A growing number of women are turning to intimate cosmetic treatments, highlighting demand for procedures that were once considered a niche part of aesthetic medicine. The trend appears to be gaining attention among wealthier patients willing to spend heavily on highly specialized care.

At the center of the story is Sally Greenwald, a gynecologist described as a leading figure in the global market for these treatments. Her fees reportedly reach as high as $10,000, placing her practice at the premium end of intimate cosmetic medicine.

The report suggests that intimate “tweakments” are becoming part of a broader beauty and wellness landscape, where discreet cosmetic services are marketed alongside confidence, appearance and personal choice. That shift is helping move the sector further into the mainstream, even as it remains closely associated with affluent clientele.

Greenwald’s prominence also reflects how lucrative this corner of cosmetic healthcare has become. As more women seek out intimate procedures, the high-cost, luxury segment of the industry is drawing increasing scrutiny and interest.