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There is a variety of aesthetic genital plastic surgery procedures that may enhance appearance and reduce discomfort. These procedures include labiaplasty, clitoral hood reduction, labia majoraplasty, monsplasty and vaginoplasty.
Excess folds of the clitoral hood, or prepuce, can be reduced with a clitoral hood reduction. The procedure is most commonly done along with a labiaplasty.
The extra folds can create a bulge that is exaggerated when the labia minora are reduced, and a clitoral hood reduction can improve the balance in appearance of the female genitalia.
A clitoral hood reduction is usually done at the time of a labiaplasty under either local anesthesia with oral sedation or under general anesthesia.
The excess tissue is marked according to the individual's anatomy. There is a wide variation in the shape and extent of folds. In some patients the excision is performed as a "Y" extension off the labiaplasty. Closure is usually done with absorbable sutures.
There is a risk of bleeding, hematoma, infection, under-resection or over-resection.
The recovery is primarily determined by the accompanying labiaplasty.
In some patients with a heavy clitoral hood, a labiaplasty without a clitoral hood reduction can result in a top-heavy look. A clitoral hood reduction can lend balance to a labiaplasty in such patients. Clitoral hood reduction is generally performed with labiaplasty, which has a high satisfaction rate of over 90 percent.