Are cosmetic surgeries of the genitals prohibited or not?

Cosmetic surgeries of the genitalia involve a detailed explanation:

Permissible:

If it is to remove a congenital defect that hinders normal pleasure or negatively affects sexual function, or to remove a deformity, or for a recognized medical need attested by a specialist doctor. This is because it falls under the general evidence for seeking treatment, and because a need is treated as a necessity.

Forbidden:

If it is to seek an increase in beauty or a desire for increased pleasure without necessary or compelling motives, then this is considered an unlawful alteration of creation. Evidence for prohibition: The Holy Quran: The Almighty's saying: {and I will surely command them, and they will alter the creation of Allah} [An-Nisa: 119]. The Prophetic Sunnah (definition): The cursing of those who perform tattooing, pluck eyebrows, and create gaps between teeth for beauty, those who alter Allah's creation. Analogy (Qiyas (definition)): Its impermissibility by analogy with tattooing and eyebrow plucking, based on the commonality of altering creation for the sake of beauty. Rational Evidence: It involves prohibitions such as anesthesia without necessity, uncovering private parts without need, and the resulting harms and complications.