness)ADVANTAGES•Safe, comfortable, painless•Short treatment time•Non–surgical•No need for anesthesia•No hormones•No scars•3 treatments with an interval of 10-14 days (complete series in 6 weeks)MARKETING BROCHURES FOR EUROPE AND WORLDWIDEK240311Trade/Device Name: JETT Medical IIRegulation Number: 21 CFR 878.4400Regulation Name: Electrosurgical Cutting And Coagulation Device And AccessoriesRegulatory Class: Class IIProduct Code: GEIDated: December 13, 2024Received: December 13, 2024Treatment of Vulvovaginal Laxity by Electroporation: The Jett Plasma Medical for Her II StudyPROTOCOL FOR JETT MEDICAL IIPre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Lots of amazing topics and world leaders to present them. Meet and speak with the BEST.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyHere are some examples of Dr. Pelosi’s presentations at past ISCG Congress:* Cosmetic Gyn State of the Art 2017* Cosmetic Gyn State of the Art 2018* Cosmetic Gyn State of the Art 2019* Cosmetic Gyn State of the Art 2020* Cosmetic Gyn State of the Art 2021* Cosmetic Gyn State of the Art 2022* Cosmetic Gyn State of the Art 2024GYNFLIX COMMUNITY HAS LAUNCHED!On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

No history on Cosmetic Gynecology is complete without Jack Pardo, MD. This is his story. From the streets of Santiago, Chile, to Beverly Hills, to Atlanta, to Las Vegas, and back. Jack will share how he was instrumental in the development of Labia Majora Lifting. This newsletter will have new content at the beginning of every month. There will be more releases as the month rolls along and interesting topics come up. Subscription is free and you do have the option to support my work by donating $10 a month.Thank you Jack Pardo, MD, for sitting down with me and having an expansive and enjoyable conversation on how you got started in Cosmetic Gynecology and how you brought your training back to Latin America. Amazing personal insights of your challenges and struggles and ultimate success.My associated Cosmetic Gynecology podcasts are free on Apple Podcasts and Spotify.Pre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Lots of amazing topics and world leaders to present them. Meet and speak with the BEST. I will be there. Just got my Registration and Hotel room. I suggest you grab a room now because they always sell out. Here is the Tentative Agenda: ISCG 2025.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyHere are some examples of Dr. Pelosi’s presentations at past ISCG Congress:* Cosmetic Gyn State of the Art 2017* Cosmetic Gyn State of the Art 2018* Cosmetic Gyn State of the Art 2019* Cosmetic Gyn State of the Art 2020* Cosmetic Gyn State of the Art 2021* Cosmetic Gyn State of the Art 2022* Cosmetic Gyn State of the Art 2024GYNFLIX COMMUNITY IS LAUNCHING IN 2025On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:Red Alinsod, MD ([email protected])GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Today starts our monthly Newsletter to keep you engaged and interested in the booming field of Cosmetic Gynecology. I launched this Cosmetic Gynecology Newsletter in April of 2022 and now just two years later we have over 194,000 subscribers. My associated Cosmetic Gynecology podcasts are free on Apple Podcasts and Spotify.This newsletter will have new content at the beginning of every month. There may be more releases as the month rolls along and interesting topics come up. Subscription is free and you do have the option to support my work by donating $10 a month. Thank you Marco Pelosi III for sitting down with me and having a fun talk and reminiscing about how this specialty got its start. Amazing personal insights and observations of an outstanding career educating and innovating. Happy New Year!Pre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Lots of amazing topics and world leaders to present them. Meet and speak with the BEST. HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyHere are some examples of Dr. Pelosi’s presentations at past ISCG Congress:* Cosmetic Gyn State of the Art 2017* Cosmetic Gyn State of the Art 2018* Cosmetic Gyn State of the Art 2019* Cosmetic Gyn State of the Art 2020* Cosmetic Gyn State of the Art 2021* Cosmetic Gyn State of the Art 2022* Cosmetic Gyn State of the Art 2024GYNFLIX COMMUNITY IS LAUNCHING IN 2025On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my second announcement. Go join it. 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:Red Alinsod, MD ([email protected])GYNFLIX Cosmetic Gynecology e-LearningFor Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comGynflix 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.Click here for Silver Bullet Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos on www.gynflix.com. 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Follow me on Instagram for fun and knowledge. Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Gynflix provides the Took Kit of learning for the Cosmetic Gynecologists. In a rush? Need a quickie review of how to do an “A” Incision to avoid Dog Ears? Need to refresh on where to inject for a Pudendo-Levator Block? I created a Cheat Sheet for you. I spent a year condensing and refining my full-length videos into more manageable bite sized pieces for you to look at right before you go into the operating room. Organized it into sections that help you find exactly what you need. The Cheat Sheet is only for Gold Fellows but if you sign up by Dec 31, 2024, it will be available to new Silver Bullet subscribers for all of 2025. Cannot loose on this Christmas Deal. The only way to get this special access is to email Suzette Peterson at [email protected] and type in “Cheat Sheet Deal” on the Subject line. Here are the main categories:* Labia Minoraplasty* Labia Majoraplasty* Unified Approach* Clitoral Hood Reduction* Clitoral Reduction* Botched Labiaplasty Revision* Vaginoplasty* Vampire Wing Lift/Majora Augmentation* Perineoplasty* Radio Frequency Treatments* Hymenoplasty* Luksenburg Incontinence Procedure* Anal Skin TagsPrepping for a surgery? Would you like a quick review to make sure you are up-to-date on procedures and tips from Dr. Alinsod? Check out the cheat sheet!Now available only on www.gynflix.com for Gold Fellows Subscription.GOLD FELLOWS MEMBERSHIP: This unique and valuable service provides access to all future surgical and non-surgical videos and AIAVS Video materials. 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. CHEAT SHEET CONTENT December 2024:Labia Minoraplasty* Labiaplasty Set Up and Draping Doctor View* Labiaplasty Set Up and Draping Patient View* Labia Minoraplasty Anesthesia and Marking HD* A Incision Review 2023* Rim Labiaplasty: The Basics* Hybrid Labiaplasty with Clitoral Hood Reduction, ThermiVa, O-Shot, and Vampire Wing LIft* Barbie Labiaplasty with Clitoral Hood Reduction, and A Incision Steps* Sutureless Feathering Labiaplasty Revision with VCHR and Contouring* Incisionless Labiaplasty with Feathering Resurfacing RevisionLabia Majoraplasty* Labia Majoraplasty Anesthesia and Marking* Labia Majoraplasty with Fat Pad Reduction, VCHR, LMF, O-Shot – ShortUnified Approach* Unified Approach to Vaginoplasty and Barbie Labiaplasty* Unified Approach to Vaginoplasty, Labia Minora and Majoraplasty, Clitoral Hood Reduction* Unified Approach with LightScalpel Laser for Vaginoplasty, Labiaplasty, Anal Skin TagsClitoral Hood Reduction* Clitoral Hood Reduction Techniques* Lateral Clitoral Hood Reduction* Vertical Clitoral Hood Reduction* Clitoral Hood Release for Buried Clitoris* Revision of Buried Clitoris and Frenulum Release, PRP with Amniotic Fluid* Release of Buried Clitoris and Frenulum, PRP and Amniotic Fluid Injection* Management of the Protuberant Clitoris* Clitoral Hood Reduction: Lateral and Vertical ApproachesClitoral Reduction* Management of the Protruberant Clitoris 2024* Management of the Protuberant Clitoris* Revision of Buried Clitoris and Frenulum Release, PRP with Amniotic Fluid* Release of Buried Clitoris and Frenulum, PRP and Amniotic Fluid Injection* Clitoral Reduction and Medial Clitoral Hood Reduction 2024Botched Labiaplasty Revision* Feathering Revision of Labial Edges* LN Management of Labial Scalloping & Scars w/ Feathering & Shaving* Sutureless Feathering Labiaplasty Revision with VCHR and Contouring* Incisionless Labiaplasty with Feathering Resurfacing RevisionVaginoplasty* Vaginoplasty and Perineoplasty Review* TOT, Anterior Repair with Dermis, and Transvaginal Uterine Suspension* Augmented Pelvic Floor Repair with Dermis* Vaginal Softening Exercises* Transvaginal Uterine Suspension: Pelvic Reconstruction with Dermal AugmentationVampire Wing Lift/Majora Augmentation* ThermiVa, O-Shot Clitoxin, Vampire Wing Lift with FemXHA* ThermiVa with Vampire Wing LiftPerineoplasty* Small Perineoplasty* Perineal Band Release* Band ReleaseRadio Frequency Treatments* Live Narrated Thermi-O* ThermiVa with Vampire Wing Lift* ThermiVa, O-Shot Clitoxin, Vampire Wing Lift with FemXHAHymenoplasty* Hymenoplasty PIllar TechniqueLuksenberg Incontinence Procedure* The Luksenburg System for SUIAnal Skin Tags* Anal Skin Tag Excision with Bipolar RF* Anal Skin Tag Excision Compendium* Live Narrated Excision of Anal Skin Tag with LightScalpel LaserEach section provides a wealth of review materials. Plus you have access to discuss these videos with me via scheduled Calendly. Phone or Zoom.GYNFLIX COMMUNITY IS LAUNCHING IN 2025On January 2025 I will launch Gynflix Community on X (formerly Twitter). This is my first announcement. There are no posts yet. Go join it. 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:Merry Christmas!Red Alinsod, MD ([email protected])For More Detailed Videos Click on the Index Photo Below:For more Cosmetic Gynecology Training join Gynflix.comClick here for Silver Subscription at $98 a month: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription at $198 a month.Gynflix 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.I love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have around 190,000 subscribers to my Cosmetic Gynecology Newsletter and 90,000 subscribers to this Labiaplasty Newsletter. Help me grow my Instagram presence.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixMy Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:DALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Contact:Dr. Red Alinsod: [email protected] This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Thank you ISCG and Marco Pelosi III for sharing Carolyn’s talk with Cosmetic Gynecology Newsletter. Dr. Carolyn DeLucia, MD., FACOG, a graduate of New York Medical College, is a pioneer at the leading edge of non-invasive sexual wellness treatments. A practicing OB/GYN for nearly 30 years and alternative therapy expert since 2014, she is sought after by device manufacturers and professional groups alike. Today, Dr. DeLucia is one of the most in-demand specialists in the field. She has trained thousands of practioners around the world and impacted the lives of countless patients. As the technologies and case studies evolved, so did Dr. DeLucia's own private practice. Assembling her experience as a physician and knowledge as an expert in the applications of cutting-edge treatments, she's developed her own combination therapies and techniques which she now offers her New York, New Jersey and Florida patients. She is the author of Amazon best sellers,Ultimate Intimacy, the Revolutionary Science of Female Sexual Health, and Ultimate Connection, the Blueprint to Everlasting Love Inside YourselfShe most recently has contributed to Tony Robbins latest best selling book Life Force. She has also contributed to several text books writing on the topic of regenerative therapies in women’s health. She has done several clinical trials with most recent publication in February 2023: Journal of Womens Health Care ISSN: 2167-0420.Journal of Women’s Health Care, Research Article,J Women’s Health Care, Vol. 12 Iss. 2 No: 625 1Prospective Multi-Center Study on Long-term Effectiveness of High-Intensity Electromagnetic Field procedure for Treatment of Urinary Incontinence and Female Sexual Dysfunction, Kimberly L. Evans1, Joseph Berenholz2, Julene B. Samuels3, Andrea Pezzella4, Carolyn A. DeLucia5.To learn more about Dr. DeLucia, visit http://drcarolyndelucia.com.I have been friends with Carolyn for over a decade. Here are some photos of our teaching and fun times together for you to get sense of how wonderful she is as a person. Everyone loves Carolyn.Red Alinsod, MD ([email protected], www.gynflix.com, www.alinsodinstitute.com)PHOTO GALLERYPre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Early Bird Registration is now open.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyRafal Kuzlik, MD invites you to Warsaw!Rocking that Gynflix Life:The Gynflix Life keeps you updated and on top of the heap. A message from Rafal Kuzlik,, MD, and his experience and use of Gynflix:Gynflix Index and Guide to Detailed Surgical Videos:For more Cosmetic Gynecology Training join Gynflix.comClick here for Silver Subscription: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription.If you want to go directly to O-Shot/Clitoxin and Vampire training go here: Runels CMAI love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!My Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:Social Media:Follow my Social Media adventures below as I educate and entertain every week. I will integrate my Newsletters with Social Media and Podcasts. I just launched all my “Vagenius” handles so they are new and at the early stage of growth. Tell your friends and colleagues and help me grow my audience.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDContact Red Alinsod, MDAlinsod Institute:https://alinsodinstitute.com/Gynflix:https://www.gynflix.comDALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Secondary: 214-442-0055EFax: 949-315-3076Contact:Dr. Alinsod: [email protected] This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

Here is the whole recording of my Webinar for GetHairMD last week. This follows up on my Cosmetic Gynecology Newsletter from November 19, 2024. Thank you to the GetHairMD Team for letting me show off this amazing technology that has completely transformed my practice this past decade. I started using this in about 2009 and it has helped me manage surgical pain, lichen sclerosis, vulvar lightening, skin plumping. Today it is to infuse hair serum to create and maintain that full head of hair. Enjoy. I have lots of case to view on Gyflix using this tech. Here is another link below for more detailed coverage of electroporation technology (aka TDI: Transdermal Infusion) that enables placement of molecules deep under the skin without the use needles at all. Super safe, super comfortable for patients. Click on the picture Predictive Permeation for Gynecology. You can also click on the second photo for more videos. Red Alinsod, MD ([email protected], www.gynflix.com, www.alinsodinstitute.com)Pre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Early Bird Registration is now open.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyThe Gynflix Life keeps you updated and on top of the heap. A message from Rafal Kuzlik,, MD, and his experience and use of Gynflix:Index and Guide to Detailed Surgical Videos:For more Cosmetic Gynecology Training join Gynflix.comClick here for Silver Subscription: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription.If you want to go directly to O-Shot/Clitoxin and Vampire training go here: Runels CMAI love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!My Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:Social Media:Follow my Social Media adventures below as I educate and entertain every week. I will integrate my Newsletters with Social Media and Podcasts. I just launched all my “Vagenius” handles so they are new and at the early stage of growth. Tell your friends and colleagues and help me grow my audience.Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDContact Red Alinsod, MDAlinsod Institute: https://alinsodinstitute.com/Gynflix: https://www.gynflix.comDALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7576Secondary: 214-442-0055EFax: 949-315-3076Contact:Dr. Alinsod: [email protected] for reading Cosmetic Gynecology Newsletter! This post is public so feel free to share it. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

The war has raged for over two decades between Academics versus the Cosmetic Gynecologists, the war over the vagina and the vulva, and who gets to make the rules working on it. How to fight the good fight against Academia who may try to make you feel little. Expose their weaknesses and exploit them. Taking the high ground along the way. This is a GREAT LISTEN! You will learn Marco’s approach to this WAR.Enjoy Marco’s talk. Click here to learn more about ISCG.Personal Reflections Looking back at ISCG 2022 and a most consequential yearOur Mojo was back from the pandemic. We were happy and filled with positivity. We all flew back to Fort Lauderdale to reconnect with our colleagues once again. Boy it was fun. So cool to feel normal again. Our European and Latin and Asian friends were back!Here’s a little background on the Big Secret I was about to reveal at ISCG 2022 and the huge reason I rented some floor space and brought my daughter, Samantha Nicoletti, to the Congress. I spent the pandemic years os 2020 and 2021 collecting and organizing the surgical videos I had collected for almost 20 years. Over 100 Terabytes of photos and videos. I spent an enormous amount of time and energy editing and organizing my content and finally launched AIAVS Online (Alinsod Institute for Aesthetic Vulvovaginal Surgery), my dedicated online content to teach Cosmetic Gynecology. My daughter Samantha, and later on my son Dillon, were very instrumental in helping me edit my first batches of videos. They both became Masters at videography and editing. My wife Robyn encouraged me greatly to push on and focus on this new venture. She saw it as something I loved and exceptionally OCD about! My mom had just passed in September of 2019 and my way of coping was to dive into a project to help my grief. Mom would be very proud of what happens next.AIAVS Online was separate and apart from my onsite teaching program given by my South Coast Urogynecology Corporation. Those who wanted to be Alinsod Fellows had to travel to Laguna Beach, California, and train with me side by side. I had so many International doctors begging me to come to train in their countries or create a separate online course. Hence the creation of AIAVS Online. I had to announce it to the world so off to ISCG 2022 Fort Lauderdale Samantha and I went.Samantha had created beautiful pull-up stands advertising my new venture that highlighted my Modules that ranged from Labiaplasty, Vaginoplasty, to Gynecologic Photography. We had tons of interest. It was a bit pricey to help pay for my huge monetary investments of hardware, software, hosting. We chose Vimeo as our core. Just storing the organized videos cost me $36,000/year for starters. This turned out to be the precursor of Gynflix, released on later on in the year October 2022, the same time I sold my Laguna Beach practice. I wanted to create THE Netflix of Gynecology video service that anyone in the world interested in Cosmetic Gynecology could access. So I brainstormed with Samantha to upgrade AIAVS Online. I wanted it to be more affordable and with the highest quality videos possible for a wider audience. 4K quality for most videos and HD at the least. All narrated and explained by me with live descriptions or dedicated voiceovers. We worked with my magnificent Webmaster, Suzette Peterson, and her daughter Sarah, night and day for months to launch Gynflix. Total Team Effort!!! Now www.gynflix.com is the World Leader in Online Cosmetic Gynecology e-Learning watched in over 50 countries and in all 50 states. It hosts over 300 videos on surgical and non-surgical Cosmetic Gynecology. I sold my Laguna Beach practice and my onsite teaching program but kept AIAVS Online and Gynflix. I was off to my new home and new practice in Dallas, Texas. A new start that built on my 30+ years of California practice. ISCG 2022: The Event!Hope you enjoyed that journey back in time to 2022! Good times. Pre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Early Bird Registration is now open.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyRocking that Gynflix Life:The Gynflix Life keeps you updated and on top of the heap. A message from Kimberly Evans, MD, and her experience with Gynflix:Index and Guide to Detailed Surgical Videos:For more Cosmetic Gynecology Training join Gynflix.comClick here for Silver Subscription: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription.If you want to go directly to O-Shot/Clitoxin and Vampire training go here: Runels CMAI love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!My Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have thousands of subscribers to this Cosmetic Gynecology Newsletter and I am hopeful you help me get that many on Instagram!Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixDALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7510Contact:Dr. Red Alinsod: [email protected] Website: www.alinsodinstitute.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe

The Pandemic was a gift to Cosmetic Surgeons, Plastic Surgeons, Dermatologists, Gynecologists, and just about every medical provider. Listen how Marco advised us then on how to take advantage of the times. See how correct he was three years later!Enjoy Marco’s talk. Click here to learn more about ISCG. Looking back at ISCG 2021So interesting to see how we were wearing masks and all spaced out in our seating. ISCG 2021 was the very first Post Pandemic Congress to break out of the pack! Pre-Congress Sign Ups are Open for the Annual ISCG Congress 2025!If you have not been to an ISCG Congress then you must attend ISCG 2025. Plan ahead for for March 20-22, 2025 in Fort Lauderdale. Early Bird Registration is now open.HIGHLIGHTS for ISCG 2025Cutting Edge Cosmetic Gyn ProgramExpert Body Contouring SessionsExpert Marketing & Business Sessions​The Dr. Miami ExperienceSpanish SessionSPECIAL EVENTSThe President's VIP DinnerISCG Awards CeremonyRocking that Gynflix Life:The Gynflix Life keeps you updated and on top of the heap. A message from Rafal Kuzlik and I as we talked about teaching Cosmetic Gynecology in today’s world. We were in Antigua, Guatemala speaking at a huge Latin Congress called LIAGREF.Index and Guide to Detailed Surgical Videos:For more Cosmetic Gynecology Training join Gynflix.comClick here for Silver Subscription: Gynflix SubscriptionContact Suzette Peterson at ‭(909) 374-1000‬ or email her at [email protected] if you are interested in Fellows Gold Subscription.If you want to go directly to O-Shot/Clitoxin and Vampire training go here: Runels CMAI love hearing from my Fellows, Grads, subscribers. Text or email me. I answer questions from all around the world!My Three Newsletters:For the Lay Public and Medical Professionals: Feminine Wellness NewsletterFor Medical Professionals: Cosmetic Gynecology NewsletterFor Surgeons: Subscribe to the Labiaplasty Newsletter:Social Media:Follow my Social Media adventures below as I educate and entertain every week. Join me on Instagram as VageniusMD. I have thousands of subscribers to this Cosmetic Gynecology Newsletter and I am hopeful you help me get that many on Instagram!Instagram: VageniusMDFB: Vagenius - Red Alinsod, MDTicTok: VageniusMDWebsites:Alinsod InstituteGynflixDALLAS OFFICEAlinsod Institute DallasWomen’s Wellness Institute of DallasPreston Sherry Plaza8201 Preston Road Suite 520Dallas TX 75225Phone: 945-900-7510Contact:Dr. Red Alinsod: [email protected] Website: www.alinsodinstitute.comCosmetic Gynecology Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit cosmeticgynecology.substack.com/subscribe