She said the trend for total pubic hair removal and greater access to pornographic images is making women more aware of their genital areas Dr Walden said the increase in demand for 'designer vagina' operations is not just fuelled by vanity, however.Rather, she said the majority of her patients do in fact have enlarged labia, which can cause hygiene issues, as well as extreme discomfort during sex and while wearing tight clothing.

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The American Society for Aesthetic Plastic Surgery (ASAPS) has recorded a significant increase in the number of tissue removal and re-structuring operations - a staggering 49 per cent rise in one year, from 2013 to 2014.