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 Fat thighs. Hairy arms. Muffin tops. Breasts that are too big or not big enough. To the long list of body parts that adolescent girls worry about and want to tinker with, the Internet age has added a new one: the vulva. 
 
 So many teenagers are seeking cosmetic surgery to trim or shape the external genitalia that the American College of Obstetricians and Gynecologists issued guidance from its Committee on Adolescent Health Care to doctors last week, urging them to teach and to reassure patients, suggest alternatives to surgery that may alleviate discomfort, and screen them for a psychiatric disorder that causes obsession about perceived physical defects. 
 
 As for why there has been an increase in demand for the surgery among teenagers, physicians are “sort of baffled,” said Dr. Julie Strickland, the chairwoman of A.C.O.G.’s committee on adolescent health care 
 
 For adults, the procedure is marketed as “vaginal rejuvenation,” tightening the inner and outer muscles of the vagina, as well as often shaping the labia; it is geared to older women and women who have given birth. But gynecologists who care for teenage girls say they receive requests every week from patients who want surgery to trim their labia minora, mostly for cosmetic reasons, but occasionally for functional reasons, such as to relieve discomfort. 
 
 The guideline does not rule out surgery on the labia, or labiaplasty for teens, but says it is rarely appropriate. “It should not be entertained until growth and development is complete,” Dr. Strickland said. 
 
 “The big thing I tell patients about labiaplasty is that there are a lot of unknowns,” she said. “The labia have a lot of nerve endings in them, so there could be diminishment of sexual sensation after surgery, or numbness, or pain, or scarring.” 
 
 A 2007 A.C.O.G. committee opinion on cosmetic vaginal procedures for adults, which was reaffirmed in 2014, said the procedures were not medically indicated, had not been proved safe or effective, and could cause serious complications. 
 
 The American Society for Aesthetic Plastic Surgery says that 400 girls 18 and younger had labiaplasty last year, an 80 percent increase from the 222 girls who had cosmetic genital surgery in 2014. While the overall numbers remain small, the data probably understates the trend because it does not include procedures performed by gynecologists. A 2013 British report found the number of labial reductions on girls and women done by the National Health Service had increased fivefold over 10 years. 
 
 Girls 18 and younger account for less than 2 percent of all cosmetic operations, but almost 5 percent of all labiaplasties. (The most popular cosmetic procedures for teenagers are ear surgery, with 11,288 procedures last year; nose surgery with 10,308; and breast reductions with 3,698.) 
 
 What’s driving the trend for labia surgery? Well, for one, doctors say, many young girls shave or wax their pubic hair, exposing the genital area. According to a 2012 study, more than 70 percent of girls and young women ages 12 to 20 said they routinely shaved or waxed the pubic area. 
 
 These girls have come of age at a time when they can go online and look up images of the vulva, doctors say. But the images are often air-brushed and do not portray the range of normal variation in shape, color, size and asymmetry, experts say. 
 
 “I think the most important thing to understand is that there’s huge variety in anatomy,” said Dr. Veronica Gomez-Lobo, the director of Pediatric and Adolescent Ob/Gyn at MedStar Washington Hospital Center and the president of the North American Society for Pediatric and Adolescent Gynecology. She often recommends young women look at unretouched photographs of vulvas, like those in the book “Petals” by Nick Karras. 
 
 The new committee opinion says doctors should screen patients for body dysmorphic disorder, a psychiatric disorder that can be debilitating and involves being obsessed or preoccupied with a physical defect that is being imagined or exaggerated. Dr. Katharine Phillips, the director of the Body Dysmorphic Disorder program at Rhode Island Hospital/Brown University, said cosmetic treatment does not help the condition, and “sometimes, patients get a lot worse.” 
 
 But Dr. Jennifer Walden of Austin, Tex., who has done labia surgery on teenagers, dismissed the idea that girls who wanted the surgery had a psychiatric disorder. “If they’re coming to a cosmetic surgeon, they do not like the cosmetic appearance of it,” said Dr. Walden, who added that she performed the procedure only on patients that she deemed emotionally stable and had their parents’ consent. “But that often goes hand in hand with a functional element in teenagers as well.” 
 
 Doctors agree that not all of the concerns about large or misshapen labia are strictly cosmetic. Adolescent girls who are involved in certain sports may experience discomfort, such as chafing or itching in the labia, Dr. Strickland said. 
 
 For some girls, surgery may be appropriate, Dr. Gomez-Lobo said, like the teenager who stayed home when she had her period because her labia became so painful and swollen that she was incapacitated, and another girl who quit basketball because of painful, irritated labia. “That’s not an aesthetic issue,” Dr. Gomez-Lobo said. 
 
 Related: ||||| It’s shocking but true: One of the hot trends in plastic surgery right now is labiaplasty, a procedure to trim the vulva’s inner lips, aka the labia minora. (Add this to the list of things you shouldn’t do to your vagina.) According to the latest statistics from the American Society for Aesthetic Plastic Surgery (ASAPS), labiaplasty procedures spiked 49 percent between 2013 and 2014 (from 5,070 to 7,535). And the trend seems to be continuing. 
 
 “I am asked about labiaplasty at least once a month,” says ob-gyn Jennifer Gunter, MD, who runs a specialty clinic for vulvar conditions at Kaiser Permanente in San Francisco. “Five years ago, I was probably asked one to two times a year.” 
 
 What’s behind this (crazy?) craze? Here’s a look at the facts. 
 
 RELATED: Everything You Ever Wanted to Know About Your Vagina 
 
 Why the rise? 
 
 Michael Edwards, MD, a former president of ASAPS, told Time that some women with more pronounced labia are “devastated.” Another plastic surgeon, Richard Swift, MD, on Manhattan’s Upper East Side, told the New York Post, that women “whose labia are enlarged” feel uncomfortable in yoga pants. 
 
 But “normal” labia minora come in all shapes and sizes, ranging from 2 to 10 cm in length and 0.7 to 5 cm in width, per a study published in the journal BJOG (images NSFW). And it’s quite common for the labia minora to stick out past the outer lips of the vagina, according to Dr. Gunter, without any discomfort. 
 
 In a blog post about labiaplasty (also NSFW), she noted that smaller labia seem to have become the cultural norm, perhaps because many female performers in the adult film industry have small labia. “Whether this is a self-selecting feature or the result of surgery is hard to know,” Dr. Gunter wrote. But “if you see a lot of images of small labia minora you are more likely to come to view that as … desirable.” 
 
 RELATED: Am I Normal ‘Down There’? 
 
 How pubic hair trends also play a role 
 
 “There is an expression for men, ‘The shorter the bush, the taller the tree,’” and a similar visual effect happens with female genitalia, says Dr. Gunter. “If you remove your pubic hair or trim it significantly, you may start to notice your labia minora.” 
 
 In fact, the rise in labiaplasty has been linked to the popularity of the Brazilian wax. As Barbara Levy, MD, the VP of Health Policy at the American Congress of Obstetricians and Gynecologists, put it to NBC News, the hairless trend made women more aware of their genital appearance, and plastic surgeons saw dollar signs. 
 
 Do larger labia really cause any symptoms? 
 
 The vagina’s smaller, inner folds of skin have an important job: They protect the vaginal opening—called the vestibule—which is made up of delicate mucosa tissue, filled with highly-sensitive nerve endings. 
 
 Some women blame painful sex on the size of their labia. Others suspect their labia are the source of their yeast infections, or other irritation. Even doctors attribute some of these vulvar symptoms to the size of the labia minora. But there is almost always another cause, Dr. Gunter says. If you have vulvar symptoms, talk to your ob-gyn first—not a plastic surgeon. You might even want to see a vulvar specialist, Dr. Gunter advises. 
 
 RELATED: 20 Weird Facts About Sex and Love 
 
 Is labiaplasty safe? 
 
 A 2014 study found that more than 91 percent of women who had the surgery felt more satisfied with their genital appearance afterward. But there are no solid figures on complications, and the long-term implications are TBD. “We don’t know how labiaplasty will affect women as they become menopausal, and their tissues start to change,” Dr. Gunter points out. 
 
 The bottom line 
 
 Dr. Levy summed up the labia-trimming trend like this: “It’s one more body part that we as women are being told to be insecure about.” But that’s not to say that no woman should ever consider the procedure. As with any plastic surgery, the best advice is to make sure you’re interested in the procedure for you, rather than some outside pressure. 
 
 For an awe-inspiring reminder that every woman’s body is different, take a gander at the Great Wall of Vagina. The sculpture, by British artiest Jamie McCartney, features plaster casts of 400 vulvas, each beautifully unique. 
 
 RELATED: 7 Sneaky Reasons Your Vagina Itches ||||| By Amy Norton 
 
 HealthDay Reporter 
 
 FRIDAY, April 22, 2016 (HealthDay News) -- A growing interest among teenaged girls in plastic surgery on their breasts or genitals has prompted a leading ob/gyn group to recommend that doctors first talk to these young women about "normal" sexual development. 
 
 "Our membership has been telling us this is coming up more and more frequently with their adolescent patients," said Dr. Julie Strickland. She is chair of the Adolescent Health Care Committee of the American College of Obstetricians and Gynecologists (ACOG). 
 
 The new recommendations also suggest that physicians screen these patients for body dysmorphic disorder, which is an obsession with an imagined or slight defect in appearance. 
 
 There are already guidelines from the American Society of Plastic Surgeons (ASPS) on breast augmentation and reduction among teenagers. If it's strictly for cosmetic reasons, the society recommends surgery should generally be delayed until age 18. 
 
 But, Strickland said, there's no guidance for cases where teenagers want labiaplasty -- where surgery is used to reduce the inner labia, the folds of skin that surround the vaginal opening. 
 
 Normal labia come in all sizes and shapes, Strickland said, and there's no widely accepted definition of labial "hypertrophy," or enlargement. Nor are there clear guidelines on when surgery might be appropriate for teenagers. 
 
 The new guidelines appear in the May issue of Obstetrics & Gynecology. 
 
 When girls are worried about the appearance of their breasts or genitals, Strickland said, the anxiety can often be "diffused" by letting them know there is a wide variation in "normal" development. 
 
 Even in this day and age, she noted, many girls do not know what their genitals are "supposed" to look like. "Despite all of the anatomy books that have been published over the years, we're lacking in descriptions of normative female genital development," Strickland said. 
 
 Nationwide, about 8,000 13- to 19-year-olds underwent breast augmentation in 2014, according to the ASPS. Statistics on breast reduction are harder to come by, but in 2010 about 4,600 were performed on 13- to 19-year-olds. 
 
 The ASPS does not track labiaplasty figures, and it's not clear how many teenagers have the procedure each year, according to ACOG. 
 
 No one knows exactly why teenagers are voicing more concerns about their labial development, either, Strickland said. 
 
 "One theory is that girls these days are seeing images of 'idealized' bodies," Strickland said. "There have also been cultural changes, with more girls grooming their pubic hair. That may make them more self-conscious about the appearance of their genitals." 
 
 Then there are the yoga pants and other form-fitting clothes that can either make girls scrutinize their appearance, or be physically uncomfortable, she added. 
 
 And it is actually physical discomfort that seems to be the main issue for teenage girls who want labiaplasty, said Dr. David Song, president of the ASPS. Song is also chief of plastic and reconstructive surgery at the University of Chicago. 
 
 "It's pretty rare to have a teenager coming in for cosmetic reasons," Song said. 
 
 When the inner labia protrude from the outer labia, he explained, it can be "very uncomfortable" to wear tighter clothing, or to exercise at all. In those cases, surgery to reduce the inner labia may help a girl feel better physically and emotionally, Song said. 
 
 He agreed that it's important to be sure teenagers are mature enough, and fully informed of the risks, before any plastic surgery. With labiaplasty, ACOG says, the potential risks include infection, scarring, and pain during sex. 
 
 According to Song, board-certified plastic surgeons are also trained to screen for body dysmorphic disorder and other mental health issues, like depression. 
 
 "They understand when they should be referring patients to a mental health professional," Song said. 
 
 That's why it's key, he added, for parents and young women to make sure they're seeing a surgeon who is board-certified. 
 
 When it comes to breast surgery, the ASPS does recommend that it generally be delayed to age 18. But, Song said, the issue is "not black-and-white," and there are cases where earlier may be better. 
 
 An example, he said, would be a younger teen whose breast growth is far out of proportion to the rest of her body -- to the point that it's causing her physical discomfort. 
 
 According to Strickland, the bottom line for parents is this: Listen to your daughter's concerns about her development, and be able to reassure her that she's going through normal changes. If you're not sure of what's "normal," talk to your pediatrician or family doctor, Strickland said. 
 
 "It's typical for teenagers to question whether they're 'normal' or not," she noted. "So we shouldn't be 'horrified' if they come to us with these questions. We need to respond sensitively and honestly." 
 
 More information 
 
 The U.S. National Library of Medicine has more on teens' sexual development. ||||| One of the young women who received the organs was 18 at the time of her surgery in October 2008. Though she declined to give her name, the now 24-year-old is shown on a video supplied by Wake Forest walking with a young man. holding hands, and discussing the ground-breaking surgery. 
 
 “When I discovered that there was this possibility for me, I was very happy,” she said in Spanish. “It is important to let other girls that have the same problem know that it does not end knowing that you have the disease because there is a treatment and you can have a normal life.” 
 
 Between 1 in 1,500 and 1 in 4,000 females are born with MRKHS, though the most severe cases are rare, Atala said. Most of those affected don’t discover they have a problem until they reach puberty and either fail to menstruate or can’t have sexual intercourse. Exams typically show that the girls and young women have vaginas that are underdeveloped or completely missing. 
 
 Until now, the treatments have involved surgical reconstruction. In 2007, Italian researchers reported creating vaginas by building a cavity and patients’ bodies and lining them with skin. Atala said engineering an organ created from a patient’s cells allows the organ to create all of the layers required for long-term stability and function, including muscle support. 
 
 “It’s very much like baking a layer cake, if you will,” Atala said. “You are actually doing it layer by layer. Muscle cells on one side and other cells on the other side. And then you’re reshaping the organ.” 
 
 The first patients were identified at children’s hospitals and a university medical center in Mexico City, where Wake Forest has a partnership with a tissue engineering laboratory, he said. But Atala added that he has more MRKHS patients in the pipeline for transplant with plans for a larger clinical trial. 
 
 “We haven’t started in the U.S. yet,” said Atala, who estimates that there may be about 1,250 patients born each year who could benefit from the procedure. 
 
 Eventually, lab-grown vaginas could help women whose genitals are disfigured or destroyed by cancer, trauma or accidents. There’s some potential for use in transgender patients, too, though the focus now is on treating rare medical conditions, Atala said. 
 
 For Kristen Peterson, 26, a Port Orchard, Wash., woman who learned at age 16 that she had MRKHS, the idea of an organ engineered from a patient's own cells is "mind-blowing." Peterson was born with normal external genitals, but her vagina was less than an inch deep and she has no cervix, uterus or fallopian tubes. She had surgery earlier this year to create a "neovagina" and is satisfied with the results, but she says she's glad there are new options for women with the disorder. 
 
 "I think it's absolutely incredible," she said. "It's hard trying to put into words how I feel. It's so amazing what science is able to do." 
 
 The lab-grown vagina implants are just one of the latest examples of tissue and organ engineering that can help patients and perhaps decrease ongoing shortages of vital organs, Lancet contributors wrote in an accompanying editorial. In the same issue, the journal reported that researchers in Switzerland and the United Kingdom had successfully created lab-grown nostrils to replace damaged noses in two women and three men. 
 
 "I feel fortunate because I have a normal life, completely normal." 
 
 These early successes must be replicated in larger trials and shown to be effective with more patients in long-term follow-ups, wrote Dr. Martin A. Birchall and Dr. Alexander M. Seifalian, experts at University College London. 
 
 “(This) starts to edge tissue engineering towards the mainstream of organ and tissue replacement needs,” they wrote. 
 
 For one of the young women who benefited from the implants, that future is now. 
 
 “I feel fortunate because I have a normal life, completely normal,” she said. ||||| Doctors didn't take post op measurements but said it was still 'generous' 
 
 Surgeon said: 'It's girth was just massive' and was shaped like rugby ball 
 
 A 17-year-old boy has undergone the world's first penis reduction surgery, surgeons claim. 
 
 The American teen requested the surgery after his penis grew too large, restricting his ability to have sex or play competitive sports. 
 
 The boy's surgeons were shocked when he came to them complaining that his penis was too big. 
 
 When flaccid, it measured almost seven inches in length and had a circumference of 10 inches - around the size of a grapefruit. 
 
 Surgeons described it as being shaped like an American football. 
 
 The surgeon who treated the teenager, Rafael Carrion, a urologist at the University of South Florida, told MailOnline: 'There comes a time in every urologist's career that a patient makes a request so rare and impossible to comprehend that all training breaks down and leaves the physician speechless. 
 
 'That question was "can you make my penis smaller"?' 
 
 A 17-year-old boy in Florida is thought to be the first person to undergo penis reduction surgery. The teenager requested the operation after his penis (pictured on an X-ray) grew too large 
 
 The teenager had suffered from several bouts of priapism - an unwanted erection, due to having a condition in which abnormally-shaped blood cells block vessels in the penis, causing it to swell. 
 
 These episodes had left his penis bloated and misshapen. 
 
 He said he was unable to have sex or play competitive sport, had difficulty wearing his pants due to his 'large and heavy phallus', and was embarrassed by how visible it appeared underneath regular clothing. 
 
 Though his penis was so large, it did not grow when he had erections - it merely became firmer. 
 
 'His penis had inflated like a balloon,' said Dr Carrion. 
 
 'It sounds like a man's dream - a tremendously inflated phallus - but unfortunately although it was a generous length, it's girth was just massive, especially around the middle. 
 
 'It looked like an American football.' 
 
 Dr Carrion and his team looked at the medical literature but couldn't find any precedent for what to do. 
 
 'Lord knows there's a global race on how to make it longer and thicker in plastic surgery circles, but very little on how to make it smaller,' he said. 
 
 In the end, they decided to embark on a surgical technique normally used to treat Peyronie's disease, a condition where scar tissue develops along the penis, causing it to bend. 
 
 The surgeons sliced along an old circumcision scar, unwrapped the skin of the penis, and cut out two segments of tissue from either side. 
 
 'It was a bit like having two side tummy-tucks - that's how we explained it to him,' said Dr Carrion. 
 
 The teenager said he was unable to have sex or play competitive sport, had difficulty wearing his pants due to his 'large and heavy phallus', and was embarrassed by how visible it appeared underneath clothing (file pic) 
 
 The doctors were able to bypass the urethra - the tube which carries urine through the penis - and all of the nerves that provide sensation. 
 
 The teenager spent just two days in hospital before returning home, apparently 'ecstatic' with his new penis. 
 
 The doctors did not take final measurements of the penis, although Dr Carrion told MailOnline the result was 'generous'. 
 
 There comes a time in every urologist's career that a patient makes a request that leaves a physician speechless. That question was "can you make my penis smaller"?' Rafael Carrion, urologist at the University of South Florida 
 
 'It's slightly longer and slightly thicker than the average male, but now it looks symmetrical, and the patient was very satisfied,' he said. 
 
 The teen now has no problem having normal erections and has full sensation. 
 
 'It looks cosmetically appealing, and he said it was a life-changing event, he's all smiles,' said Carrion. 
 
 Since the paper describing the surgery was published in The Journal of Sexual Medicine, Dr Carrion has only had one person approach him to request the same surgery. 
 
 He said: 'This [second] man seems to have a naturally large penis, because there's nothing unusual in his medical history, so it doesn't seem like there's any real abnormality in this case'. 
 
 Whereas the first teenager had an obvious medical condition that needed treating, performing surgery on someone who is completely healthy but having difficulties with the size of his penis is another matter, said Dr Carrion. 
 
 'These are controversial waters we're stepping in,' he added. 'Who is to judge what is a legitimate complaint and what isn't? ||||| More than a third of Brits worry their genitals aren't "normal", a new report has revealed. 
 
 The study found that concerns over what genitals look and smell like, as well as worrying about unusual lumps and discharge, is having a serious affect on our sex lives. 
 
 It also flagged an alarming disparity between the number of women who are concerned over the appearance of their vaginas, in comparison to men and their penis worries. 
 
 The survey questioned 2,313 Britons (aged 18-30) on their genital worries. 
 
 More than a third of respondents believed their private parts weren't normal - 73% of which were female and 27% male. 
 
 Their main concerns were: 
 
 1. "My genitals look different to those I see online and in the media" (43%) 
 
 2. "I always feel as if my smell isn’t normal" / "I don’t know what it’s meant to smell like" (18%) 
 
 3. "There are lumps on my genitals and I’m not sure if they’re meant to be there" (13%) 
 
 4. "It just doesn’t look attractive to me" (11%) 
 
 5. "I’m unsure whether the discharge I have is considered normal or not" (3%) 
 
 Respondents were then asked if their concerns ever affected their sex lives - 26% of which said yes. 
 
 More than three quarters of those who said they worried about their genitals being "normal" said their worries distracted them so much during sex that they were unable to achieve orgasm. 
 
 Michael Ross, spokesperson for MedExpress who conducted the survey, commented: "These results really shocked us as one would like to assume that genital worries and confidence issues end after the period of adolescence. 
 
 "It really scares me that adults still compare themselves to the actors that they see in porn films as these are definitely not ‘ideal’ and they shouldn’t be taken seriously. 
 
 "It just shows that we still need to learn that genitals come in all forms of different shapes and sizes." 
 
 He continued: "Having said that, a number of the results in our study were slightly worrying and probably need to be addressed. If you feel like you might smell or you have a lump or mark ‘down below’, please do book an appointment with your GP or take a trip to your local GUM clinic. 
 
 "Even if it does turn out to be nothing, which it probably is, it will reassure you that you are completely normal and healthy and that you shouldn’t let your worries ruin your sex life." 
 
 Natika H Halil, chief executive at sexual health charity FPA is not surprised by the survey results as "as a society we’re still not great at talking openly about our own bodies and things which might affect our sexual confidence and pleasure". 
 
 
 
 "Sexual health professionals have reported more men and women seem to be dissatisfied with their bodies, which in some cases could be linked to comparing themselves to what are portrayed as pornographic ideals, particularly around genital size and a desire to have little or no pubic hair to ‘not be dirty’," she tells HuffPost UK Lifestyle. 
 
 
 
 "A huge increase in labiaplasty (surgery to reduce the size of the labia, the folds of skin around the vulva) has also, in some cases, been linked to pornography and women thinking they should have genitalia which looks the same as the actors. 
 
 
 
 "Lots of women are concerned about vaginal discharge, and in many cases don’t know what’s normal and not, what it should look and smell like." 
 
 She goes on to explain that vaginal discharge is "perfectly normal" and women may notice that it changes in colour and consistency during their menstrual cycle. 
 
 "Some women might be tempted to use perfumed washes and wipes to clean their genital area, in an attempt to mask smells and get rid of discharge. This is unnecessary and could actually be harmful as some products can disrupt the natural balance of bacteria in the vagina," she says. 
 
 "It’s a good idea to use plain, unperfumed soap and water to clean the vulva regularly. Douching, or flushing water into the vagina, can also upset the balance of the normal bacteria, and is unnecessary. 
 
 
 
 "If women are concerned about a smell or notice a change from their normal discharge, it’s important not to try and mask this. Equally if you notice any unusual lumps or bumps on your genitals, it’s important to see a health professional, as it could be a sign of an infection or other problem." 
 
 Halil believes it's really important for men and women to familiarise themselves with their bodies sot that they are aware of any changes. 
 
 "It’s also important to remember that everyone is different and people’s genitals vary in appearance – in their shape, size, and colour," she adds. 
 
 "It would be great if all young people growing up learnt about this natural variety and weren’t left with worries about how they compare to people they see in the media or pornography." 
 
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– Adult women can choose to have their labia reshaped as part of a "vaginal rejuvenation" surgery, in which the muscles of the vagina are tightened. Now teenage girls apparently want in on the action, too. Doctors say they're increasingly getting requests from young girls to have their labia trimmed—sometimes to relieve discomfort or a risk of infection, but more often because they're unhappy with the way it looks, reports the New York Times. Some 400 girls 18 or under had labiaplasty last year; that's an 80% increase over 2014, according to the American Society for Aesthetic Plastic Surgery (that count doesn't include operations performed by gynecologists). Why the jump? Experts cite the preponderance of young girls who shave or wax their pubic hair, thereby making the flesh there more visible. What they see might not jibe with their often-skewed expectations regarding size, shape, and color. And when it comes to those characteristics, there's a huge range of what's "normal," reports Health. It cites a study that found length can range from three-quarters of an inch to nearly 4 inches, and width from a quarter of an inch to 2 inches. Teens might also feel self-conscious in tight clothing, per HealthDay. "This age group may be under particular stress regarding these issues because of societal conceptions of the ideal female body," the American College of Obstetricians and Gynecologists explains in new guidelines for adolescent labiaplasty. A recent study showed many British women were worried their genitals weren't normal, per the Huffington Post, and even comedian Nikki Glaser debated labiaplasty as a youth. (Temporary "vacation breasts" may soon be available.)