Which procedure can stitch the top of the labia majora together so that my clitoral hood appears as an innie?

Thank you for reaching out, without a photo it is difficult to make recommendations on the anatomy. Suturing the labia majora together would likely cause more problems than addressing your concern. If you feel that the clitoral hood is still enlarged, you may want to seek out a clitoral hood reduction which specifically address the excess tissue of the clitoral hood (this is often not addressed when patients have labiaplasty procedures).

Hello, since there is no photo, I cannot evaluate your situation clearly, but if only the skin on the clitoris head is stitched, the clitoris appears to be inside in a normal position, but it may cause great discomfort to you when the clitoris enlarges during sexual intercourse.

Dear Emily gilllix
Thanks for your question. Unfortunately there is no procedure to stitch skin of labia majora together to cover the clitoral hood. Presence and size of the area of clitoral hood between the upper parts of labia majora is genetically determined. It is dependant on amount of skin, size and width of clitoris. You can not stitch skin together to cover that to give it “slit” like appearance. Labioplasty and clitoral hood surgery are different from other operations in the way that you can only start with the patient’s given anatomy and only improve on that. There is great anatomical variability among women and you can not convert one type of anatomy to another one.

Labiaplasty should almost never be performed in isolation. In most cases, a clitoral hood reduction is required at the same time as a labiaplasty. If the labiaplasty only is done, then the hood tissues will look puffy or prominent and might “stick out“. Really the labia is attached to the clitoral hood, and as such my standard operation that I almost always recommend these procedures be performed at the same time. I use the edge technique which heals beautifully, symmetrically and quickly. Please find a surgeon who has experience with labiaplasty and especially revision where you can see plenty of photos and read reviews and watch videos of healed labiaplasty patients. This is the best way to know that you will have a great outcome.

If your clitoral hood is thick, wide, 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 drastically decreased. I have done it over 350 times with excellent results. It usually results in the clitoral hood being pushed well within the labia major. I have not published this technique, so no one does it like me. 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. About 40% of my labia cases are reconstructions of other surgeons' labiaplasties.

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