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The operation, to reduce the inner vaginal lips, costs $10,000 in Australia.
Dr Colin Moore says it used to be professionals who wanted to tidy up their pink bits. Nowadays, "the typical patient was a successful, unmarried young woman in her 20s or early 30s who simply didn't like what she had".
Dr Moore said that the trend was not due to women copying what they saw online, rather it was "more likely just a general reflection of the cultural and attitude changes in the last 20 years".
Jerry Saltz, art critic for the Village Voice, says that "visibility is power". It is "consistent with lowered waistlines and bared midriffs, which may be surrogates and pointers for the pudenda below".
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