Clitoral hood skin to rebuild labia?

There are a couple of options as you mentioned using clitoral hood tissue to make new labia. The other option would be creating labia via vaginal flap advancement using my ReViv technique. Check out the website linked here for more info.

Best of Luck!
Michael A Reed MD @thecosmeticgyn
Davis, California

Thank you for your honest and thoughtful question — I understand how frustrating and emotional this situation can be.
When too much labial tissue has been removed, rebuilding or increasing the size of the labia minora becomes quite complex. Creating new labial tissue is not easy and often does not provide natural or functional results. That said, the best approach can only be determined after an in-person evaluation — seeing the actual anatomy helps guide a personalized and realistic revision plan.
One commonly helpful option is labial puffing using fat transfer or dermal fillers. This can restore volume and soften the contour in the area, making the absence of the labia minora less noticeable and improving the overall harmony of the vulvar appearance.
In addition, it sounds like you may be experiencing cleft separation or widening — something that’s quite common and more noticeable after aggressive labiaplasty. In these cases, cleft narrowing is often a more effective and natural-looking revision technique. It brings the labia majora closer together, reduces visible separation, and restores symmetry. It is generally more cosmetically successful than clitoral hood reduction and avoids disruption of sensation.
As for clitoral hood reduction, I typically do not recommend it in your situation. While there may be excess hood tissue, removing it can affect sensation and often results in visible scarring or suboptimal cosmetic outcomes. In contrast, cleft narrowing offers a more refined and balanced improvement without those risks.
You’re absolutely right to consider traveling for this — revision labiaplasty is highly specialized, and achieving the best possible outcome depends on working with a surgeon experienced in both cosmetic and reconstructive vaginal procedures. Once your anatomy is assessed in person, we can create a plan that aligns with your goals and comfort.

Hello,. Thank you for your question regarding Labia reconstruction. Photos are necessary in order to advise and provide a professional opinion.

It is possible to reconstruct a portion of the labia minora with excess tissue of the clitoral hood. Please seek an assessment from a board certified plastic surgeon experienced in labiaplasty.

Many times, labiaplasty revisions happen because too much labial tissue was removed during a labiaplasty. When this occurs, doctors can use the skin around the clitoris to rebuild the inner labia using a specific method.

Hi,
One of the most common reasons for labiaplasty revisions is the removal of too much tissue(labia minor). It is possible to use the remaining clitoral hood skin to reconstruct the labia minora. There is a specific technique for this, and with good postoperative care, the overall results can be very satisfactory.
Best regards,Dr. SEN

Unfortunately, I see many women with the result that you've described. It is one of the most common resasons for a labiaplasty revision.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Bilateral clitoral hood flaps, tissue from the upper part, can absolutely be used to reconstruct too much labia tissue removed during a labiaplasty. I’ve done this several times with success and it is the correct procedure for this problem.
The saving grace of your first surgery is that they didn’t address the excess hood, which is a common problem with inexperienced surgeons. In this case it is a blessing.

As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by other surgeons, both wedge and trimming techniques. The reconstruction technique depends on the deformity. The reconstruction is more difficult than a primary labiaplasty and should be done by a plastic surgeon with extensive experience in labia reconstruction. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" about ten years ago. You say you have a lot of clitoral hood, so I should be able to reconstruct your labia minora with clitoral hood flaps, which I invented and published in that journal article. In this surgery, I take the remaining tissue of your clitoral hood and transfer it downward to create labia minora. I have done this surgery about 80 times with excellent results. The surgery takes about 3-4 hours, so it is not a simple office procedure. If any surgeon reduces more of your clitoral hood, you will be ineligible for this repair. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

The best way to rebuild your overresected labia minora depends on the appearance of your labia minora and the surrounding tissues. Post a photo or share one privately by scheduling a virtual consultation. The main options are to use nearby skin from either the clitoral hood or from the labia majora, but the best option for you depends upon the appearance of the area.