American Society of Plastic Surgeons
For Medical Professionals

Female Genital Procedures

Surgical Options

There are a variety of female genital procedures that are performed by plastic surgeons. Among the procedures that comprise female genital plastic surgery are labiaplasty, clitoral hood reduction, labia majoraplasty, monsplasty and vaginoplasty.

What is a clitoral hood reduction?

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.

What does a clitoral hood reduction do?

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.

Anesthesia for a clitoral hood reduction

A clitoral hood reduction is usually done at the time of a labiaplasty under either local anesthesia with oral sedation or under general anesthesia.

Clitoral hood reduction procedure

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.

What are the risks of a clitoral hood reduction?

There is a risk of bleeding, hematoma, infection, under-resection or over-resection.

Recovering from a clitoral hood reduction

The recovery is primarily determined by the accompanying labiaplasty.

What are the results of a clitoral hood reduction?

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.


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