Would a second hoodectomy make it smaller and look less like a beak? (Photos)

As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by other surgeons, both wedge and trimming techniques​. You had a trimming labiaplasty which resulted in asymmetry, excess clitoral hood, and scalloping. The reconstruction is much more difficult than a primary labiaplasty and should be done by a plastic surgeon with extensive experience in labia reconstruction. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" about ten years ago. You will need various reconstructive techniques to give you a good appearance. You can have a much better appearance by a very skilled reconstructive labiaplasty surgery. Approximately 40% of the surgeries I perform are revisions of other surgeons' labiaplasties. I would use multiple wedge excisions to reduce your labia scalloping and improve symmetry.

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.​

You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NY

Thank you for your questionThe problem with the trim technique is that one can get a bumpy irregular result. The good news is that can usually be smoothed out.Your hoodoplasty was a reduction of prepuce. (The inner labia are actually made up of two sections. a Lower section that inserts into the clitoris and an upper section called prepuce which includes the hood, the area directly over the clitoris and which comes down and can attach into the lower pair.) Your surgery appears to have reduced the size of the prepuce but I don't see it actually reducing the hood. A small reverse V hoodoplasty should be able to give you the look you request

Yes, you would benefit from a second surgery. Although, you are only 2 months post op I can tell that you will need a revision. I recommend a revision labiaplasty and clitoral hood reduction with clitoropexy. Only this combination will improve the beak appearance.
The key, though, is finding the right surgeon and for this you may need to travel.
Go to the link below to see hundreds of B/A photos with this combination of procedures. From that link you may schedule a virtual consult 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 under local anesthesia.
Best of luck,

Dear snapdragon,

I am sorry that you are unhappy with the results of your labiaplasty . I can see what you dislike about the results but I would caution you to wait until 6 months have passed until considering any revision of your surgery. You are still swollen and it is too swollen to do any surgery now.
Be patient and see your surgeon to discuss further surgery in a few months.

Hope this helps a bit,

Dr. Christine Rodgers

hello, you can get rid of this complaint with revision labiaplasty surgery. The distance between the top of the clitoral hood and the interlabial sulcus (the pit that forms the border between the inner and outer lips) can be reduced and normalized in your lbium minor. It is not a very difficult operation for me.

Unfortunately, most labiaplasty surgeons use only a linear/trim procedure, which in many women's anatomy leaves a "little penis look" for the clitoral hood and "scalloping" along the edges. However, for the very tip of the hood (the "hoodie" right over the clitoral tip,) this frequently cannot be fully pulled down. For you personally?? While of course better photos would be helpful and final decision re: exact incision line cannot be made until a 3-dimensional hands-on exam, I a quite confidant that in the right hands (meaning a surgeon who is trained and savvy in BOTH wedge and revisions) your goal of smoothing out the incision line and flattening the hood can be met. ** You will need to wait until a minimum of 6 months after your first surgery for the complete healing necessary for a successful revision. Again, however, you will have to have your surgery with a surgeon who can prove 2 things to you: 1. Well-trained in V and V-Y wedges (look for many dozens on their website), and 2. Well-experienced in revision surgery, with at least a dozen revisions on their site. You may not find this person in the UK, as most are only "linear guys.." It is this technique that failed you personally, producing scalloping & a dangling hood. Artwork is important. "If all you have is a hammer, everything looks like a nail..." Regards, Michael P Goodman, MD, FAACOG, IF, AAACS. Revision Specialist. Davis, CA, USA