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He noticed that most doctors performing anal surgery were treating hemorrhoids or cancer but “were not looking at the anus as cosmetic or sexually functional,” he said.

So he opened his Bespoke Surgical practice on East 12th Street in 2010, where he offers medical services to treat hemorrhoids, skin tags and fissures, as well as cosmetic procedures like Botox, dilating and tightening services, that run from ,000 to ,000 depending on the severity of the case.

There are some conversations that change your life.Sometimes doctors tidy up the botched work that other physicians leave behind.Tom, a 48-year-old in Manhattan, had serious scarring from another procedure that narrowed the opening to his anus. “And the guy was like, ‘Wow, you have a beautiful butthole,’ which just made me feel so good.If a doctor has ever diagnosed you with genital herpes, you may remember that discussion as one of them.Genital herpes is a frightening diagnosis for many people.