Plastic surgeons in Latin America’s top economy, known for pioneering the Brazilian Butt Lift that transfers fat from other areas of the body to the buttocks, have seen a massive spike in demand for labiaplasty, a surgery that slims or plumps the labia.

Critics say the trend is a worrying sign of how pornography is warping women’s sense of their bodies, as a cultural preference for pubic hair removal pressures them to conform to new notions of genital perfection.

Plastic surgeons, meanwhile, argue that it is a form of female empowerment.