Labiaplasty and hoodectomy for one side?

Your left labium minora is enlarged compared to the right.  One of the two most common techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks.  It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labioplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. I can make you very symmetrical with a central wedge labiaplasty, while also removing the excess skin on the left side of your clitoral hood.  Symmetry is easier to achieve with the wedge, because it will keep your normal labial edge and allow it to match the right.  No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.
Gary J. Alter, M.D.Beverly Hills, CA - Manhattan, NY

If you dislike the hood, then you need to do both sides because they look equally baggy. However, the excess is mild and hood contouring is optional. Hood levels are meaningless nomenclature unless you're doing a research study. A linear sculpted labiaplasty of the left side would give superior results and greater symmetry than all other approaches if you limit the work to one side only. A wedge would pull the left side of the hood downward and leave you with a crooked hood. Don't concern yourself with the loss of sensation with an expertly performed procedure; it doesn't happen with trimming - it happens with any technique done by a non-expert. Also, don't use the term unhooding - that's a procedure to expose the head of the clitoris and is only done to treat disease usually cancer and is certainly not what you want. You want hood contouring, not unhooding.

Sure: It's "...your time"! I have performed> 650 labiaplasties, most with hood reductions, and many "...one-sided." I perform bot V-wedge modifications & linear/trim (~ 50-50) and am always prepared to perform either, depending on the exact anatomy and wishes of my patient. When "matching an enlarged side to a smaller side, the method I choose depends on the anatomy and "curvature" of the smaller side, whether I am reducing the size of the hood, as well as the realities of my patient's recovery protocol and other experience-related issues. "...On paper"  you should do quite well with a curvilinear reduction, bu tI wouldn't want to say until your labia "...were in my fingers..." so to speak.

The most impotent thing, wherever you go, is to be operated on a surgeon with much experience, and one  who is savvy BOTH with Wedge and Linear reductions, so as to choose the technique best for your anatomy & your needs. 

Best wishes,

Michael P Goodman, MD

Davis, CA (near Sacramento), USA