Is a clitoral hood reduction necessary?

I'm getting a labiaplasty (reduction of labia minora) and my doctor recommended a hood reduction cause he said there was too much skin. However, that part doesn't really bother me and have no problems sexually other than my labia getting in the way or bothering me with underwear/pants. Should I get it done since he suggested it?

Doctor Answers 14

Is a clitoral hood reduction necessary?

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The clitoral hood is the skin above the labia minora and the skin that overlies the head of the clitoris. The clitoral hood reduction is performed if the patient wants it to remove discomfort, to better expose the clitoris, or to improve the appearance. Many different types of clitoral hood reduction are performed, so you need your doctor to be very specific at to the plan. The type of hood reduction depends on the patients anatomy and desires. I routinely remove the sides of the clitoral hood with a labia minora reduction if there is excess tissue. I perform a central wedge labiaplasty. If the skin overlies the head or glans of the clitoris, that can be reduced. If the patient has a very large, protuberant, long, wide clitoral hood, I also invented a procedure called a clitoropexy with a clitoral hood reduction. With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. Above all, you don't need a clitoral hood reduction unless you want it.

Not necessarily

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I do hood reductions occasionally (Labia minora reductions most often) but make it a point to ask patients what they want before designing an operation. Not all patients desire every possible part of any operation.

Best Regards,

John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon


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Leaving a large hood and aggressively reducing the minora can lead to an imbalanced appearance. Some women who have a trim and no hood reduction complain of a "small penis" present at the top when the hood is particularly large.

Is clitoral hood reduction necessary

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Clitoral hood reduction is certainly not required when performing a labia minora reduction, but the majority of my patients do prefer to have both.  If you have doubts, proceed with the labiaplasty now and reassess when fully healed.  You may do the clitoral hood reduction later under local anesthesia if you desire. 

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 60 reviews

Labiaplasty and Optional Clitoral Hood Reduction

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Women who undergo labia minora reduction for the treatment of irritation and discomfort sometimes have excess skin at the clitoral hood that does not suffer from these issues. Nonetheless, treatment with simple labiapasty will result in the clitoral hood region appearing even larger because of the newly created contrast between the two areas. It will be an issue of aesthetics rather than of medical symptoms. Leaving the hood reduction for a later time is an option that would allow you to make a better choice if you are undecided.

Clitoral hood reduction and labiaplasty in Los Angeles

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Clitoral hood reduction can sometimes be a staged procedure that can be performed later. In some cases, the clitoral hood extends outward to cover the clitoris. 

Raffy Karamanoukian MD FACS
Los Angeles

Clitoral hood resection is not necessary during labioplasty unless you have a good reason to do it

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Thank you for your question. A labioplasty can be performed without clitoral hood reduction to reduce the size of the labia minora.

If you do not have a problem with clitoral insensitivity then I would suggest that you do not have a clitoral hood reduction. Scarring after clitoral hood reduction can cause significant problems therefore it is best not to do it unless absolutely necessary.

Clitoral hood reduction

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Clitoral hood reduction can be performed if there is excessive skin around the hood. It is a personal choice. Good luck.

Nothing is necessary unless you want it...

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but if you truly have excesses that can be pointed out to you, then you can make a better decision as to whether you would want that procedure or not. It will add scars and costs and you should be highly motivated to have it done and not just because your doctor suggests it. And your doctor should be able to help you appreciate what he is talking about and if not, you should consider getting a second opinion. And you want to make sure you understand what technique is being used in your procedure as well as the pros and cons of each as most of the poor results I see on this website come from trimming too much from the edge (vs the wedge).

Clitoral hood reduction indications

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The typical indications for reduction of the clitoral hood (aka hoodectomy) are: 1) to reduce the amount of redundant hood skin covering/concealing the clitoris such that the clitoris is better exposed during sexual activity and thus better stimulated and 2) to harmonize the result when performing a labiaplasty such that the overall appearance is more uniform - this is only necessary when the clitoral hood too is excessive but not necessarily hindering sexual stimulation. Glad to help

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.