Clitoral hood reduction. Is this right - that the two side parts extending from my clitoris have been removed? (Photo)

Is this right - that the two side parts extending from my clitoris have been removed? Or is something important gone? I have a scar going right up the side and around the top of clitoral area with white spots that I couldn't see before so I am not sure what was removed? Feeling very unsure about exactly what was taken away

Doctor Answers 7

Techniques Vary

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Hello Clare Rose,

You really may want to discuss this with your surgeon as we all do these a bit differently. What we remove and how much as well as how we repair the operated area varies substantially. 

Best Regards,

John Di Saia MD

Orange Plastic Surgeon

Clitoral hood reduction

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will show sutures in the sulcus/recess and I cannot appreciate any on your photos at this point.  Its possible you just had a wedge as the prepuce appears to have simply been pulled downwards.  Your surgeon can show you were the sutures were for a hood reduction if it was done.  But you look great at this point and would encourage you to allow yourself to heal and not fret about anything as it does no good and nothing is going to change by doing so.  When your surgeon takes the post-op photos, you should have an opportunity to critique your results and see if improvements can truly be made, if you're not already mentioning things in your follow-up visits.

Questions after labiaplasty/CHR

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The photo looks like you had a wedge labiaplasty and, by your description, may also have had a clitoral hood reduction.  Allow for more swelling to come down and review carefully with your surgeon exactly what was done.  If you are unsure or unhappy with the explanation, seek a second opinion from a qualified surgeon who does a lot of labiaplasty.  Revisions should wait 4-6 months.  Best wishes. 

Labiaplasty: Postoperative Results

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Thank you for your question and photographs.  It is challenging to evaluate without a physical examination.  I would recommend contacting your surgeon to discuss your concerns.  Best of luck.   

Jeffrey S. Palmer, MD, FACS, FAAP (Cosmetic and Reconstructive Urologist -- Cleveland, Ohio)

I see scarring around the top of the clitoral hood

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The scarring around the top of the hood suggests that some tissue might have been removed. Your surgeon would surely know. Ask him to provide a sketch on the before photo.

Anatomy questions need an in-person evaluation to adequately answer...

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Hello Clarerose,

You have communicated with us before. While it is virtually impossible to interrupt the frenular nerve and vascular supply with a V-Wedge, it is entirely possible to do so with an ill-performed linear/trim technique, especially if your surgery was performed by a "general gynecologist not experienced and SPECIALIZING in female genital plastic/cosmetic surgery. As the clitoral crurae (1 crus; 2 crurae...) are located deep in the anterior vaginal wall near the area of the G-spot, it is totally IMPOSSIBLE that crural damage would occur with a LP, which is in an entirely different anatomic area! If you truly wish to correct your situation, you will not do so merely by querying us! Your path towards correction or healing BEGINS with your making in-person appointments with a couple of acknowledged EXPERTS and getting their opinions. This may involve some travelling and a bit of $$ in consult fees, but it will be worth it. That is the ONLY WAY you will truly understand just what has transpired! Perusing the weblink below may get you started...

Best wishes,

Michael P Goodman, MD

Davis, CA, USA

Clitoral hood reduction

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I think the best would be to talk to your surgeon and ask him to explain the surgery that was done in details - including how much tissue was removed on each side and precisely from what location. That will help you understand the changes. Hood reduction is frequently performed along with labiaplasty to avoid very excessive skin appearance around the clitoris after labiaplasty

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.