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Celebrities are the major trendsetters — they change the direction of fashion according to what they wear. Not only are they shedding the layers, they all have the balls to have their intimate areas inked. They may not always be the best- dressed, but these ladies must be a special breed to pull off something like this. Considering the intense pain of being tattoed in that particular spot, I should add that these women are extremely brave to do so.
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Although many materials can be used, we generally prefer the use of porous hydroxyapatite granules (Interpore International, Irvine, CA, USA) for their versatility and due to proven clinical experience. The granular form provides surgical flexibility, enabling small volume enhancements if need be, yet with minimal subperiosteal dissection. We have found this approach of directly addressing the underlying deficiency to be preferable to techniques that attempt to camouflage these changes such as extensive tissue redraping alone or the use of supraperiosteal soft tissue fillers. Certain bony features are subjectively perceived as masculine or feminine. In surgical enhancement of the skeleton, it is important to recognize this as a foremost consideration in rejuvenative procedures for either gender.