Extreme plastic surgery 

Many of my young patients think about getting plastic surgery the way they'd think about getting their hair done," explained Dr. David Alessi of Beverly Hills, Calif., who is still amazed at women's willingness to endure "extreme" cosmetic alterations. "Vaginal rejuvenation" (labiaplasty) might be the most sensational procedure, but surgeons also do "forehead implants" and ankle and shoulder liposuction, break and reset jaws to tweak smiles, and lengthen or shorten toes (for "toe cleavage" with certain shoes). Alessi told a Glamour magazine writer for an April story that one 25-year-old recently asked him to "remove" her navel (whereas most umbilicoplasty patients merely request reshaping). Said a bemused colleague, "There's some consensus about what makes for an attractive ... face, but we have no definition of the ideal navel."

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