Is clitoral hood reduction recommended for me?

I cannot tell if your clitoris is enlarged or your clitoral hood is just too bulky and long. I need to see photos pulling up on your clitoral hood showing the head of your clitoris. You also need to mention if your clitoris sticks out a lot further on arousal.If you just have extra tissue on your clitoral hood, it can be reduced. Since your clitoral hood is thick, wide, and protuberant. It can be decreased somewhat by reducing the sides. I invented 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. I have done it over 250 times with excellent results.  I have not published this technique, so no one does it like me.  If your clitoris is enlarged, a clitoral hood reduction will not resolve your issue, but will make you worse if a clitoris reduction is not also done. A clitoropexy will not work, because your enlarged clitoris will pull out the sutures.
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 50 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.  A labia minora reduction and/or labia majora reduction or enlargement can be done at the same time. As the inventor of the central wedge labiaplasty, I recommend this technique as it gives a very natural appearance.


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

Dear Melissa068,Thank you for writing in with your excellent question and for sharing your photos.  Your anatomy appears normal and you do not have a lot of extra skin around your hood, but it is somewhat prominent.  There is a wide range of sizes and lengths of clitoral hoods and as long as you aren't having any issues related to ability to orgasm, all is good.  I don't recommend any surgery on your hood but if you are concerned, it is best to find a cosmetic-plastic gynecologist who is experienced in clitoral hood surgeries and get more than one opinion before committing to any type of procedure.I hope this information is helpful.Sincerely,Troy R. Hailparn, M.D., FACOG, FAACSCosmetic Gynecology Center of San Antonio

Thanks for your question.First and foremost, none of what you have described or shown is abnormal. That is your normal and this is not soemthign that has to have surgery if it doesnt bother you. Now, if you don tlike the appearance and want to have surgery to address this, then this would ideally need an examination to address the volume of skin over the clitoris, the size of the clitoris and the volume and position the clitoris increases to on stimulation. The procedures that are possible could be a clitoral hood reduction and possibly a clitoropexy but this does depend on the examinationI hope this is of helpBW