Clitoral hood reduction and labia plasty? What do you think?

Question

Is my goal semi realistic ? I'm not expecting to look identical by any means but I would like a much thinner smaller clitoral hood and labia... They look wrinkly and im 21, with no kids and only have had 2 sexual partners in my life. What is the recovery like? I would like to do it the same time as a Breasy augmwntation. Will one week be enough to go back to work?

Gary J. Alter, MD · Answer

I reviewed your photos. Your labia minora and clitoral hood are very enlarged. A labiaplasty with a clitoral hood reduction can reduce your size.  However, it must be performed by a surgeon with experience. One of the two most common labiaplasty techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labioplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. If you have extra tissue on your clitoral hood, it can be reduced it at the same time. Your clitoral hood is long, wide, and protuberant.  It can be decreased somewhat by reducing the sides.  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.  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.

Adam J. Oppenheimer, MD, FACS · Answer

1 week recovery should be no problem. Your goal is perfectly realistic and actually will mean a less aggressive procedure. Obviously you need to find a plastic surgeon in order to do both procedures at once.

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

The main aesthetic differences between your labia vs the wish pic are excess wrinkled skin along the sides of the clitoral hood and a slightly higher profile of the labia minora. Clitoral hood contouring is effective in smoothing out the sides along the front and labia minora reduction labiaplasty will finish the job. This procedure combines well with breast augmentation and is a common combo in my practice. You can expect to return to a desk job in 48 hours, an active job in under a week and hit the gym hard in 6 weeks.

Luis A. Mejia, MD · Answer

Hi.. thank you for the question and photos... you are an excellent candidate for a clitoral hood reduction and labioplasty... if you do both procedures together is 1 week you can go back to work

David Stoker, MD · Answer

You are an excellent candidate for clitoral hood reduction and labiaplasty, but I would recommend conservative reductions. The procedure may be performed under local anesthesia. Two or three days away from work is adequate for most of my patients.

Daniel A. Medalie, MD · Answer

HI,I think that you are an excellent candidate for labiaplasty surgery with clitoral hood reduction. The surgery can be performed as an outpatient and the recovery is fairly uneventful. I prefer the central wedge technique as it gives a more aesthetic and taught post-operative appearance. I frequently perform labiaplasty at the same time as breast augmentation and find that patients tolerate this combination of procedures quite well. One week off from work (as long as it is not too physical) should be sufficient (though you will still be sore).All my best,Daniel A. Medalie, MD

George Marosan, MD · Answer

Based on the photos, you can have both procedures. You would have natural looking results with a wedge technique labiaplasty and clitoral hood reduction to achieve similar results to your wish photo. The breast augmentation can be done at the same time. See a board certified plastic surgeon for an in person consultation/evaluation. Recovery with the combined procedures will be 7-10 days initially, and it depends on the type of work you do, when you can return to work.  Good luck.

Heather J. Furnas, MD · Answer

Consult with a board-certified plastic surgeon who does both breast augmentation and labiaplasty. I've performed both procedures together many times, and patients have done very well.As far as matching a photo, that can be difficult since bodies vary in many ways. However, you could bring the photo to your consultation to show your surgeon as you discuss your goals. He or she can discuss the procedure and the anticipated outcome of a labiaplasty with clitoral hood reduction.To read about a labiaplasty patient's experience, click on the link below.All the best.

Fred Suess, MD (retired) · Answer

Performing both procedures at the same setting one week should be OK for recovery time depending on your work requirements. You will be swollen in both operative areas.

Clitoral hood reduction and labia plasty? What do you think?

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