What procedure do I need to remove the bulge on top of my vulva?

Hello Tasteful9538,
Thanks for your post and great photos. The procedure you will need would be finalized at the time of an exam and after understanding any relevant history. Is this a new development or a result of recent infection or abscess? There are conditions of the vulva which lead to absces formaton of the hood that will need to be ruled out and treated. This bulge appears to be excess prepuce or hood which can be reduced under local anesthesia.
Go to the link below to see hundreds of B/A photos from clitoral hood reduction. You will likely find some examples that are quite similar to you. From that link you may schedule a virtual consult via phone or zoom, at which time we can discuss in-depth your anatomy, expectations, and concerns. Women from all over the world travel to my Center for their Intimate Makeover under local anesthesia.
Best of luck,

HI tasteful,

I think that you are speaking abut the clitoral hood area. Whomever you choose to see should definitely clarify that this is what you are speaking about. If it is the clitoral hood, this can be reduced in an office setting under local anesthesia. Please see several MD's in you area who specialize in this type of surgery, whether urogynecologists or plastic surgeons.

Best Wishes,

Dr. Christine Rodgers

The extra tissue on your clitoral hood can be reduced. You probably need 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 decreased. I Invented this procedure have performed it over 300 times with excellent results.