Feminine Wellness Podcast

Deep dives into Feminine Wellness from a Cosmetic Gynecologist
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The most current coverage of restorative and regenerative therapies for women presented by Red Alinsod, MD. femininewellness.substack.com

  1. 23h ago

    Going Deep on Spark TV: Why Women Are Still Unprepared for Intimate Aging

    Going Deep with Lana Kerr is created by Lana Kerr and distributed on Spark TV. The conversation Women are prepared for menstruation, pregnancy, and menopause, but almost no one prepares them for what aging does to intimate health: pain, dryness, reduced sensation, urinary changes. Lana opens the show with that gap. Dr. Hall (women’s health, hormones, and healthy aging) and I take it from the clinician’s side: why it stays unspoken, how we raise it in the exam room, and what actually helps. Chapter guide * 0:41 Why intimate health is neglected: taboo, and funding that goes to men’s health * 6:38 Teaching anatomy at the first visit * 13:03 What changes with age, and “normal” versus “optimal” * 17:18 Symptoms that should never be dismissed * 20:33 “Normal” labs versus how the patient feels * 23:42 Blood flow, oxygen, and vaginal moisture * 26:58 Devices, biologics, and carboxytherapy * 32:08 The “wood floors” explanation of rejuvenation * 34:17 Childbirth, C-section, and postpartum hormones * 38:07 Why elective vaginal surgery is still stigmatized in OB/GYN * 43:17 Labiaplasty: function, beauty, and sensation * 45:05 Radiofrequency versus lasers * 50:00 Incontinence and overactive bladder * 52:34 Misconceptions about hormones * 58:29 What the next generation should know Start with the exam room: anatomy and the questions patients won’t ask Patients rarely raise sexual or urinary symptoms on their own, and in an insurance-paced visit a conversation about sex can take half an hour. I put the topic on my intake questionnaire so I do not have to wait for the patient to bring it up. At the first visit I use a full-scale anatomical model, then a hand mirror, a half speculum so we can look at the bladder and rectum separately, and a gentle cotton swab to point out the urethra, the G-spot area, and the rectum. Most patients call all of it “the vagina.” Naming the parts educates and demystifies. “Normal” is not “optimal” Women often tell us they are “fine.” Dr. Hall and I both pushed back on the idea that a symptom is acceptable because it is natural. Pain, dryness, overactive bladder, and painful intercourse are common with age. They are not something a patient has to accept. We also agreed that irregular bleeding after age 35 needs to be worked up, and that “normal” lab values do not settle the question of how the patient feels. In my practice, symptoms guide the treatment. Blood flow and oxygen The thread I kept returning to is blood flow. Vaginal moisture is largely a transudate driven by blood flow through the capillary walls, not secretion from glands, and estradiol drives that blood flow. As estradiol falls, tissue thins and dries, and pH rises, which sets up recurrent vaginal and urinary infections. Keeping blood flow and oxygen up, whether with estrogen, devices, or carboxytherapy, is the principle I would take away from the whole discussion. Carboxytherapy I described carboxytherapy as my fastest way to raise local oxygen in genital tissue. It is a hormone-free gel that is mixed from two packets, applied to the labia and placed in the vagina with a syringe, and left on for about 45 minutes. In dry, painful tissue I use it before surgery to improve the tissue, and again afterward to support healing and protect the wound edges. Why this matters for the surgeon Dr. Hall said it plainly: do not operate on a vagina unless it is healthy and ready. I agree. Tissue that has not been optimized heals poorly, so I treat the tissue first. Childbirth is a good example of the anatomy we correct. The muscles are stretched and disorganized, and in surgery I supply the framework while the patient’s own collagen and elastin fill it in. Stigma inside our own specialty I was candid about the reception elective vaginoplasty, labiaplasty, and perineoplasty still get from much of OB/GYN,which tends to accept procedures only when insurance pays for them. That is why many of us built our own society. Plastic surgeons and cosmetic surgeons, who work in elective practice every day, have been the specialty most open to this work. Labiaplasty: function, beauty, and sensation Most women have normal labia and need nothing done. The reasons for surgery are functional, such as athletes or painwith intercourse, or a patient’s own sense of beauty. I told the story of a patient who asked me to make her “look like Barbie.” The point is that preferences vary and deserve a respectful consultation. On sensation, I cited the plastic surgery literature showing no effect on sensitivity, orgasm, or moisture when labiaplasty is done properly. Radiofrequency and Lasers I compared the main energy-based options. Non-microneedling radiofrequency is comfortable and, in my experience ,works much like estradiol: it thickens tissue and increases blood flow. I described a 2016 publication in which it increased small nerve fiber density, and a small series of 25 patients who had difficulty reaching orgasm, 23 of whom reported reaching it in about one-third less time. My protocol is one treatment monthly for three months and then once or twice yearly. Lasers also work, but my view is that they increase collagen without the same effect on elastin. I invented ThermiVa, so you should weigh my bias accordingly. Incontinence and overactive bladder For stress incontinence, slings remain the gold standard. For patients who want a non-surgical option, I combine radiofrequency with platelet-rich plasma in the mid-urethral area, which may also improve sensitivity. For dry, irritated tissue with recurrent infections, carboxytherapy lowers the vaginal pH and has helped reduce recurrent vaginal and urinary infections in my practice. Hormones Dr. Hall made the case for individualized hormone optimization, and we both questioned how much the 2001 Women’sHealth Initiative findings should still drive decisions today. We also agreed that testosterone, estrogen, DHEA, and thyroid all matter, and that exercise and lifestyle are part of the answer. What the next generation should know Lana closed by asking what the next generation needs to know so they never enter midlife this unprepared. Dr. Hall pointed to early education, and to being careful about hormonal birth control. My answer was shorter: keep your blood flow high and your oxygen high. Whether that comes from devices, estrogens, or carboxytherapy, those two things protect your genital tissues from aging. Disclosure: Dr. Red Alinsod is the inventor of ThermiVa, and a consultant for Lumisque Watch on YouTube: Going Deep with Lana Kerr – Full Episode Carboxytherapy Newsletters for the Lay Public: Gynflix Platform Invitation Gynflix.com is the most comprehensive and personalized online teaching platform for aesthetic and functional vulvovaginal surgery. It is the first of its kind in depth and organization, built specifically for surgeons who want more than scattered videos. I created the techniques now used around the world — Barbie and Hybrid labiaplasty, radiofrequency approaches, the combination pudendal-levator block for awake in-office work, central and lateral clitoral hood reduction, Feathering and Grooving revisions, and the integrated approach to vaginoplasty and perineoplasty. On Gynflix you receive the complete, unfiltered training. Nothing is held back. The platform provides progressive, hand-holding education from the first careful steps through intermediate refinement to expert-level decision-making and revision work. Many live courses worldwide require Gynflix viewing as preparation and continue to use it for ongoing education long after the hands-on training ends. My trained Fellows around the globe rely on it to maintain and advance their skills and as a core adjunct to the programs they themselves teach. What Gynflix.com contains and how it is organized * Hundreds of full-length 4K and HD videos of actual surgeries and detailed lectures covering Labiaplasty (Barbie, Hybrid, Rim), Clitoral Hood Reduction, Vaginoplasty, Perineoplasty, Anal Skin Tag removal, combination procedures, and revision of previously operated cases. * An extensive, logically organized before-and-after photo library (the Alinsod Atlas). * Short “Cheat Sheet” videos for rapid pre-case review. * Video Shorts that distill key teaching points. * A powerful, optimized search engine and detailed Index/Guide with keywords and direct links so you can locate the exact technique, variation, or complication management you need in seconds. The platform is designed for ease of use. You can watch from any device, anywhere, at your own pace. Navigation is clean and the search function is built for surgeons who need precision rather than browsing. The Modules and the Alinsod Institute Diploma The heart of structured learning on Gynflix is the Modules. Each Module is a focused, sequential course of study on a specific topic — Labia Minoraplasty with Clitoral Hood, Vaginoplasty and Perineoplasty, External Anal Skin Tag Reduction, Core Labiaplasty, Botched Revision and Feathering, and others. Videos within each Module are ordered in proper teaching sequence so you progress logically from fundamentals through advanced nuances and multiple case examples. Completion of a Module is formally recognized with the Alinsod Institute Diploma(Certificate of Completion). This Diploma documents that you have completed a directed, in-depth course of study under the curriculum I developed and have taught for more than two decades. It is awarded by the Alinsod Institute and serves as tangible recognition of the focused training you have completed. The Modules deliver real depth rather than overview content. They are the structured pathway many surgeons use both as preparation for live courses and as continuing education afterward. For those who complete them, the Alinsod Institute Diploma stands as clear evidence of that commitment and accomplishment. Gynflix is not a highlight collection. It is the working tea

  2. 1d ago

    Choosing Your Surgeon: What to Look For and What to Ask at Your Consultation

    For eleven Sundays we have talked about operations: what each one does, who it helps, and what healing looks like. This last week of October is about a decision that matters more than any technique I have described: who will do your surgery? Here is what I tell the women who ask me. Why training matters so much here Labiaplasty is not taught in medical school, internship, residency, or fellowship. Neither is elective Vaginoplasty. Surgeons learn it afterward, so two doctors with the same diploma can have very different experience. OBGYNS are trained different from Plastic Surgeons. Gynecologists, urogynecologists, and some plastic surgeons do most of these surgeries. Gynecologists repair fallen bladders, rectums, and birth tears as everyday work; urogynecologists focus on the most severe incontinence and prolapse; plastic surgeons are trained in cosmetic surgery, but few in vaginal surgery. With added training and experience, any of these specialists can do this work well. The title matters less than what the surgeon has actually learned and done. Training should not stop after one course. I still support teaching in operating rooms and at meetings around the world so the surgeons I have trained, my Fellows, stay current, and an Alinsod-trained Fellow can be a good place to start when you book a consultation (ask them the same questions below). Look for someone who can do both The Consultation. This is the point I care about most. If you are considering vaginoplasty, perineoplasty, or anything for “looseness,” your surgeon should be comfortable with both aesthetic surgery (how things look) and reconstructive pelvicsurgery (prolapse and pelvic floor repair). Why? Because a gaping opening is not always just cosmetic. As we saw in November, it can be the visible sign of the rectum, bladder, or small bowel bulging into the vagina. “Just tighten me” can miss the problem underneath, and a prolapse repair alone may ignore how the vulva looks afterward. Ideally, one plan covers both. For many years I have taught surgeons to combine pelvic reconstructive and aesthetic principles for exactly this reason. Teaching surgeons the anatomy of the pelvis. Reconstructive training is what helps a surgeon find the problem underneath. Larger prolapse repairs belong in the operating room, while many labial and vaginal surgeries can be done awake in the office. Ask where your surgery would be done, and why. Before-and-after photos, and how often Ask to see before-and-after photos of the surgeon’s own patients with your problem. Wanting a Barbie Look? Look at Barbie Looks. Planning a revision? Ask for revision photos. You want many examples, not two or three favorites. An online before-and-after gallery with many cases of each procedure. Browse it to find the look you like, then show your surgeon. Ask how often the surgeon does your procedure. There is no magic number, but a surgeon who does it regularly has seen the variations and knows how to handle them. Ask, too, how often they need to touch up their own work, and what they do when it happens. Teaching surgeons from around the world how to repair botched surgery. If you need a revision, ask how much revision work your surgeon does. And ask how long the surgery takes. A careful labia minoraplasty takes me a couple of focused hours. Labial surgery with vaginal surgery is a 3-4 hour case. Easy. Be cautious of a quick half-hour job. Careful labial surgery takes time. Ask your surgeon how long your operation will take. What a thorough consultation looks like A good first visit is unhurried. It starts with a detailed history: your symptoms, your births, your bladder and bowel habits, past medical problems, medications, allergies, your sex life, and what you hope will change. Small details can change a plan. Click here for a past Newsletter on The Labiaplasty Consult you can watch. A private exam room. The consultation is time to talk, and time for a careful examination. Then comes the exam. For labial or hood surgery, your surgeon should look at the inner lips, the hood, the outer lips, and the opening together, because each one changes how the others look. Bring a photo of the look you want, and say plainly how much or how little you want removed. Some choices, like the Barbie Look, cannot be reversed, so feel sure before you decide. A labeled drawing of the vulva: the outer lips (labia majora) and inner lips (labia minora). At your exam, your surgeon should look at these together with the clitoral hood and the vaginal opening. How much to remove is a discussion. A Rim removes just the edges, a Hybrid trims to the level of the outer lips, and a Barbie Look tucks the inner lips below them. The half speculum exam: prolapse, or tissue only? If your complaint is looseness, gaping, air coming out, pressure, a bulge, or trouble emptying your bowels, the exam has to go further. A regular speculum opens the whole vagina and can actually hide a bulge. With a half speculum, the surgeon holds back one wall at a time while you bear down. Covering the floor isolates the bladder. Covering the roof isolates the rectum. This is how we tell a tissue-only problem (stretched skin and muscle at the opening or in the canal, which perineoplasty or vaginoplasty may address) from true prolapse, which needs its own repair. A plan made from photos alone, without this exam, can miss important problems. A half speculum exam while she bears down, before surgery (top) and after (bottom). The rectal bulge is gone after repair. Individual results vary. The same patient with the bladder wall isolated, before (top) and after (bottom) repair. Informed consent is a conversation Informed consent is not just a signature. It is the conversation in which you understand what will be done, why, what the alternatives are, and what the risks are, before anything is scheduled. Risks include reactions to anesthesia, infection, bleeding, and the chance that you will not be fully happy or will need a touch-up. They are uncommon, but you deserve to hear them plainly. A good surgeon will also tell you when pelvic floor therapy, a non-surgical treatment, or no treatment at all is reasonable. ThermiVa, which I invented, can help mild laxity in some women, but it is not a substitute for rebuilding a torn perineum or repairing a rectocele. Read your pre-op and post-op instructions before surgery day, so there are no surprises. And remember: every body heals differently, and results vary. No honest surgeon can guarantee an outcome. Here is the first page of the post-op instruction sheet my own patients take home, so you can see the kind of detail to expect. Red flags * No exam, or a plan made from photos alone. * No half speculum exam when your complaint is looseness, a bulge, or bladder and/or bowel trouble. * Pressure to book today. * Promises or guarantees of a perfect result. * No before-and-after photos of the surgeon’s own patients with your particular problem. * Vague answers about complications or revisions. * A sales pitch built around a device. A laser is a tool, not magic. The skill of the hand holding it matters more. It’s the Wizard and not the Wand that matters. * Feeling rushed, or having your questions brushed aside. Your printable question list Print this, or save it to your phone, and bring it with you. * What is causing my symptom: skin, fat, muscle, or prolapse? * Will you do a half speculum exam? * What is your training in both aesthetic and reconstructive pelvic surgery? * How often do you do this procedure? * May I see before-and-after photos of your own patients with my problem? * Exactly what will you remove or repair, and what will you leave? * Which procedures would not help me, and why? * Will you be using cadaver tissue or mesh in the repair? * Will this be done awake in the office or in the operating room? * What are the risks, and how often do you revise your own work? * If I am unhappy with the result, what happens next? * What will recovery involve: work, driving, exercise, pelvic rest, intimacy? * How do I reach you after surgery, including nights and weekends? * Is there a non-surgical option, or a reason to wait? Questions to ask at your consultation: print this or save it to your phone, and bring it with you. Looking back Over the past year we covered these topics on Feminine Wellness Newsletter: * The map: which symptom points to which procedure. * Labia minoraplasty and the truth about sensation. * Labia majoraplasty and the “camel toe.” * Clitoral hood reduction. * Clitoropexy and clitoral reduction. * Childbirth, constipation, and prolapse. * Perineoplasty. * Vaginoplasty. * Combined surgery and the Unified Approach. * Anal skin tags. * Recovery and revision. A note on timing If you consult with Dr. Alinsod in November or December 2026 and plan your surgery for 2027, you’re eligible for 25% off. Payment in full is due by the end of your consultation month (November 30 or December 31). For in-office procedures, the 25% applies to the full bill; at the surgery center, it applies to Dr. Alinsod’s professional fee. Every surgical procedure qualifies, and surgery is preferably scheduled January through April 2027, with later dates by arrangement. The Institute doesn’t offer financing but accepts CareCredit. To arrange a consultation, call 945-900-7576 or visit alinsodinstitute.com/patient-consultation. A last word Thank you for reading along with me since April 17, 2022. Whatever you decide, surgery or no surgery, you deserve a surgeon who examines you carefully, explains things plainly, answers every question, and never pressures you. Take your time. Bring your list. And be gentle with yourself. That completes the October’s series. Come back to any of these articles whenever you need them. We will end the year with more focus on specific surgical cases. FOR THE SURGEON The BEST place to learn Cosmetic Gynecology from your home and office. Anywhere. GYNFL

  3. Oct 8

    Example 6: Before and After Feathering and Grooving for Labial Creation

    Many women who come to see me have already had a labiaplasty elsewhere. They come because something went wrong, and some tell me they no longer look in the mirror. It just doesn’t look normal. If that is you, know this first: what happened has a name and a cause, and very often it can be improved. This week I am sharing a short before-and-after video of the two techniques I use for exactly this problem, feathering and grooving. Watch it, then read on. What a Botched Labiaplasty looks like “Botched” is a harsh word, but it is the one my patients use. The problems I see most: * Scalloped or notched edges. The edge ripples with small bumps or has little V-shaped bites instead of one smooth curve, often from stitches tied too tight. * Uneven sides, or thick, raised, dark cut lines with ridges or leftover tags. * Holes or strands of skin bridging the inner and outer lips. Wedge labiaplasties with poor blood supply can be a culprit. * Too much removed. Part or all of the inner lips (labia minora) is gone, which surgeons call amputation. Looks great in some patients with the right anatomy but looks terrible in the wrongly chosen patient. The upper third of the inner lip shrinks back a lot as it heals; a surgeon who does not plan for that can leave a woman completely flat. How it feels It is not only about looks. A tight scar can pull during sex, exercise, or in snug clothing, and a hood scar can stay tender. Sometimes when the inner lips are reduced too much, our paper notes they normally help direct the urine stream and protect the urethra and vaginal opening, so losing them can bring dryness and a spraying stream. And there is the emotional weight: embarrassment, anger, betrayal. Feeling abnormal. Feathering: refining and resurfacing the edges Feathering is my name for repairing damaged labial edges. With an ultrafine “hair tip” and a small ball tip on a radiofrequency device, and sometimes a CO2 laser, I shave down ridges, smooth out scalloping, shrink bulky areas, soften scars, and balance the two sides. Often few or no stitches are needed. A session takes 30 minutes to over an hour, and I often pair it with small surgical trims. I have done this kind of radiofrequency repair since 2005. Thick, folded, irregular edges before resurfacing (left), Labiaplasty results (Second Picture), immediately after Feathering (Third picture), and 6 Weeks after feathering (right). A bumpy, uneven result before resurfacing, right after surgery, and six weeks of healing. No sutures. All done with radiofrequency. Grooving: creating new labial definition Feathering refines tissue that is still there. When little or nothing is left, grooving creates. Under local anesthesia, I use the fine radiofrequency tip to trace the old crease where the inner and outer lips used to meet. I deepen that line into a groove, freeing a thin edge on the inner side. Beside the new groove, that edge reads to the eye as an inner lip. Honestly, it is mostly an optical illusion: new shadow and contour, not new tissue. For more definition, a few stitches can join the outer-lip side of the groove to the new lower edge to hold the shape. I first used grooving for a few of my own Barbie Look patients who later wanted some inner lip to show, then for women whose labia were removed elsewhere. Our paper records that I described it in 2007. For years I taught it only to my Fellows rather than publishing it. Grooving. Left: almost no inner lip. Middle: right after the groove is made. Right: six weeks later, with new definition. What our published paper found Reham Awwad, Red Alinsod, Natalie Sorial, Amr Seifeldin. Labia Minora Reconstruction using a Labia Majora Flap for Female Genital Mutilation/Cutting and Botched Labiaplasty. J Clin Res Case Stud. 2024. 2(3): 1-11. DOI: doi.org/10.61440/JCRCS.2024.v2.53 Before this paper, published methods for rebuilding inner lips borrowed tissue from the clitoral hood, which is impossible when the hood has been cut away or is too small. My friend Dr. Seifeldin, a urogynecologist in Cairo, developed a different method in 2015: he lifts a flap from the hairless inner side of the outer lip and turns it up into a new inner lip about 1.5 to 2 centimeters wide. The paper presents four women treated with his flap, all of whom had undergone genital cutting as girls, and one 21-year-old treated with grooving after a Barbie Look labiaplasty, when she asked for her labia to be extended. The findings: * Everyone healed within the expected six to eight weeks, and all were highly satisfied, describing “feeling complete” and “feeling confident.” * Both women who had complained of dryness noticed better lubrication. * Pain was minimal for two to four days, managed with oral pain medicine and cold compresses. * Two had mild early swelling; one had a small spot of sticking, easily released at two weeks. No complications occurred during surgery. The limits matter: this is a small case series, only two patients returned at six months, no standardized self-image questionnaire was used, and longer studies are needed. Encouraging, not final proof. Who is a candidate * You are fully healed. Tissue keeps changing for months; most experienced revision surgeons, me included, wait at least about three months after initial surgery. * Feathering suits edges that are scalloped, notched, bumpy, uneven, or scarred, with enough tissue left to reshape. * Grooving suits little or no inner lip when you want modest definition, up to the level of the outer lips and slightly past. For more width, a flap may be better. * You can commit to aftercare. Smoking slows healing; none of the women in our paper smoked. You have to follow my instructions for proper healing. What recovery is like * Swelling peaks in the first week; regular icing helps. We give you numbing cream for those irritated periods. Raw surfaces heal over about six to eight weeks. * The Q-tip exercise is essential. After numbing cream, you gently run a cotton swab along the healing groove or edges twice a day for four to six weeks so they do not fuse. In our paper, the one case of sticking was blamed on too little ointment. * PRP from your own blood and estrogen or exosome cream may be recommended. It can speed up and improve healing. * The look keeps maturing for months, and sometimes a second session is needed. One woman below had two treatments. Healing week by week: the botched result on Top, after resurfacing in Middle, two months later at the Bottom. Realistic expectations Revision is improvement, not a time machine. Removed tissue cannot be put back exactly as it was. Feathering smooths and balances; grooving restores the look of an inner lip; a flap adds width. I cannot fix everything, but I can fix a great deal, and I will tell you plainly what to expect. Questions to ask a revision surgeon * How many labiaplasty revisions have you done, and may I see before-and-after photos of cases like mine? * What went wrong in my case, and do you recommend feathering, trimming, grooving, or a flap? Why? * How much definition can I realistically expect? * What will daily aftercare involve, and whom do I call if I am worried? * What if the edges stick together, and might I need a second procedure? A closing word If your first surgery left you hurting or ashamed, please do not blame yourself. You trusted someone. You deserve to be heard, examined carefully, and told the truth about your options. Most can be repaired beautifully. It’s not hopeless. Here are a few more past Newsletters on Revision Surgery: * Botched Labiaplasty Revision Surgery Case Studies * Feathering for Botched Labiaplasty Repair * History of the Alinsod Grooving Technique to Create Labia Minora from No Labia FOR THE SURGEON The BEST place to learn Cosmetic Gynecology from your home and office. Anywhere. GYNFLIX Cosmetic Gynecology e-Learning For Detailed Videos Click on the Index Photo Below: For more Cosmetic Gynecology Training join Gynflix.com 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. Click here for Silver Bullet Subscription at $98 a month: Gynflix Subscription Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at sette.peterson@gmail.com 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 of actual surgeries. For Cosmetic Gynecology Before and After Video Gallery go HERE. The patient’s Story from Start to Finish. Let’s Stay Connected I’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 I’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 enterta

  4. Sep 22

    Will Labiaplasty Ruin Sensation? What the Studies Actually Show

    Almost every woman who sits down with me about labiaplasty asks some version of the same question. If you trim the labia, or reduce the extra skin over the clitoris, will I lose feeling? Will I stop having orgasms? Will orgasm be less intense? It is a fair question. The internet is full of scare stories. Some of them come from poorly done surgery. Most of them come from a misunderstanding of where the nerves actually live. I have spent more than thirty years operating on this anatomy, teaching it, recording it, and then repairing it when someone else has taken too much or when nature’s healing was not symmetric or smooth. I can tell you what the operating room shows. I can also tell you what the published numbers show. They agree more than the blogs do. Done with respect for the nerves and knowledge of anatomy, labiaplasty and clitoral hood reduction — whether a trim, a wedge, a hybrid, or a rim — do not destroy clitoral sensation and do not cause long-term sexual dysfunction. In many women they do the opposite. Sex gets more comfortable. Orgasm gets easier. The extra fold of skin that used to bury the clitoris is no longer in the way. That is not a slogan. That is what the best papers we have actually measured. The best paper was done by my Fellow Otto Placik, MD. First, where the nerves really are The clitoris is not only the little button you can see. It is a wishbone of erectile tissue that runs under the pubic bone and along the sides of the vaginal opening. The main clitoral nerves travel on top of that wishbone, deep, under a layer of tissue — not in the thin free edge of the inner lips, and not in the extra hood skin we usually remove. A properly planned labiaplasty works on skin and the moist inner lining. A properly planned hood reduction works on extra folds of skin lying above or lateral of the clitoral nerve. Neither operation cuts the body of the clitoris. Neither operation chases those deep nerves. We know where they are and we stay away from them. That is why a woman can have a generous trim or an extended wedge and still feel a light touch on the hood a year later. The nerve highway was never on the piece of tissue removed. The inner lips themselves are sensitive. They have many small nerve endings along the edge. That is real. Numbness on those surgical edges does happen then the regrowth of small nerves occurs, and edge sensitivity goes back to normal. The study that finally measured it For years we had opinions. In 2015 we got a map. Dr. Otto J. Placik — plastic surgeon in the Chicago area, the most prominent labiaplasty surgeon in the Midwest, and a proud Fellow and graduate of the Alinsod Institute — did what the field had not done. He did not just ask women if sex was “better.” Otto tested them. He has a very curious mind. He wrote the chapter on Clitoral Hood Reduction in my textbook. With John P. Arkins he enrolled 37 women having reduction of the inner lips plus reduction of extra clitoral hood skin using the trim, or edge, method. At five mapped points — the hood and four spots on the lips — he used Semmes-Weinstein monofilaments. Those are the same fine nylon hairs a neurologist uses on a diabetic foot: you press until the hair bends, and the woman says whether she felt it. He tested before surgery, at two weeks, and at three, six, and twelve months. That paper is: Placik OJ, Arkins JP. A Prospective Evaluation of Female External Genitalia Sensitivity to Pressure following Labia Minora Reduction and Clitoral Hood Reduction. Plast Reconstr Surg. 2015;136(4):442e–452e. * Journal page * PubMed * Author PDF Here is what he found. * No loss of feeling on the clitoral hood. * No loss on the inner part of the lips, closer to the vaginal opening. * At six months the cut edge of the lip was not numb. It was slightly more sensitive. * At six months, 44 out of 100 women were having sex more often. * 35 out of 100 were reaching orgasm more often. * 35 out of 100 said those orgasms were stronger. * 34 of the 37 women came back at six months. 28 were followed at least a year. His conclusion, in the journal’s own words: “Labia minora and clitoral hood reduction as performed by the trim/edge resection method does not result in diminished sensitivity.” That sentence should be on every consult sheet in this country. It came from a prospective map, not a marketing brochure. I am proud it came from a surgeon I trained. A year later, in the same journal, European colleagues wrote a letter about Otto’s paper. They did not attack it. They put it next to the two largest series in the world and said the same thing we tell patients: the nerves survive a careful operation. Oranges CM, Largo RD, Garcia Nuñez D, Schaefer DJ. Letter on Placik and Arkins. Plast Reconstr Surg. 2016;137(4):758e. * The letter The two biggest series ever published Before Otto’s touch-tests, we had two giants doing their diligent research. They asked women, in plain language, what sex felt like after surgery. Dr. Gary Alter, 2008. A wedge removal of the inner lips plus reduction of extra hood skin on the sides. 407 women. 166 sent back questionnaires. Alter GJ. Aesthetic Labia Minora and Clitoral Hood Reduction Using Extended Central Wedge Resection. Plast Reconstr Surg. 2008;122:1780–1789. * PubMed Among those who answered: * About 23 out of 100 said sexual feeling improved — easier orgasm, more sensitive. * About 5 out of 100 said sexual feeling changed for the worse — harder orgasm, or less feeling in the lips. Read that twice. In the largest American wedge series, more than four times as many women felt more as felt less. The 5 out of 100 matters. I will come back to it. It is not the typical result. It is the tail you see when too much tissue comes off, or a scar pulls, or a woman is already struggling. Prof. Stefan Gress, 2013. A “composite” operation: inner lips, hood, and a clitoris that sat too high brought a few millimeters closer to the vaginal opening. 812 operations. Gress S. Composite Reduction Labiaplasty. Aesthetic Plast Surg. 2013;37:674–683. * PubMed * Author summary Gress wrote that fears of lost sexual feeling were unfounded. None of his patients reported a problem getting sexually stimulated. About 35 out of 100 said they were easier to stimulate after surgery, especially the women whose clitoris had sat too high and came down a little. Three women had temporary pain with intercourse. It was gone by two months. No lasting numbness. No strange burning that stayed. The 2016 letter put those two numbers on one page: Alter, about 23 better and 5 worse. Gress, about 35 more easily stimulated. Then it pointed at Otto’s touch-tests as the reason the questionnaires make sense. Hood reduction is not “clitoral surgery” Women hear “clitoral hood reduction” and picture a knife on the clitoris. That is not the operation. We are not cutting the clitoris. The hood is a fold of skin. Extra folds bury the sensitive tip. Reduce the fold and more of that tip can meet touch. That is mechanics, not magic. In 2010 a multicenter group that included Otto Placik and other experienced genital surgeons looked at 258 operations and separated hood work from vaginal tightening. Goodman MP, Placik OJ, Benson RH III, Miklos JR, Moore RD, et al. A Large Multicenter Outcome Study of Female Genital Plastic Surgery. J Sex Med. 2010;7:1565–1577. * ScienceDirect * Open PDF They simply asked women whether sex was better, the same, or worse. * After labiaplasty and/or hood reduction alone, about 65 out of 100 said sex improved at least somewhat. * When those operations were combined with vaginal tightening, about 93 out of 100 said sex improved. * About 97 out of 100 were satisfied with the labiaplasty / hood result. * The wedge had a slight edge over a straight trim for sexual improvement — 70 versus 56 out of 100 — but both groups improved. A year later the same lead author reviewed the whole field and put sexual satisfaction after these operations in the 80 to 85 out of 100 range, and overall satisfaction in the 90 to 95 range. * 2011 review * Open PDF That is not “everyone becomes a different person in bed.” It is “most women are the same or better, and the ones who came in hurting often stop hurting.” What later studies mean when they talk about “sexual function scores” After 2015, most papers stopped using nylon hairs and went back to questionnaires. The one you will see named in headlines is the Female Sexual Function Index. That is not a medical test. Nobody draws blood. Nobody puts a probe on the clitoris. It is a written survey, usually 19 questions, that asks a woman about the last month of her sex life. It covers six ordinary things: * Desire — do you want sex? * Arousal — does your body turn on? * Lubrication — do you get wet enough? * Orgasm — can you get there, and how often? * Satisfaction — is the experience worth having? * Pain — does intercourse hurt? Each area gets points. Those points are added into one total. A higher total means sex, on paper, is going better. A jump in the total does not prove a nerve grew back. It can mean less tugging, less self-consciousness, less pain at entry, more of the clitoris available to touch, or simply that a woman is no longer avoiding sex because she hated how she looked. It can show a trend towards improvement if there is one. A 2025 review added up six studies that used this survey after labiaplasty. Together they included hundreds of women. The average total score rose by about 19 percent. In plain English: on that questionnaire, sex was better by roughly one-fifth. * Nahidi et al., 2025 A second review, looking at papers from 2015 through 2025, found the same pattern: after labiaplasty, with or without hood reduction, women scored better on these surveys. No method — trim, wedge, or the more combined operations — clearly beat the others for sex. And the authors said, in one clean sentence

  5. Sep 1

    Example 5: Before and After Video of my Labia Majoraplasty with Fat Pad Excision

    Another Before and After Video of my patient’s STORY from start to finish. See how she goes from feeling heavy and bulky and self conscious to petite and confident in her jeans. This is a Bread and Butter surgery for me. I invented this technique. Instead of the standard picture of a Before Surgery and a picture of an After Surgery you now have access to the patient’s history shared via videos showing the transformation through time. This story captures several months of a journey but many of my releases cover a decade. Take a peek. No one else has this type of documented transformation available. You can watch the entire collections on www.gynflix.com also. Over 20 stories of hope. My Before and After Videos are a Labor of Love that has taken 20 years to compile and compose. Go watch them. All I do is labial and vaginal surgery. No tummies, no butts, no breasts. I specialize only on Cosmetic Gynecology. Visit www.alinsodinstitute.com. FOR THE SURGEON The BEST place to learn Cosmetic Gynecology from your home and office. Anywhere. GYNFLIX Cosmetic Gynecology e-Learning For Detailed Videos Click on the Index Photo Below: For more Cosmetic Gynecology Training join Gynflix.com 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. Click here for Silver Bullet Subscription at $98 a month: Gynflix Subscription Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at sette.peterson@gmail.com 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 of actual surgeries. For Cosmetic Gynecology Before and After Video Gallery go HERE. The patient’s Story from Start to Finish. Let’s Stay Connected I’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 I’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: VageniusMD FB: Vagenius - Red Alinsod, MD TicTok: VageniusMD Websites: Alinsod Institute Gynflix My Three Newsletters: For the Lay Public and Medical Professionals: Feminine Wellness Newsletter For Medical Professionals: Cosmetic Gynecology Newsletter For Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter: Follow me on my Adventures Worldwide MY LOCATION Alinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.com Feminine Wellness 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 femininewellness.substack.com/subscribe

  6. Aug 18

    Example 4: Before and After Video of my Unified Labiaplasty with Clitoral Hood Reduction and Perineoplasty

    Just released another Before and After Video of my patient’s STORY from start to finish. Instead of the standard picture of a Before Surgery and a picture of an After Surgery you now have access to the patient’s history shared via a video showing the transformation through time. Sometimes after six weeks and sometimes after ten years! This one is after four years. No one else has this type of documented transformation available. You can watch the entire collections on www.gynflix.com also. Over 20 stories of hope. My Before and After Videos are a Labor of Love that has taken 20 years to compile and compose. Go watch them. FOR THE SURGEON The BEST place to learn Cosmetic Gynecology from your home and office. Anywhere. GYNFLIX Cosmetic Gynecology e-Learning For Detailed Videos Click on the Index Photo Below: For more Cosmetic Gynecology Training join Gynflix.com 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. Click here for Silver Bullet Subscription at $98 a month: Gynflix Subscription Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at sette.peterson@gmail.com 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 of actual surgeries. For Cosmetic Gynecology Before and After Video Gallery go HERE. The patient’s Story from Start to Finish. Let’s Stay Connected I’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 I’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: VageniusMD FB: Vagenius - Red Alinsod, MD TicTok: VageniusMD Websites: Alinsod Institute Gynflix My Three Newsletters: For the Lay Public and Medical Professionals: Feminine Wellness Newsletter For Medical Professionals: Cosmetic Gynecology Newsletter For Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter: Follow me on my Adventures Worldwide MY LOCATION Alinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.com Feminine Wellness 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 femininewellness.substack.com/subscribe

  7. Aug 14

    Example 3: Before and After Barbie Look Labiaplasty with Medial Clitoral Hood Reduction

    Labiaplasty has been my CORE surgery for over 20 years and is a surgical procedure that reduces and reshapes the labia minora—the inner lips of the vulva—when they cause discomfort, irritation, chafing during activity or intercourse, or when a woman simply prefers a different appearance. I have found that many women also notice excess tissue on the clitoral hood that can create imbalance once the labia are reduced. It looks “Top Heavy.” That’s why a clitoral hood reduction is frequently performed at the same time for symmetry and a balanced result. It keeps the visual appearance pleasing and without sudden and abrupt changes and improves the flow from top to bottom. This video is a summary of steps to get to a Barbie Look Labiaplasty. The full length version is on www.gynflix.com.. I developed two specific approaches in 2005 while practicing in Laguna Beach, California: the Barbie Look and the Hybrid Look. The Barbie Look removes nearly all, or all, of the labia minora so they no longer protrude beyond the labia majora. The goal is a smooth, streamlined “clamshell” appearance that many active women and athletes find especially comfortable—no more adjusting, tugging, or outlining under tight clothing, swimsuits, or workout gear. The Hybrid Look is a close relative: most of the tissue is removed, but a small, natural remnant remains, still tucked below the level of the outer lips. The most conservative appearance is the Rim Look where only the edges are excised. All use the same foundational curvilinear (curved linear) excision technique that I refined over years of practice. This approach allows precise control over the final shape and edge color while avoiding some of the healing issues more common with traditional wedge methods. BARBIE LOOK EXAMPLE HYBRID LOOK EXAMPLE RIM LOOK EXAMPLE Medial clitoral hood reduction is often paired with these procedures. Excess folds of skin over and beside the clitoris are carefully reduced from the medial side (and sometimes laterally) so the overall appearance remains proportional. Leaving a prominent hood after aggressive labial reduction can create an unbalanced look; addressing both areas together produces a more harmonious result. These are superficial skin procedures performed with great care around sensitive structures. Risk to the clitoral nerves is exceptionally low when done with by an expert who performs these surgeries in volume and has had specialized training outside their internships/residencies/fellowships. These procedures are not taught in the vast majority of formal academia. Buyer beware. I do these surgeries mostly in the office under local anesthesia while the patient is awake—no intravenous line required in most cases. A topical numbing cream is applied first, followed by carefully placed local injections. Optional oral medication can help with relaxation. Precision radiofrequency instruments allow fine control with minimal lateral heat, which supports clean edges and good healing. The same basic technique is tailored to each woman’s anatomy and goals—whether she wants the more conservative Rim Look (just the darkened edges), the middle-ground Hybrid, or the full Barbie appearance. Who benefits most? Women who experience daily or occasional irritation, pulling, or discomfort with clothing, exercise, or intimacy, as well as those who simply prefer a neater, less prominent appearance. Those who are afraid to wear their bikinis, Lululemon’s, tights. Athletes and very active women often choose the Barbie Look for maximum comfort. Examples are volleyball players, competitive swimmers, gymnasts, equestrian competitors. Good candidates have realistic expectations, adequate labia majora volume to provide natural coverage after reduction, and a clear understanding that the Barbie Look cannot be reversed. Proper screening and a thorough consultation—ideally with a mirror so the patient can see and discuss her own anatomy—are essential. Benefits typically include reduced irritation and chafing, improved comfort in clothing and during activity, and greater confidence. You just feel better and less self conscious. Risks of any labiaplasty include temporary swelling, bruising, asymmetry during healing, delayed wound healing, infection, or the need for minor revision. Over-resection can happen with more aggressive techniques, which is why experience and precise marking on relaxed tissue matter. The vast majority of patients recover well with careful aftercare. Wound breakdowns are quite few when compared to Wedge Labiaplasties that have a 10-22% dehiscence rate of complications. What to expect afterward: Swelling and mild-to-moderate discomfort are normal in the first days and peak early. Most will only use Ibuprofen or a mild narcotic for pain. Rest, ice help. Most women return to desk work in a few days. Many go to work the next day. You can drive the next day if you don’t use narcotics. Sexual activity and more vigorous exercise are usually deferred for about six weeks. Final contour and resolution of residual swelling continue over several months. Absorbable sutures start melting away in about two weeks and are gone by six weeks. If you are considering labiaplasty and want to understand the full range of options—including the techniques I developed and have taught internationally—I invite you to schedule a consultation. Live, Zoom, FaceTime are all available. The Alinsod Institute is in Arlington, Texas, convenient to DFW Airport. You can learn more at alinsodinstitute.com and gynflix.com, where educational resources and case examples are available. A thoughtful consultation helps ensure the plan matches both your anatomy and your personal goals. Here is a link to the Before and After Photos I perform: BEFORE AND AFTER PHOTO GALLERY Here is a link to the Before and After Videos of CORE surgeries I perform: BEFORE AND AFTER VIDEOS Curvilinear Excision Labiaplasty Overview Curvilinear (curved linear / elliptical) excision is the preferred labiaplasty technique I described (with co-author David Ghozland) in the 2022 Clinics in Plastic Surgery chapter on Curvilinear Labiaplasty and Clitoral Hood Reduction Surgery. After years of experience with multiple methods, it is presented as the most effective approach with the fewest risks for achieving a wide range of desired outcomes (Rim, Hybrid, or Barbie Looks). Here is a PDF of that chapter: Core Advantages * The incision follows the natural length of the labia minora, allowing precise removal of darker, pigmented, or wrinkled edge tissue while accurately sculpting the new contour according to the patient’s goals. * It supports greater reduction in both length and thickness compared with central or modified V-wedge techniques. * Tissue tension is lower, reducing risks of edge separation, holes, or “pizza-slice” gaps that can occur with wedge methods when blood supply or tension is suboptimal. * One foundational technique with adjustable markings produces the full spectrum of results: conservative Rim (edge-only), middle-ground Hybrid (small remnant still below the majora), or aggressive Barbie (near-total or total removal for a smooth clamshell appearance). * It pairs naturally with concurrent clitoral hood reduction for overall balance and symmetry. Leaving a relatively prominent hood after substantial labial reduction can create an unbalanced or “heavy” appearance. The technique is only as good as the surgeon’s judgment, markings, and experience. Conservative resection is advised early in the learning curve because of the labia’s significant natural retraction, especially in the upper third. Preoperative Markings (Critical Step) Markings are performed on completely relaxed, untugged labia before any local anesthetic injection that could distort anatomy. A sterile surgical marker is used. * Begin laterally and just below the frenular crease (a practical landmark ~1–2 cm below and lateral to the clitoris). * Extend the line inferiorly to the desired final length and contour. * Mark the medial side as well. * “Kiss” the medial edges together to check bilateral symmetry. * Taper the upper third carefully and stay above Hart’s line (approximately 1.5 cm from the base in the upper third) because of substantial tissue retraction in this region. * Avoid traction while marking—right-handed surgeons must be especially careful not to over-mark the right side by pulling. For concurrent clitoral hood reduction (frequently recommended): * Spare a 6–8 mm vertical midline strip of skin over the central axis of the hood (“bridge”). * Preserve a 5–6 mm medial attachment to the labia minora. * Connect markings to the lateral edge of the interlabial sulcus while keeping the bridge at least 1 cm wide. Anesthesia and Setting Nearly all cases are performed in the office, awake, without an IV. Topical compounded anesthetic cream (often driven deeper with predictive permeation/dermoelectroporation) is applied first. Minimal volumes of buffered local anesthetic (typically 4–6 cc total of lidocaine/bupivacaine mixtures) are then injected medial to the planned dissection planes and in the minora–majora crease using a fine 30-gauge needle. Optional oral anxiolytic and light narcotic can be given. Keeping injectate volume low preserves accuracy. I also recommend long acting Exparel (Bupivacaine coated in a fat globule) that can give many days of numbness. Excision Technique Radiofrequency (RF) pinpoint needle tips are preferred (Ellman Surgitron/Pelleve or Soniquence systems). Typical settings: cutting mode 10–15 W; blend or coagulation mode 20–25 W. Advantages include exceptional precision, minimal lateral thermal spread, adjustable tip angle, and some intrinsic hemostasis. Scalpel, scissors, or laser are alternatives used by some surgeons. * Start on the more challenging side. * A recommended refinement is the “canal incision”: cut at a

  8. Aug 7

    Carboxytherapy for Menopausal Dryness and for Optimizing Surgical Outcomes

    Lumisque offers CO2Lift Carboxytherapy gel mask for beauty and facial use. Their feminine version for genital use is called “The V” (CO2Lift V). Listen and Learn of the amazing results it provides without the use of hormones. This Newsletter covers two main points: * Carboxytherapy using Lumisque’s CO2Lift V for Pre-Treatment and Post Surgical enhancement of blood flow for Optimized Surgical Outcomes * How I use this to improve skin and tissues before surgery and how I use it after surgery to make sure there is plenty of oxygen in the tissues for best outcomes. * How doctors can add this to their practices. Patients can ask their doctors for CO2Lift V to help improve the dry vagina, painful sex, and reduced sensitivity. This treatment works very well and very fast. Enjoy the presentation. Lumisque is at https: //lumisque.com POWERPOINT SLIDES Past Newsletters and Carboxytherapy Presentations * CO2Lift Pro & Surgery, June 30, 2026 * Carboxytherapy for Post Op Care for Gynecologic Cancer Surgery, April 28, 2026 * CO2LiftV with Jennifer Owen, MD, October 27, 2025 * CO2LiftV’s New Role for Post Op Healing, April 15, 2025 * How CO2LiftV is Helping Patients, From a Panel of Urogynecologists, Marach 19, 2025 * CO2LiftV for Vaginal Restoration, March 14, 2023 * How Vaginal Restoration with Carboxytherapy is Changing in 2023, January 25, 2023 * Carboxytherapy for Gynecologic Conditions, May 2, 2022 FOR THE SURGEON The BEST place to learn Cosmetic Gynecology from your home and office. Anywhere. GYNFLIX Cosmetic Gynecology e-Learning For Detailed Videos Click on the Index Photo Below: For more Cosmetic Gynecology Training join Gynflix.com 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. Click here for Silver Bullet Subscription at $98 a month: Gynflix Subscription Contact Suzette Peterson at ‭(909) 374-1000‬ or email her at sette.peterson@gmail.com 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 of actual surgeries. For Cosmetic Gynecology Before and After Video Gallery go HERE. The patient’s Story from Start to Finish. Let’s Stay Connected I’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 I’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: VageniusMD FB: Vagenius - Red Alinsod, MD TicTok: VageniusMD Websites: Alinsod Institute Gynflix My Three Newsletters: For the Lay Public and Medical Professionals: Feminine Wellness Newsletter For Medical Professionals: Cosmetic Gynecology Newsletter For Surgeons: Subscribe to the Labiaplasty and Vaginoplasty Newsletter: Follow me on my Adventures Worldwide MY LOCATION Alinsod Institute — Red M. Alinsod, MD📞 945-900-7576www.alinsodinstitute.comwww.gynflix.com Feminine Wellness 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 femininewellness.substack.com/subscribe

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About

The most current coverage of restorative and regenerative therapies for women presented by Red Alinsod, MD. femininewellness.substack.com

Information

  • Creator
    Deep dives into Feminine Wellness from a Cosmetic Gynecologist
  • Years Active
    2024 - 2026
  • Episodes
    87
  • Rating
    Explicit
  • Copyright
    © Cosmetic Gynecology Newsletter
  • Show Website
    Feminine Wellness Podcast