Eh, well, yes, women can be insecure about their bodies without male intervention.
But when I was weirded out about how my genitals looked after puberty, I just shrugged it off, as, well, no one would see it anyway.
If, between puberty and first appointment with a gynecologist, I had had sex with an okay boy, he wouldn't have commented, so I would still not have considered it an issue.
Nowadays, the status quo is sex with completely pornsick boys, who think they know what a vulva is supposed to look like, or viewing porn yourself.
There's a difference between a vague feeling of "Huh, that looked different before, not sure I like that new look" and "Oh my god, I am horribly ugly, how can I live with that?!"
And I blame porn for the former turning into the latter. To have surgery on such a sensitive body part, you must be really desperate. Not just a bit unhappy about your looks.