Gaping vagina and enlarged clitoris - Is tightening an option? (photos)

In regards to the enlarged clitoris (clitoromegaly), this is usually a sign of high testosterone levels. If you are not taking any testosterone, I would have labs drawn to make sure it is not abnormally high.
Regarding the gaping vagina, as a gynecologist with 25+ years experience, it looks normal to me when you are at rest.

Thank you for your inquiry! Yes, a Vaginoplasty procedure can be performed to increase vaginal tightness and Labiaplasty to reduce clitoral hood. Both procedures can be combined and done together in one surgery. We would love to meet with you in person! Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

You definitely have clitoral enlargement. A clitoral hood reduction will not resolve your issue, but will make you worse if a clitoris reduction is not also done. The clitoris will stick out more and be more obvious. A clitoropexy will not work, because your enlarged clitoris will pull out the sutures. Stopping the DHT gel will not make your clitoris change, so you need a clitoris reduction if you wish it smaller.

Very few surgeons perform a clitoris reduction, since it is technically challenging and is rarely taught. It is an intricate procedure, since the sensory nerves have to be carefully preserved. I have done over 60 reductions without any loss of sensation or orgasmic ability. The clitoral reduction reduces the glans or head and also removes the erectile tissue in the shaft. After surgery, the clitoris will not stick out much or increase with arousal. The surgery is not very uncomfortable. It takes up to 3 1/2 hours and includes clitoral hood reduction.

You vagina can also be surgically tightened at the same time.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NY