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Several adolescent gynecologists told the BBC that young girls under the age of 15 were increasingly seeking out the operation, which shortens and reforms the labia minor surrounding the vagina—most often because they are distressed by the size or shape of their vulvas. Inlabiaplasty was the second-fastest growing cosmetic procedure in the US after breast enlargement, according to the American Society for Aesthetic Plastic Surgery. That figure has been relatively steady over the past decade at least, and some of those surgeries relate to injury, recurrent disease, or infection, according to the NHS. It is also used as part of the reconstructive process for victims of female genital mutilation.

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The filmmakers David Redmon and Ashley Sabin examine the lives of teenage girls in Siberia who audition at open casting calls for fashion models.

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When Maya Bernstein, 18, first became sexually active in high school, she was nervous. How would she know what to do? Especially, it seems, how things should look. The numbers shot up so quickly that the American College of Obstetricians and Gynecologists ACOG issued new guidelines this month for doctors who perform labial and breast surgery.

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