The Vagenius

Cosmetic Gynecology Learning from Red Alinsod, MD, and Gynflix.com

30 years of Cosmetic Gynecology pearls from Red Alinsod, MD. Content from Substack's Cosmetic Gynecology Newsletter and www.gynflix.com. cosmeticgynecology.substack.com

  1. 3D AGO

    ISCG in Pictures: A Look Back

    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, NV CAVS 2013, Las Vegas, NV CAVS 2015, Orlando, FL ESAG 2016, Rome, Italy ISCG 2017, San Diego, CA ISCG 2018, Las Vegas, NV ISCG 2019, Orlando, FL ISCG 2020, Ft. Lauderdale, FL ISCG 2021, Ft. Lauderdale, FL ISCG 2022, Ft. Lauderdale, FL ISCG 2023, Ft. Lauderdale, FL ISCG 2024, Ft. Lauderdale, FL ISCG 2025, Ft. Lauderdale, FL Thank 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 support Whether 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/year Your 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 Today Visit 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 Team English: Suzette Peterson, +1 (909) 374-1000, sette.peterson@gmail.com Spanish: Marizol Carranza: +1 (949) 573-5804, marisoll.parra@gmail.com Versión 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 Español En 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 dedicado Ya 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/año Su 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 hoy Visite 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 Gynflix English: Suzette Peterson, +1 (909) 374-1000, sette.peterson@gmail.com Espanol: Marizol Carranza: +1 (949) 573-5804, marisoll.parra@gmail.com ALINSOD INSTITUTE and REVIQUE IN ARLINGTON, TEXAS The 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 Arlington This 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 decade This is a union you will not find anywhere else. Teamwork at its best. ⭐ North Texas Is Now the Center of the Universe for Cosmetic Gynecology I 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 & Contact Revique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C 📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 amy@reviquemedical.com🌐 www.reviquemedical.com Alinsod Institute — Red M. Alinsod, MD 📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.com A Personal Closing Note My 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, MD Learn more about Amy Haddad, RNP: Click on picture Learn more about Red Alinsod, MD: Click on picture 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: 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

    1 min
  2. MAR 4

    GYNFLIX ESPAÑOL is Born!!!

    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 support Whether 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/year Your 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 Today Visit 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 Team English: Suzette Peterson, +1 (909) 374-1000, sette.peterson@gmail.com Spanish: Marizol Carranza: +1 (949) 573-5804, marisoll.parra@gmail.com Versión 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 Español En 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 dedicado Ya 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/año Su 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 hoy Visite 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 Gynflix English: Suzette Peterson, +1 (909) 374-1000, sette.peterson@gmail.com Espanol: Marizol Carranza: +1 (949) 573-5804, marisoll.parra@gmail.com ALINSOD INSTITUTE and REVIQUE IN ARLINGTON, TEXAS The 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 Arlington This 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 decade This is a union you will not find anywhere else. Teamwork at its best. ⭐ North Texas Is Now the Center of the Universe for Cosmetic Gynecology I 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 & Contact Revique Medical & Aesthetics — Amy Haddad, MSN, APRN, FNP-C 📍 4040 N Collins St, Suite 134, Arlington, TX 76005📞 817-533-0988📧 amy@reviquemedical.com🌐 www.reviquemedical.com Alinsod Institute — Red M. Alinsod, MD 📍 Same location📞 945-900-7576🌐 www.alinsodinstitute.com🌐 www.gynflix.com A Personal Closing Note My 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, MD Learn more about Amy Haddad, RNP: Click on picture Learn more about Red Alinsod, MD: Click on picture 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: 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: ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576 Contact: Dian WhiteDr. Red Alinsod: red@gynflix.com www.alinsodinstitute.com Gynflix Contacts: English: Suzette Peterson, +1 (909) 374-1000, sette.peterson@gmail.com Spanish: Marizol Carranza: +1 (949) 573-5804, marisoll.parra@gmail.com Cosmetic 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

    6 min
  3. FEB 2

    Peptide Therapy and Hormones for a Cosmetic Gynecology Practice

    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 Pathway For 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 Snapshot Peptides 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 control This is not cosmetic fluff.This is biologic optimization. Here is Dr. Grant Pagdin summarizing what Peptides are and what they do: Peptide Summar Here is Dr. Taz going a bit deeper on how she uses Peptides: Dr. Taz on Peptide Here is Dr. Shelley Meyer with the most in-depth exploration of Peptides on YouTube: Deep Dive into Peptides Who 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 longevity These therapies are appropriate for women and men, and always guided by medical oversight. 🧠 Detailed Breakdown of Available Peptides The Peptides We Use — and What Each One Is Intended to Do Below 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 control BPC-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 injury CJC-1295 + Ipamorelin Growth hormone stimulation, sleep, metabolism, body composition This 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 activity Why it may be recommended: * Age-related decline in energy or recovery * Difficulty maintaining muscle tone * Sleep disruption * Metabolic slowdown Sermorelin Gentle growth hormone support and vitality Sermorelin 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 protocols GHK-Cu (Copper Peptide) Skin quality, collagen support, tissue health GHK-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 repair PT-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 function NAD + (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 Blue How Peptide Therapy Is Personalized Amy 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 Therapy Are 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 time Peptides 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

    1 min
  4. JAN 28

    Meet Dr. Red Alinsod, Cosmetic Gynecologist

    ABOUT DR. RED ALINSOD Founder, The Alinsod Institute for Aesthetic Vulvovaginal SurgeryFounder, Gynflix – Global e-Learning for Cosmetic GynecologyCosmetic Gynecologist • Urogynecologist • Surgeon • Innovator This 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, Texas For 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 standards His 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 Vaginoplasty Dr. 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 Techniques These advances are now taught internationally—and began directly with Dr. Alinsod’s creativity, research, and hands-on development. Patents, Devices & Technologies Dr. 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 reconstruction His inventions revolutionized how cosmetic and functional gynecologic surgery is performed in clinics worldwide. Founder of the Field’s Most Respected Training Programs Dr. 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 worldwide His reach extends across all continents, shaping standards, guidelines, and techniques used by the global medical community. A Recognized Leader in Revision Surgery & Restorative Feminine Repair Dr. 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 recovery Air Force Major, Surgeon, and Patriot Dr. 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 Heart Though 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 him When 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, Texas Dr. 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, 2024 CV and Bio Bio Cv Inventions Awards Pubs Nov 2024 V2 44.2MB ∙ PDF file Download Alinsod Adventures Click picture below for more pictures of Dr. Alinsod teaching worldwide 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 * Gynflix.com 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. 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 Surgeon 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-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! 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

    10 min
  5. JAN 15

    New Horizons in Sexual Dysfunction Therapy

    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 Outline New Horizons in Sexual Dysfunction Therapy Presented by Sejal Ajmera, MDMentorship & Surgical Foundation: Red Alinsod, MD I. 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 patients II. 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 trauma III. 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 outcome IV. 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 technologies V. 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 outcomes VI. 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 education VII. 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 patients VIII. 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 interventions IX. 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 IAVA X. 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 care Good 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 & Podcast This 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 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 * Gynflix.com 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. 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 Surgeon 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-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! 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: 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 Newsletter: ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576 Contact:Dr. Red Alinsod: red@gynflix.com www.alinsodinstitute.com Cosmetic 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

    40 min
  6. JAN 8

    Meet Dr. Red Alinsod

    ABOUT DR. RED ALINSOD Founder, The Alinsod Institute for Aesthetic Vulvovaginal SurgeryFounder, Gynflix – Global e-Learning for Cosmetic GynecologyCosmetic Gynecologist • Urogynecologist • Surgeon • Innovator One of The World’s Most Influential Cosmetic Gynecologist — Now in Arlington, Texas For 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 standards His 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 Vaginoplasty Dr. 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 Techniques These advances are now taught internationally—and began directly with Dr. Alinsod’s creativity, research, and hands-on development. Patents, Devices & Technologies Dr. 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 reconstruction His inventions revolutionized how cosmetic and functional gynecologic surgery is performed in clinics worldwide. Founder of the Field’s Most Respected Training Programs Dr. 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 worldwide His reach extends across all continents, shaping standards, guidelines, and techniques used by the global medical community. A Recognized Leader in Revision Surgery & Restorative Feminine Repair Dr. 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 recovery Air Force Major, Surgeon, and Patriot Dr. 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 Heart Though 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 him When 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, Texas Dr. 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, 2024 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 * Gynflix.com 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. 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 Surgeon 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-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! 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: 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 Newsletter: ALINSOD INSTITUTEArlington, TexasPhone: 945-900-7576 Contact:Dr. Red Alinsod: red@gynflix.com www.alinsodinstitute.com Cosmetic 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

    4 min
  7. 12/22/2025

    Historical Aspects of Labia Majoraplasty Surgery

    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 Surgery A Personal Perspective by Red Alinsod, MD Labia 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

    1 min

About

30 years of Cosmetic Gynecology pearls from Red Alinsod, MD. Content from Substack's Cosmetic Gynecology Newsletter and www.gynflix.com. cosmeticgynecology.substack.com