Should I get labiaplasty with my clitoral hood reduction for best looking results? (Photos)

Thank you for your questionThe answer to you initial question is totally dependent on your self perception. Qualitatively your labia are well within average but if you are uncomfortable either physically or selfconsciously then you can have a procedure done but be very careful as it is easy for too much to be removed and you can wind up worse off. View the video below and do your homework. Check out different surgeons and ask what they will do , how they will do it. look at several before and after photos and see their reviews. It's better to get it right the first time.

Isolated clitoral hoodoplasty can be performed, but correct labioplasty and shrinking the skin around the clitoris will give you a much more desirable look. Inner lips do not hang in a correct operation. I wish you healty days

Your labia minora and clitoral hood can be reduced to improve the appearance. A labiaplasty with a clitoral hood reduction can reduce your hood 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 labiaplasty 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. There is rarely a sign that the woman has had surgery.

Since you have extra tissue on your clitoral hood, it can be reduced at the same time. Your clitoral hood is long 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. 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. I have performed this procedure over 400 times with outstanding results. I have not published this technique, so no one does it like me.​

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.​​ Approximately 40% of the female genital surgeries that I perform are reconstructions of other women's botched labiaplasties and hood reductions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

While performing labiaplasty surgeries, the clitorol hood and the labia should be in balance. It doesn't make much sense to only do hoodoplasty. It would be more accurate to do labiaplasty and hoodoplasty together.

Q: What should be done?
A: The case presented here is a functional and solo esthetic problem. None of the suggestions from RealSelf advisors for surgical treatments of the clitoral hood and labioreduction will work since your problem is related to both the clitoral frenula and the labia minora bifurcations. Pictures presented here demonstrate a classic abnormality of both clitoral frenula that are unnaturally suspended the labia minora and brought the upper part of the labia minora into the opening of the clitoral hood (the clitoral prepuce. These irregularities are more accentuated on the left side, where practically there is no clitoral frenulum presence. Additionally, bilaterally there are no labial bifurcations. I did anatomical and clinical research on the clitoral frenulum and published in peer-review medical journals research findings: a) A. Ostrzenski. Clinical Anatomy 2018 Sept:31(6);907-912. b) A. Ostrzenski. Helion 2019 doi:10.1016/j.heliyon.2018.e01098. PMID: 30705978; PMCID: PMC6348164.Therapeutic step-by-step surgical approach:1. Microdissection of the labia minora from the clitoral frenulum (it will release the unnatural suspension of the labia minora by the clitoral frenulum),
2. Recreation to get desired length and color of the clitoral frenulum, making sure that the infrafrenum fascia bundle will be intact (is needed this structure can be reconstructed),
3. De-novo creation of the labia minora bifurcations,
4. Reconstruction of the upper part of the labia minora. Most likely, you will not need any additional esthetic surgery on the labia minora or clitoral hoodoplasty as you were advised to do so. You need to correct your functional problem before esthetic conferences can be addressed. However, in my humble opinion, you will not need esthetic surgery, if the first operation will be executed correctly.
With regards,Prof. Dr. Adam OstrzenskiUSA

Hi Nixce, every woman has varying anatomy in this area, and while everything looks normal it seems that the size of your clitoral hood is starting to cause irritation with clothing and other problems. Choosing the degree of surgery here depends on your desired outcome. The clitoral hood reduction alone will not lift or reduce the labia much, and sometimes when the protuberance of the hood is reduced the labia can actually look more prominent. That does not mean you need to do a labiaplasty as well, but if the aesthetic look of labia being more visible will be a concern for you then it is probably best to do both a clitoral hood reduction and some degree of labiaplasty at the same time. All the best, Dr. Susan Mikaelian