In your professional opinion would I be a good candidate for Clitoroplexy, or clitoral hood reduction and labiaplasty? (Photo)
Doctor Answers 5
Clitoral hood reduction and labiaplasty
Labiaplasty involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. Also, it's not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function - typically 7-8 mm actually. To achieve these three most important elements, I have found that the "Trim Method" satisfies best. It is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 - 2 per week). It may cost you a bit more but it is this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible. Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc... Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.
Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin or Percocet but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best. Glad to help.
Typically, we would want to allow all of the swelling to resolve and give you some time to recover postpartum. Should there still be redundancy of the clitoral hood and labia minora, that can be addressed surgically.
The procedure can be done under local in the office or under light sedation in a surgery center, based on your comfort level. The surgery would remove excess skin and soft tissue, typically in a wedge pattern, rejuvenating your labia minora (inner lips). All of the sutures used would dissolve on their own. No sexual activity for 4-6 weeks.
Make sure you see a plastic surgeon or someone who is familiar with these procedures when choosing your surgeon.
I hope this helps.
Sorry that you're unhappy
The clitoral hood reduction and wedge labiaplasty would be two operations combined at the same time that would greatly enhance your appearance and provide a "neater" look to the vulva.
The wedge labiaplasty would remove the extra inner labia and would create a smooth contour along the vaginal opening. The clitoral hood reduction would be an upside down "V" that would remove the skin from the upper part of the vulva and help to expose the clitoris just a small amount and to remove the wrinkled skin in that area.
Really your anatomy is certainly in the range of normal, but the nice thing about plastic surgery is that we can improve on the normal and do it safely.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.