please describe what is clitoral hood reduction and is it safe?
What is Clitoral Hood Reduction?
Doctor Answers (24)
Clitoral Hood Reduction Is Safe if Done by an Expert
Thank you for your question. A clitoral hood reduction, also called a Clitoral Hoodectomy is a procedure done to remove excess clitoral hood skin in patients who suffer irritation of the skin or decreased sensation due to excess skin overlying the clitoris.
This is very delicate tissue and requires careful surgical technique to avoid scarring and avoid taking too much skin.
Personally I use the laser to remove the excess clitoral hood. This avoids a scalpel and clamping because the laser seals the blood vessels as the tissue is removed. In my experience using the laser results in quicker healing and less scarring.
Find an expert Plastic Surgeon who does vaginal plastic surgery. You want an expert for this very delicate procedure.
Clitoral Hood Reduction
Thanks for the question.
In our San Francisco area practice patients sometimes look for a clitoral hood reduction at the same time as labiaplasty and sometimes patients seek this treatment without additional procedures.
The procedure involves reduction of some of the skin around the clitoris.
This procedure must be approached with caution as complications can include scarring or over resection of tissue around the clitoris which can leave the clitoris exposed which patients can find painful.
Be sure to find a board certified plastic surgeon to discuss any questions you may have.
See the clitoral hood reduction video
This is a procedure that has generated much controversy.
An understanding of the anatomy is essential to understanding the available surgical options. It is for my patients to understand if I make a simple analogy to the penis.
The clitoral hood also called the prepuce is similar to the male prepuce or the foreskin. Female circumcision is also referred to as a hoodectomy. This is a very uncommon procedure. However Clitoral hood reduction would be similar to reducing the foreskin but not eliminating it. In some instances this would allow greater access to the clitoris during sexual stimulation. The risk of losing sensation in the clitoris would be extremely low and would be analogous to saying will you lose sensation in the tip of the penis if you perform a circumcision. The risk of damaging the clitoris is the same as the risk of damaging the tip of the penis; it's possible but highly unlikely. In fact, there is some suggestion that performing a circumcision is an acceptable treatment for premature ejaculation when the penis is overly stimulated. The thought is that the tip of the penis would eventually become desensitized by exposing it to constant stimulation rather than remaining under the cover and protection of the foreskin. Imagine that you constantly tickle someone, eventually that person would become less ticklish. Now this topic is also debated but a 2002 British Study of 150 circumcised men revealed that 44% reported no change in sensation whereas 38% reported improved sensation and 18% reported decreased sensation.
To see the anatomy check out this video
Otto Placik MD
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Clitoral hood reduction
Separation of the labia majora may be from an enlarged clitoral hood or redundant labia minora. Clitoral hood surgery reduces the skin of the clitoris so that it is not as wrinkly and protrudes less. The scar is either along the roof of the clitoral hood or on the side between the hood and the labia majora (the way I prefer to do it). It is important that your doctor examines you to determine why the hood is large. Sometimes the clitoris itself is enlarged and not just the hood.
A few doctors remove the entire clitoral hood but hyper sensitivity may occur so I usually do not perform complete removal. Safe reduction of the clitoral hood may be performed either independently or more commonly as part of a labia minora reduction. Risk of decreased sensation is low in most cases.
Some patients have some extra skin over and on the sides the clitoris.
It is possible to remove this skin during a labioplasty procedure. Sometimes if the extra skin around the clitoris is not removed the aesthetic balance of the area is not completely achieved. It is important not to remove too much skin from the clitoral hood so that the clitoris does not become hypersensitive.
Clitoral hood reduction
Martin Jugenburg, MD
Removing excess skin around the clitoris
Women have a small excess of skin ,or hood, that covers and protects the clitoris. When this hood too excessive it can be uncomfortable or interfere with sexual activity. The key in treating this problem is to just the right amount. It's also important to be precise in the excision and minimize the development of scar tissue around the clitoris
Clitoral hood reduction
Clitoral hood reduction can be combined with labiaplasty in order to reduce the redundant tissue above the clitoris. The technique must preserve the integrity of the labial and clitoral tissue.