Want my clitoral hood to flow with my labia lips - how can I explain to my doctor what I want? (photos)

You should tell your doctor exactly what you want. You should have good communication with your doctor so that you can reach the right result. I don't know where you live and where you got your doctor from, but you shouldn't have surgery like this.

Flow doesn't mean that your "vagina" won't be visible after surgery. It simply means that a skillfully executed labiaplasty with clitoral hood contouring will produced a result that doesn't look weird or unnatural. It doesn't look like labiaplasty with or without clitoral hood contouring will produce the hidden "vagina" that you seek. The reason for this is that the shaft of the clitoris is wide in relation to the labia majora and the majora are relatively flat. The shaft cannot be made narrow. Thus, any labiaplasty with or without clitoral hood contouring will still leave you with a wide and visible clitoral shaft in the middle.

Depending on which technique your surgeon uses, it is very easy to have the clitoral hood blend in with the labia minora. A conservative resection of tissue with a gentle arc down from the hood tends to achieve this very nicely. I take care of many patients with similar anatomy and it is possible to give a very natural result that blends beautifully.

Thank you for your questionI f your surgeon has not detailed precisely what he will do and what it will lookalike -DO NOT DO THE SURGERY. Take your time and find a surgeon who will show you how he will do what you request. Better to be certain than to have to fix up later. You have both prepuce and labia issues. See the video below and do your homework.

helloyour concern is vert understandable. only cutting the inner lips will not cause an aesthetic result. you need to have a clitoral hood correction with will have the result which clitoris and inner lips are in harmonious. as doing labiaplasty frequently, I can say that I get the result you opted from composite reduction labiaoplasty technique. I would advise you ask for it. Best

In order to get the “tucked in” look that most all ladies desire from labiaplasty, based on the photos an aggressive clitoral hood reduction is needed. Some women have more fullness at the top of the vulva and more tissue covering over the clitoris. The treatment for this is an aggressive hood reduction. In many cases this still will result in a slightly widened cleft or a slightly widened “cleavage” between the outer labia. This is really primarily a function of each persons anatomy. Just like breasts can have a wide or narrow cleavage, the outer labia can also have a wide or narrow gap. So while it won’t be possible for there to be simply a cleft in your case—in all likelihood—it still would be possible to have most of the labia and hood tissue hidden. If the labiaplasty alone is performed it may actually worsen the outcome and make the upper tissues more prominent. Best to find a surgeon who understands this goal: one that is intrinsic to all labiaplasty patients. Best to look at photos, videos and reviews of surgeons who deal extensively with labiaplasty surgery

HI goodfswrh,

I think that your questions and desires are fairly straightforward. Did you tell your doctor what you want?
Did it appear that she did not understand or disagree with you?

Sometimes my patients will bring in pictures from my website or other sits and discuss what they like
or dislike. Sometimes a picture can express and give direction to a doctor better than words.

If you feel that your doctor does not understand what you want or disagrees with your desires, perhaps it is better to get another opinion?

Good Luck!

Dr. Christine Rodgers

I am not sure exactly what you are asking but I assume you want your minora and clitoral hood to be within your labia majora. 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. This often causes asymmetry, scallops, and a wide suture line. 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 at the same time. Your clitoral hood is thick, 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 drastically decreased. I have done it over 350 times with excellent 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. About 40% of my labia cases are reconstructions of other surgeons' labiaplasties.

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY

Thank you for your question and photos. Every woman's anatomy is different and in your case you do have multiple folds from the labia minora and clitoral hood. I do not believe that a single incision will blend these two anatomical areas nicely, without giving you some potential functional problems from the scars. In your case, I would do a wedge resection labiaplasty (this will also tighten the vaginal opening) and a vertical or modified vertical clitoral hood reduction to give you the best desirable anatomical outcome. You might want to discuss this with your surgeon, before surgery. Remember, a revision is more complicated and most likely will not deliver the desired result. Good luck.

Hello Goodfswrh,
Great question! You need to review her Before and After photos to see if her results come close to your expectations before hhaving your procedure.
Your photos demonstrate a large droopy hood with excess and redundant lateral prepuce that needs a meticulous hood reduction with clitoropexy. Once the hood is reduced and lifted perfectly only then can the labiaplasty be performed. It is this combination of procedures that I've performed and perfected for more than 15 years that has resulted in thousands of satisfied patients.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. Actually, if you go to the "Clitoral Hood Reduction" section - Case #7 of 129 is very similar to your photos. 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,