It seems only fair after the last post to describe what a specialist in Pelvic Reconstruction does. First, the terms "vaginal rejuvination" and "designer vagina" are not recognized by the American College of Obstetrics and Gynecologist and the procedures are also not sanctioned (although they are commonly presented on a certain TV real life series). So while it may be sort of funny to think of titles for cosmetic surgery of the vagina, that's really not what I am training to do.
Reconstruction is not synonomous with cosmetic. In fact the patients I'll be focusing on are patients with fecal or urinary incontinence and/or vaginal, urethral, bladder, uterine or rectal prolapse. These problems often occur from childbirth and are certainly not funny. And where medical care is limited, women can also develop fistulas from traumatic childbirth.
Sometime I'll write more about why I've chosen to focus on medical issues that predominantly impact quality of life, but for now I hope that clarifies my future area of expertise.