In your professional opinion would I be a good candidate for Clitoroplexy, or clitoral hood reduction and labiaplasty? (Photo)

I just had a baby so I'm still a little swollen. I've always had pronounced labia minora but it seems my pregnancy has made my clitoral head saggy and labia way longer than before( I hate my vulva:( .. I'm so Ready to fix this I just need advice! Help!

Doctor Answers 4

Clitoral hood reduction and labiaplasty

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Your story and concerns are in good company with almost ever other patient that undergoes labiaplasty and/or clitoral hood reduction (aka hoodectomy).  Based upon your photos, your anatomy as well is very typical of someone who seriously considers having these procedures and turns out to be a huge (sexual) self-confidence booster after.  Read on for details...

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.

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 128 reviews

Good candidate for clitoropexy and labaiplasty

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You may be swollen after you baby which may take time to go down to the baseline size.  As for now, you definitely have a full, protuberant, thick clitoral hood and large labia minora.  You are an excellent candidate for a clitoropexy with clitoral hood reduction and a labia minora reduction.  I invented the clitoropexy about 6 years ago and the wedge labiaplasty about 20 years ago.  I published the labia technique but have not published the clitoropexy yet even though I have performed it about 250 times. The combined surgery takes about three hours and needs to be done under general anesthesia in an operating room.  Be careful in choosing your plastic surgeon and ask a lot of questions.

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 25 reviews


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I understand that posting pictures like these can be uncomfortable. You have a legitimate concern. Generally, the labia minora (inner) and labia majora (outer) can change after pregnancy. Typically, enlarged labia minora (inner lips) are congenital and become most noted after puberty. After childbirth, the labia can be swollen and enlarged. From your pictures, this looks like the main issue at hand as well as some clitoral hooding.

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.

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Best Treatment for Sagging Clitoral Hood and Excess Tissue

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A combined approach will definitely yield the best result if the appearance remains relatively unchanged after the swelling resolves. The choice of procedures for the sagging clitoris might be clitoropexy or a mons pubis lift and a thorough exam would be able to determine this. The labia minora and clitoral hood reduction would be necessary regardless of how the sagging is managed.

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.