Cosmetic Gynecology 2025: The State of the Art Presented by Marco Pelosi III, MD
The International Society of Cosmetogynecology (ISCG) concluded with a tremendous review of the history of the Specialty and the difficulties it faced early on. Sound advice for doctors and patients.
Dr. Red Alinsod presents a peek behind the ISCG Curtains at Fort Lauderdale, Florida. Our Annual Shin Dig for the world’s Top Cosmetic Gynecologists.
A Journey Through Time: The History and Global Rise of Cosmetic Gynecology
Cosmetic gynecology might seem like a modern trend, but its roots stretch back further than you might think. For centuries, cultures around the world have explored ways to enhance or restore the female body, often for aesthetic, cultural, or functional reasons. From ancient practices in Egypt and India—where genital modifications were tied to rituals or beauty standards—to the more medical approaches of the 20th century, the desire to address women’s intimate health and appearance has always existed. But it wasn’t until recent decades that cosmetic gynecology emerged as the dynamic, specialized field we know today.
The modern story begins in the late 20th century, when pioneering doctors started blending gynecology with cosmetic surgery techniques. In the United States, visionaries like Dr. David Matlock introduced terms like “vaginal rejuvenation” in the 1990s, sparking curiosity and debate. Around the same time, Dr. Marco Pelosi III and his father, Dr. Marco Pelosi II, coined “cosmetogynecology,” laying the groundwork for a new frontier in women’s healthcare. Dr. Red Alinsod coined the procedures and phrases such as “Hybrid” and “Barbie Look” Labiaplasty and ThermiVa. What started as a niche idea—focused on procedures like labiaplasty or vaginal tightening—quickly gained traction as women sought solutions for both aesthetics and comfort after childbirth, aging, or simply personal preference.
Fast forward to today, and cosmetic gynecology has exploded into a global phenomenon. From North America to Europe, Asia, and beyond, the field has grown thanks to advancements in technology—like lasers and radiofrequency treatments—and a growing openness about women’s health. In India, for example, demand for these procedures jumped from just 3.9% in 2012 to nearly 29% by 2015, reflecting a cultural shift toward empowerment and self-care. In Europe, non-surgical options like fillers for vulvar rejuvenation are all the rage, while Brazil and Argentina have become hubs for cutting-edge techniques. This worldwide boom isn’t just about beauty—it’s about confidence, function, and giving women choices.
The International Society of Cosmetogynecology (ISCG), founded in 2004 by Dr. Marco Pelosi III and others, has been a driving force in this evolution. It’s where experts from every corner of the globe—like those I just met at our annual meeting in Fort Lauderdale—come together to share breakthroughs, refine techniques, and ensure these procedures are safe and effective. What began as a small group of innovators has grown into a vibrant community, mirroring the field’s own expansion. Today, cosmetic gynecology isn’t just a medical specialty—it’s a movement, empowering women to feel their best, inside and out.
As I reflect on our recent gathering, with Dr. Pelosi III’s inspiring “State of the Art” message and the memories captured in my photos, I’m reminded of how far we’ve come—and how much more there is to explore. Whether you’re curious about the field or just love a good success story, cosmetic gynecology’s journey is one worth celebrating!
Truly International. Jamaica, France, Italy and USA.
Marco Pelosi III welcoming the attendees.
Suzette Peterson, my webmaster and Gynflix Manager, getting all set up.
Sherrie Palm speaking on empowering women to find solutions for pelvic prolapse and discomfort.
Hichem Bensmail, MD, spoke on Exosomes and Plasmaporation.
Hichem is such a gentleman and all around Good Guy!
My FemXHA products for helping beautify and plump the labia majora and help control symptoms of lichen sclerosis.
Jorge Gaviria, MD, presenting his vast knowledge on laser therapies.
Over a decade of friendship with this Houstonian from Venezuela.
I got to speak on Low Level Light Lasers, Plasmaporation, and Feathering for Botched Labiaplasty Surgeries.
Laira Ramos, PhD, presenting on Sexual Wellness.
The beautiful team of Charles and Alexandra Runels stood out with their charm and brilliance.
Dr. Ariel Luksenburg presented his talk on his invention for managing the leaky bladder. The Luksenburg system is a non-mesh technique using threads to manage even the most severe stress incontinence. I provide this in Dallas.
David Ghozland, MD, of Orange, California, is a Giant of Orange County Cosmetogynecology.
Dolores Kent, MD, of Los Angeles, is one of the very first women trained in Laser Vaginal Rejuvenation.
Dulce Henriques, MD, presented her innovative techniques of Clitoropexy and Cliterectomy. Amazing talk. One of the best.
Proud to be friends with Dulce. I have learned so much from her.
Friends from Canada, California, and New Jersey!
Renown Northern California Surgeon Michael Reed, MD, and I just finished writing a labia majoraplasty book chapter together.
Jorge de Leon Soto, MD, is a dear friend from Antigua, Guatemala, dedicated to excellence in women’s health.
Dr. Alex Bader was one of my first Fellows trained in 2008. He has become the premier force in bringing Cosmetogynecology to Europe, the Middle East, and the world through his founding of ESAG. The European Society of Aesthetic Gynecology. I am so very proud of my amazing friend.
The teaching Diva of Venezuela, Dr. Maryory Gomez, has one of the largest teaching programs in all the world in the specialty of Cosmetic Gynecology.
Maryory is a true legend in the specialty of Cosmetic Gynecology.
Leaders of their fields from Argentina and Venezuela.
Jeanette Marchena, MD, is a dear friend and renown surgeon in. her home country of Lima, Peru. I have met her at Congresses in Orlando, Cartagena, Peru, Florida.
Marco Pelosi lecturing on the State of the Art.
For a decade we both ran Congresses on different Coasts. I ran CAVS (Congress on Aesthetic Vulvovaginal Surgery) from the California. Marco ran ISCG (International Society of Cosmetogynecology) from New Jersey. We ran our first combined Congress in 2016. under the ISCG banner to unite the Americas and we have never turned back.
I am know as Robyn Alinsod’s Husband :-)
Adrian Gaspar, MD, of Mendoza, Argentina, is the GOAT for Vaginal Lasers.
Deepa Ganesh, MD, was the lone attendee from India. She was trained by Dr. David Matlock, and one of very few well credentialed surgeons to run a program in a huge market. The other is Sejal Ajmera, MD, from Mumbai.
Tina Batalha, MD, is one of Brazil’s rising star in Cosmetic Gynecology. She has a solid presence on Social Media and has dedicated followers of her unique surgical skills. A legend in the making.
Claudio Catalisano, MD, from Milan, is a world leader in electroporation, radiofrequency, and autologous fat transfer.
Jennifer Hayes, MD, of Clearwater, FL, is smiling because she just retired! Congrats Jen! What an amazing career!
Alan Ellman is the CEO and owner of Soniquence, makers of the finest surgical radiofrequency tool in the market. I was honored to finally meet him after 20 years of using his dad’s and his inventions. I travelled the world for his former company called Ellman International. His new company, Soniquence, just purchased the old company, Ellman!
Alan Ellman and his team took us for a sunset yatch ride.
Great discussions on history and future growth!
What a memorable time in Fort Lauderdale.
Michael Reed, MD, presented an amazing talk on the powers of Carboxytherapy using CO2LiftV made by Lumisque.
Charles Runels gave a standing ovation presentation on the Female Orgasms.
Barry Kamisurak, PhD, and Charles Runels, MD, are the two men who know more about the Orgasmic Response than anyone one else I know!
I could not be more proud of resident Genius, Charles Runels, as he gave his talk and helped our practices.
Marco Gaxiola Cueto, MD, gave a masterful talk on Mastopexy.
Kambiz Tajkarimi, MD, presented his techniques on the Penuma Penile Implant.
Ivanhoe Ortega, MD, presented on Improving Abdominal Liposuction Results.
Chad Deal, MD, presented on Medusa Mastery.
Chad is a long time friend and brilliant speaker on the ways to run a profitable Med Spa. It was one of the best and worthwhile talks I listened to.
George Armendariz, MD, presented on Liposculpture of the Thighs and More.
Brilliant clinician Kevin Jovanovic, MD, spoke on the Advanced Treatment Options for Pelvic Pain.
Dear friend and Harvard Urogynecologist Neeraj Kohli, MD, spoke on the Advanced Treatment Options for Pelvic Pain.
Neeraj and I go back about 15 year when we managed the worst pelvic prolapse and leaky bladders. He trained with me in Cosmetic Gynecology a decade ago and is now the Top surgeon in this filed in Boston.
John Miklos, MD, is a legend. Known for doing the toughest cases everyone runs away from. He presented his laparoscopic method for creating vaginas when there as none or was minimal.
Two decades of friendship. We have traveled the work.
Robert Moore, MD, is the partner of John Miklos, practicing in the Atlanta area. Rob gave a tour de force talk on the radiofrequency treatment of lichen sclerosis. in combination with PRP and Exosomes.
Rob gave me a Shout Out for my invention of FemXHA for the treatment of lichen sclerosis and the way it plumps up the labia majora for beauty.
What a good guy. What a good friend. That is Rob Moore.
This is the EPIC picture I love best. The guys who started a Specialty. John Miklos, Neeraj Kohli, Marco Pelosi III, Marco Pelosi II, Michael Goodman, Alex Bader, Red Alinsod.
Time for some Brazilian Steakery!
The most honored couple of the evening. The Pelosi’s.
The Old Guys. The original PRP. Pelosi, Red, Pelosi.
Caroly Delucia gave as a masterful rundown on the tools of functional Cosmetic Gynecology and where it is heading.
Barry’s full time work is to study Orgasms!
Hanging out with the Godfather of the Specialy, Marco Pelosi II.
MIchael Goodman, MD, sharing his Pearls.
Jaime Sepulveda, MD, discussed his Facial Fat Grafting techniques under Ultrasound Guidance.
Renown Polish surgeon Dawid Serafin, MD, presented his experience on Postpartum Vaginoplasty surgery.
The old gang of Urogynecologist off to a nice evening of Catching Up!
Till Next Year!
GYNFLIX COMMUNITY HAS LAUNCHED!
On January 2025 I launched Gynflix Community on X (formerly Twitter). Go join it. It is new and fresh. I will build 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:
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DALLAS OFFICE Alinsod Institute Dallas Women’s Wellness Institute of Dallas Preston Sherry Plaza 8201 Preston Road Suite 520 Dallas TX 75225 Phone: 945-900-7576 Dr. Red Alinsod: red@gynflix.com
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