Do I need clitoral hood reduction to achieve the look I want? I want the inner labia to sit tidy inside the outer labia. (photo)
Doctor Answers 8
Labiaplasty and clitoral hood reduction?
Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. Also, it's not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function - typically 7-8 mm actually. To achieve these three most important elements, I have found that the "Trim Method" satisfies best. It is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 - 2 per week). It may cost you a bit more but it is this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible. Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc... Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.
Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin or Percocet but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best. Glad to help.
Do I need a clitoral hood reduction?
I prefer to call reduction of the labia minora and retraction of the clitoral hood a "labioclitoroplasty.
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With the extended wedge technique, you can get rid of the excess labia, but if you look closely--particularly at the front and center mirror photo--you will see that you actually have a double labia minora... this is sometimes called the clitoral hood, but really it is a labia minora reduplication. So the extended wedge will have to remove this tissue as well. In addition you probably will want to have another upside-down "V" removed from the clitoral hood, but this will need to be cautious, again, to make sure that the clitoris isn't overly exposed.
The other reason I say CLOSE is because you will still have some darker pigment on the minora after the wedge labiaplasty.
I think with the right doctor you can have a GREAT result. The problem is that most doctors only know one technique. All labia are different, and all surgeries must be uniquely tailored to each patient. Whatever you do, don't get a trim method.
Aesthetic Vaginal Surgery
Do I need clitoral hood reduction to achieve the look I want? I want the inner labia to sit tidy inside the outer labia.
Kenneth Hughes, MD
Los Angeles, CA
Very realistic goals
You can certainly achieve your goals
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