Radiant Rejuvenation, Labia Minora Reduction, Clitoral Hood Reduction, Labia Minora swelling
Doctor Answers 6
Am I normal appearing?
LABIAPLASTY AND CLITORAL HOOD REDUCTION
I reviewed your photos and agree that you have a protruding clitoral hood and labia minora. This condition is not right or wrong it is just a variation of normal. This is just like a person with a larger nose. This condition is only a problem if you believe it is problem as you do not like the appearance. Only you can make that decision.
Since you are writing and asked if this can be fixed I will assume you do not like the visual appearance of your external vagina ( known as the vulva). There are many different techniques to decrease the protruding the labia minora and the two most common techniques are 1) the curvilinear reduction or linear reduction and 2) a wedge resection. NO matter which technique you pursue choose a surgeon with experience, expertise, reputation and one who achieves great results. These qualities are not achieved by being a "plastic surgeon" or even being "board certified" but instead they come through great training, years of surgical experience, common sense, logic and innate talent. All too often surgeons tell patients what post operative cosmetic results should be instead of asking a patient : " what results do you hope to achieve"? The surgeon should be able to communicate with a patient and discuss whether her postoperative desired results are achievable. A surgeon should communicate with a patient what is and what is NOT achievable for that individual patient.
My partner and I have been performing labiaplasty surgery for more than 15 years and we have written the largest single center study in the world addressing just this question: What are your postoperative aesthetic expectations? What we learned in one study from 550 labiaplasty patients over a 3.5 year period actually dictates whether we perform a) the curvilinear reduction or b) a wedge resection. 99% of caucasian women do NOT want the so called "natural border and skin" of their labia. They do NOT want a dark labia minora skin edge if it is at all possible----- 99% of women prefer a lighter, pinker skin edge which is NOT attainable with a wedge resection. The wedge resection can remove some of the more darkened edge but not lighten the labia through its entire length..The lighter/pinker ( more youthful appearance) is only achievable through a linear resection. The normal anatomy of the bulk of the labia minora is preserved and just the edge of the labia is removed. This doesn't mean that a wedge resection is not a great technique. The results of the wedge and the linear resection are only as good as the surgeon performing the procedure.
The second part of your surgery is the reduction of the clitoral hood which I can perform simultaneously with the labia minora reduction. It is impossible to tell if you need the actual cltioris suspended and pulled tighter to the body as I do not see it protruding from the clitoral hood. Sometimes the patients clitoris does not need to be elevated and only the hood would benefit from a reduction. This decision can only be made at the time of examination.
Choose a surgeon wisely and do not let location, cost or board certification dictate your choice of surgeon. Best of luck in your endeavor.
John R Miklos MD
Urogynecologist & Cosmetic Vaginal Surgeon
Atlanta ~ Beverly Hills ~ Dubai