Is there a certain amount of time after a labiaplasty I have to wait before having a clitorial hood reduction?

Question

Hi I had a labiaplasty that was unilateral and the hood skin was not removed which led to a disappointing result . Do I have to wait a certain amount of time to have a clitoral hood reduction if it is was not addressed during labiaplasty ?

Gary J. Alter, MD · Answer

You do not need to wait if there are no recent incisions on your hood. Otherwise, you need to wait at least five months. Depending on your desires, the hood can be decreased somewhat by reducing the sides or the hood can be more aggressively reduced. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be decreased.  I have done this procedure over 300 times with excellent results. No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.

Ryan A. Stanton, MD · Answer

There is no specific waiting period interval as long as your recovery from labiaplasty is going smooth.  Glad to help

Troy Robbin Hailparn, MD · Answer

Dear Mumblesalot123,
Thank you for writing in with your excellent question and for sharing your photo.
Usually 6 months is the recommended time to allow complete healing from the first procedure.  From what I can see you have a small amount of left hood skin, and want to be careful not to have too much removed or it will pull to one side, or can affect the look of the transition between the left labia and the hood, which has healed well.  There is a small edge of labia on the right that could be taken down for symmetry purposes if it bothers you, otherwise leave it alone.
To read more about hood reduction and labiaplasty, please visit the link below.
I hope this information is helpful.
Sincerely,
Troy R. Hailparn, M.D., FACOG, FAACS
Cosmetic Gynecology Center of San Antonio

Peter Castillo, MD, FACOG · Answer

Thank you for your question. Although this isn’t necessarily a revision rather a missed opportunity to provide the best outcome, you should wait at least 12 weeks before having surgery in the area. I say this because labiaplasty surgery when performed under Insurance often only address the “one thing” that you complained about without consideration for what’s left behind. After an evaluation with an experienced Labiaplasty surgeon you will likely be recommended to address all areas to provide a balanced appearance. Your labial asymmetry should be addressed along with a Clitoral hood reduction with pexy to achieve your truly desired results. Best of luck in your search.Peter Castillo, MDCosmetic and reconstructive vaginal surgeonLos Gatos, CA

George Shashoua, MD · Answer

Thank you for sharing.  For revisions or further reduction of tissue in an area that was recently operated on I would typically recommend waiting at least 12 weeks. Even though the clitoral hood was not operated on, you can still have edema in the generalized area from the labiaplasty procedure itself. Allowing the previous incisions to heal fully allows for the surgeon assess and addressing the clitoral hood the best opportunity for a physical exam. This in turn will allow for a better recommendation from a surgical standpoint and likely a better outcome overall.

Pedy Ganchi, MD · Answer

Hello,It's always beneficial to review all options in labiaplasty surgery with each patient during the planing phase.  Unilateral, bilateral, +/-hood reduction, fat grafting, degree of shortening, are all questions that require careful assessment and planning, as each woman's goals may differ.Undergoing a revision surgery, even on an area that was not operated, is best undertaken no sooner than at 6 months.  The tissues will be thoroughly healed for proper evaluation and surgical planning at that time to ensure the most stable and ideal results.Warm regards,Dr. Pedy Ganchi                                                                                                                                      Village Plastic Surgery

Ram Kalus, MD, FACS · Answer

Sorry to learn of your disappointment. We generally perform both without difficulty if both are indeed indicated. I agree with many of my colleagues that it is best to wait three to six months before considering revision surgery. If you plant seek a second opinion rather than return to your own surgeon, please select an experienced board certified plastic surgeon or gynecologist who routinely performs genital aesthetic surgery. Best of luck to you.

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Six months is usually best for revision of a labiaplasty. Any sooner than that sometimes creates problems with healing because the tissues haven't regained maximum strength, blood supply and elasticity.

Adam J. Oppenheimer, MD, FACS · Answer

It generally makes sense to wait six months before performing revision labiaplasty. The labia minora and hood tissues are quite delicate and require Complete healing before additional surgery is considered. This could theoretically be done earlier closer to three months if the same areas not requiring surgery. Every vulva is different and oftentimes doing a one-sided labiaplasty still leaves too much on the other side or leaves a rough dark or a natural edge on the other side. Many doctors ignore the hood under the claim that there is a higher risk of nerve injury and sensation loss. This just has not been the case among expert labiaplasty surgeons and hood reductions are performed in almost every single labiaplasty that I do. Look far and wide this time and go to someone who really has A lot of experience with the procedure

Oscar A. Aguirre, MD, FPMRS · Answer

Hello mumblesalot123,Looks like you had a left labia minora reduction for asymmetry, but the redundant lateral prepuce on the left side was not addressed. Unfortunately, you still have asymmetry of the labia minora since the right side is now longer and darker than your left side. To obtain natural, youthful, and beautiful results you should wait till you are 3 months out from your previous surgery, but also long enough to find a surgeon experienced in aesthetic vulvar surgery.Best of luck,Oscar A. Aguirre, MD, FPMRS
Urogynecologist & Cosmetic Vaginal Surgeon
Denver, CO - USA

Is there a certain amount of time after a labiaplasty I have to wait before having a clitorial hood reduction?

Answers (14)

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