The enterprising gynecologist sees countless images of naked women, but none are more popular than Playboy's fresh-faced playmates. They represent, he says with a knowing smile, the perceived ideal.
"Some women will say, 'Hey, you take this picture and hang it up in the operating room and refer back to it when you're sculpturing me,' " he said in an interview in his clinic overlooking hazy Los Angeles. "I say, 'Okay, all right, fine.' "
Dr. Matlock is a colourful pioneer in a controversial -- and growing -- frontier of plastic surgery: nipping and tucking vaginas. Patients from the United States and more than 30 other countries pay thousands of dollars for his "designer vagina," a purely esthetic procedure that includes shortening or plumping up the labia, or vaginal lips. He attracts even more women for an operation he claims improves sex by tightening, or "rejuvenating," the vagina.
"There's a need for this," he said. "Women are driving this. I didn't create this market, the market was there."
While doctors have long known how to enhance women's genitals, demand for vaginal surgery has mushroomed in recent years because physicians -- led by Dr. Matlock -- market it as enhancing sexual satisfaction.
The trend has even reached girls as young as 15. In the past 18 months, the number of teens -- and in one case an adolescent and her mother -- who come to Dr. Matlock for designer vaginas has doubled.
"They're mature. Breasts, body, everything. I mean the clothing that they're wearing, the whole thing. These are not little girls. They're mature young ladies."
"I think it's appalling and frightening and one more way in which perfectly normal, beautiful women are terrorized by the possibility of being less than a perfect 10," said Joy Davidson, a certified sex therapist and author in Seattle.
Michael Atkinson, a sociology professor at McMaster University in Hamilton, says the increasing popularity of cosmetic vaginal reconstruction is partly the outcome of the West's obsession with plastic surgery.
However, women who have had their genitals surgically enhanced say it has transformed their lives. While some patients have genuine health problems, such as incontinence, many also ask their doctors to perform additional procedures while they are on the operating table. Others are solely driven by cosmetic or sexual reasons.Not all procedures are even surgical. On the recommendation of a friend, Katia Neves came to Dr. Matlock for the doctor's so-called G-shot, an $1,800 collagen-based injection in her G-spot that he says amplifies orgasms and lasts for about four months.
"It's a pretty expensive procedure for a short period of time," said the 36-year-old cosmetologist, who was born in Brazil and now lives in L.A. "It does increase your pleasure. It makes a difference, even if you don't have problems you can feel the difference."While Dr. Matlock acknowledges vaginal tightening benefits men, he insists his patients come to him because they want change.
"They say, 'Look, I want to enjoy this. I want to have the best sexual experience possible. It's for me.' That's what they're doing. If a man was pushing a woman to come in, I'm not going to do it."
Still, a husband of a woman with stress incontinence in the mid-1990s played a large role in Dr. Matlock's inadvertent realization of the demand for vaginal reconstruction, which builds on decades-old surgical techniques. Some physicians have long quietly added an extra stitch "for the husband" while repairing new mothers' episiotomies.
After he treated her, the woman reported that her sex life had dramatically improved. Then her husband telephoned to thank Dr. Matlock profusely, and the couple sent flowers. And one of the woman's friends -- who had vaginal-relaxation, not bladder, problems -- contacted him seeking the same procedure.
"Then what happened is there was all these women coming by word of mouth," he said.
Soon Dr. Matlock, a trim, compact 45-year-old St. Louis, Mo., native with a throaty laugh, placed his first and only advertisement, which featured his then-girlfriend posing in a bikini.
The newspaper ad proclaimed the first sexual advance of the new millennium, saying: "You won't believe how good sex can be." The response was so overwhelming that he pulled it and now largely relies on personal recommendations and his website, which depicts images of flowers and attractive women.
In the process, Dr. Matlock, who is seen as a key figure in the field, turned vaginal reconstruction into a lucrative business empire. He says one of his divisions grosses $200,000 a month, but refused to provide additional financial information. Dr. Matlock, who also has an MBA, has trained doctors in 10 countries, including Canada, in his techniques and charges them a monthly fee of $2,500 for support and for the use of his trademarked names, including Laser Vaginal Rejuvenation Institute.
Depending on the surgical procedure, the women who come to his fourth-floor West Hollywood clinic across from a Jaguar car dealership pay between $3,800 and $17,000. Celebrities who want complete privacy fork over $38,000. Patients, who include housewives and porn stars, are largely in their 20s, 30s and 40s. Most are American, though about one-quarter are foreign. About half are mothers. All, he says, have normal sexual function.
There is no textbook outlining the ways and means that doctors can beautify the vagina. So Dr. Matlock, as he likes to say, gets all of his ideas by listening to women.Source: TheGlobeAndMail.com