What is Clitoral Hood Reduction?

please describe what is clitoral hood reduction and is it safe?

Doctor Answers 31

Clitoral Hood Reduction

Thanks for the question.

In our San Francisco area practice patients sometimes look for a clitoral hood reduction at the same time as labiaplasty and sometimes patients seek this treatment without additional procedures.

The procedure involves reduction of some of the skin around the clitoris.

This procedure must be approached with caution as complications can include scarring or over resection of tissue around the clitoris which can leave the clitoris exposed which patients can find painful.

Be sure to find a board certified plastic surgeon to discuss any questions you may have.

San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

See the clitoral hood reduction video

This is a procedure that has generated much controversy.

An understanding of the anatomy is essential to understanding the available surgical options. It is for my patients to understand if I make a simple analogy to the penis.

The clitoral hood also called the prepuce is similar to the male prepuce or the foreskin. Female circumcision is also referred to as a hoodectomy. This is a very uncommon procedure. However Clitoral hood reduction would be similar to reducing the foreskin but not eliminating it. In some instances this would allow greater access to the clitoris during sexual stimulation. The risk of losing sensation in the clitoris would be extremely low and would be analogous to saying will you lose sensation in the tip of the penis if you perform a circumcision. The risk of damaging the clitoris is the same as the risk of damaging the tip of the penis; it's possible but highly unlikely. In fact, there is some suggestion that performing a circumcision is an acceptable treatment for premature ejaculation when the penis is overly stimulated. The thought is that the tip of the penis would eventually become desensitized by exposing it to constant stimulation rather than remaining under the cover and protection of the foreskin. Imagine that you constantly tickle someone, eventually that person would become less ticklish. Now this topic is also debated but a 2002 British Study of 150 circumcised men revealed that 44% reported no change in sensation whereas 38% reported improved sensation and 18% reported decreased sensation.

To see the anatomy check out this video

Otto Placik MD

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Clitoral hood reduction

Separation of the labia majora may be from an enlarged clitoral hood or redundant labia minora. Clitoral hood surgery reduces the skin of the clitoris so that it is not as wrinkly and protrudes less. The scar is either along the roof of the clitoral hood or on the side between the hood and the labia majora (the way I prefer to do it). It is important that your doctor examines you to determine why the hood is large. Sometimes the clitoris itself is enlarged and not just the hood.

A few doctors remove the entire clitoral hood but hyper sensitivity may occur so I usually do not perform complete removal. Safe reduction of the clitoral hood may be performed either independently or more commonly as part of a labia minora reduction. Risk of decreased sensation is low in most cases.

Christine Hamori, MD
Boston Plastic Surgeon
4.7 out of 5 stars 16 reviews

Clitoral Hood Reduction Is Safe if Done by an Expert

Thank you for your question. A clitoral hood reduction, also called a Clitoral Hoodectomy is a procedure done to remove excess clitoral hood skin in patients who suffer irritation of the skin or decreased sensation due to excess skin overlying the clitoris.

This is very delicate tissue and requires careful surgical technique to avoid scarring and avoid taking too much skin.

Personally I use the laser to remove the excess clitoral hood. This avoids a scalpel and clamping because the laser seals the blood vessels as the tissue is removed. In my experience using the laser results in quicker healing and less scarring.

Find an expert Plastic Surgeon who does vaginal plastic surgery. You want an expert for this very delicate procedure.

Some patients have some extra skin over and on the sides the clitoris.

It is possible to remove this skin during a labioplasty procedure.  Sometimes if the extra skin around the clitoris is not removed the aesthetic balance of the area is not completely achieved.  It is important not to remove too much skin from the clitoral hood so that the clitoris does not become hypersensitive.  

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Clitoral hood reduction

Clitoral hood reduction refers to removing some of the excess skin over the clitoris.  In some patients the skin overlying the clitoris is very prominent and bothers them.  This can be removed easily as an isolated procedure, or more commonly it is done at the time of a labia reduction.
Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 457 reviews

Removing excess skin around the clitoris

Women have a small excess of skin ,or hood, that covers and protects the clitoris. When this hood too excessive it can be uncomfortable or interfere with sexual activity. The key in treating this problem is to just the right amount. It's also important to be precise in the excision and minimize the development of scar tissue around the clitoris

Joseph M. Perlman, MD
Houston Plastic Surgeon
4.3 out of 5 stars 20 reviews

Clitoral hood reduction in Los Angeles

Clitoral hood reduction can be combined with labiaplasty in order to reduce the redundant tissue above the clitoris.  The technique must preserve the integrity of the labial and clitoral tissue.  

Our office specializes in clitoral hood reduction in Los Angeles and we use a modified trim method to successfully remove the excess tissue. 


Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Clitoral hood reduction

Clitoral hood reduction refers to removal of excess mucosa (labia skin) from above or around the clitoris to reduce the amount of loose tissue. Since the nerve comes from deep underneath the clitoris, it's extremely rare to have nerve damage when the procedure is done properly. Most people don't see or feel the scar after 6 weeks or so, but the scar can become painful in a small number of people. This is usually temporary and goes away after a few weeks to months. Over-reducing can cause exposure of the clitoris, which can be uncomfortable in clothing, so make sure your surgeon has experience with this procedure. 

Dana Goldberg, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 34 reviews

Clitoral hood reduction

It helps reduce the excess , loose skin around the clitoral body and makes the area more "petite" looking . It is helpful to evaluate the need for a hood reduction when one considers aesthetic labiaplasty so the the overall result will be balanced and not " top heavy". The scars are not noticeable, and should not over expose the clitoral body when performed well . 

Cheri Ong, MD, FACS
Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 reviews

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.