Butts to Nuts: The 'Porn Star Plastic Surgery' Menu

This article originally ran in the November 2016 issue of AVN magazine. See the digital edition here. Plastic surgeons say the demand for plastic surgery on America’s private parts is throbbing. Male porn watchers want to look like porn studs and sport at least an industry standard 6-inch schlong, while women want the boobs, lips, vagina, butt and butt-hole of a porn star. Meanwhile, female adult performers are flocking to surgeons so they will look good for the camera, while male stars are trying to live up to porn names like “Dick Long.” Breast implants got big and bigger, and eventually out of control in the mid 1990s when female performers made their fun bags so huge that their “double bubbles” practically needed a highchair. Today, more natural “gummy bear” breast implants are used to make it look like they didn’t get breast implants. Penis Enlargemen: An Oral History In 1993, John Wayne Bobbitt’s wife notoriously cut off his penis and threw it in a field. He miraculously retrieved it and had it surgically re-attached. In 1994 his new manager convinced him to go into porn, and he starred in John Wayne Bobbitt, Uncut. After seeing the movie, however, he thought his money maker looked too small so he had fat injections from his stomach injected into his revived member. (Finally, stomach fat that’s good for something.) Bobbitt told me (at the Hot D’or awards in Cannes, France) that soon after the procedure, the fat “migrated” and that his penis looked and felt “all lumpy.” For months, he said, “it looked liked a potato.” Not letting a bad dick job stand in the way of becoming a porn star, he starred in John Wayne Bobbitt’s Frankenpenis in 1996. (Bobbitt also told me his manager “managed” his penis.) Since then, a bunch of new penis enlargement procedures have replaced fat transfer for “penile enhancement.” For added girth, Alloderm is used, “tissue grafts” that are wrapped around the rod and placed like strips of bacon on the shaft. Dr. Alexander Krakosvsky, a plastic surgeon in La Jolla, California, specializes in “penile enhancement surgery” or “phalloplasty.” He says, “The average one can expect to gain in girth from this procedure is a half inch to one inch.” Krakosvky also performs penis lengthening surgery, which adds up to two inches by cutting and “releasing” the “suspensory and fundiform ligaments” from inside the pubic bone and pulling them out. Krakosvsky warns, however, that post-op the patient must use weights on his schlong for weeks or the penis will “retract back inside,” creating a “where the hell did my dick go?” situation. (I forgot to ask if the balls got sucked back up in there too.) The lengthening procedure is often combined with non-surgical fillers for the dick head, called “glandular penis enhancement” (“GPE”), but is often done in conjunction with penis widening, eliminating the possibility of ending up with a mushroom in your pants. The latest surgical procedure is the male equivalent of breast implants, the “penile implant.” Designed for cosmetic purposes only, it makes the man bone wider and longer, as opposed to the penile implant for erectile dysfunction that creates a boner on demand. Dr. James Elist, a urologist and plastic surgeon in Beverly Hills, is the only doctor in the world who performs the operation. His invention recently received FDA approval. He has performed over 1,300 operations and has an anxious, pulsating waiting list. His “subcutaneous silicone implant” wraps around the shaft and comes in three sizes: “Large,” “Extra Large” and “Extra Extra Large,” because at $13,000, nobody wants Medium. Light Side of the Moon Anal bleaching is bigger than ever. Blame it on adult performers who started whitening their a-holes for the camera. Or blame it on bikini waxes that somehow made women think their butt-holes looked too dark. Spas and clinics now offer the procedure, which uses either hydroquinone bleaching cream or kojic acid, which sounds like something you don’t want near your asshole. During a recent visit to the gynecologist, I asked her how safe the procedure was—you know, “for a friend”—and she said the risks included liver damage from hydroquinone and, even worse, burning and “small tears” in the anus itself. Thanks, but I don’t need to tear myself a new asshole. The history of anal bleaching begins with porn stars. In 2005, Tabitha Stevens appeared on the E! channel’s Dr. 90210 getting her anus bleached. Since then, due to all the selfies and belfies taken after bikini waxes, women got this crazy idea that they needed to lighten up their Hershey Highways. Meanwhile, straight men have a hard time finding a woman’s clitoris as it is, so I doubt they’re judging the shade of a lady’s anus. Skin bleaching is biggest in India, where lighter skin is more prized and where skin bleach cream sells the most. At most spas in America, butt-hole bleaching goes for around $150 with the procedure lasting for just a few minutes. It ends (surprisingly with no pain or screaming) with the anal “bleachie” going home with a jar of cream to keep up the bleaching for another 6-8 weeks—time enough to get ready for their close-up. Chic Cheeks Big butts are big business. The “Brazilian Butt Lift” is now the most requested surgical procedure for women, say plastic surgeons. The $4,000 to $14,000 procedure involves harvesting fat from other parts of the body through tumescent liposuction, “processing” the good fat with centrifugation, then carefully re-injecting the fat back into the butt, lifting it up for perky bootyliciousness. When I asked one prominent Beverly Hills plastic surgeon who performs the procedure if the Kardashian sisters have had fat transferred into their asses, he asked me not to use his name and said, “Of course. Just look at some old photos of them. Their buttocks get bigger as they get thinner. Even porn stars want an ass like theirs. Fake is the new real.” Lips Serviced Vaginal labiaplasty is more popular than ever, first pioneered by Beverly Hills plastic surgeon Dr. David Matlock, called “the Picasso of Vaginas.” He says, “Women show me pictures in adult men’s magazines and say ‘I want to look like this.’” And I thought men were just happy to see one. “A lot of lesbians ask for this,” he says of his procedure, which corrects uneven labia where one is hanging low or larger than the other. He also “enhances” labia that are too small, sort of “plumping up the beef curtains.” “Vaginal rejuvenation” is a different procedure, and is for women who’ve stretched out their vaginas from having kids. (Contrary to popular belief, women’s vajajays don’t get stretched out from having too many double penetrations; it’s more about passing a baby the size of a basketball through a two-inch wide vagina.) In this procedure, the vagina is tightened to a “pre-virginal” state of tightness, according to Matlock, giving any 48-year-old the cooch of an 18-year-old. “Husbands thank me,” he reports. And ... Scrotox Scrotox is botox for your balls. The latest contender in the non-surgical plastic surgery category. And at a cost of $1,300 to $2,000, turning your prunes into plums isn’t cheap. So why do guys get this? Three reasons: Sweaty balls (competitive bicyclists and marathoners also get it), wrinkly balls, and small balls. Male performers or gay men with small scrotums might be self-conscious, but I don’t know too many women who say “Damn, if only his balls were an inch bigger.” Anka Radakovich is a legendary sex columnist who wrote a groundbreaking column for Details magazine. Currently she writes for British GQ and Sexpert.com. She is the author of three books, including her newest, The Wild Girls Club, Part 2. She has appeared multiple times on TV talk shows, including eight appearances with Conan O’Brien. She is also a certified sexologist. We are thrilled to have her as a contributor. Follow Anka Radakovich on Twitter: @ankarad.