This procedure, also called a hoodectomy or clitoral unhooding, is a surgical procedure to reduce the size of the clitoral hood by removing excess tissue. The procedure is usually performed alongside a labiaplasty, which reduces the size of the labia minora. Recovery time varies from person to person.
This procedure can be done for various reasons, but is typically done to enhance stimulation during sexual activity or reduce excess skin that causes discomfort while exercising or wearing certain clothing.
The cost of surgery varies based on the complexity, the expertise of the doctor and whether it is performed under local or general anesthesia. The surgeon will provide you the details of the total cost of the surgery including facility fees, anesthesia expenses, surgeon's fees, and schedule pre- and post-surgical appointments. During consultation, Doctor will discuss your concerns and answer any questions you may have.
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The clitoris appears at the junction of the labia minora and is a small protrusion that has many nerve endings, which makes it a fundamental part in the development of the female orgasm. When the clitoris presents an abnormal external enlargement, it can be tremendously annoying for the woman who suffers from it, not only from an aesthetic point of view, but also from a functional point of view, since it makes sexual intercourse physically and psychologically painful.
An excessive development of the clitoris (3.7 and 10 mm is considered normal) can appear at birth, due to genetic causes, or it can also be due to endocrine disorders. But acquired hypertrophy is considered something very rare so, in this case, it is more important to find out the cause in order to put the appropriate treatment. In most cases it is usually caused by hormonal alterations, ovarian tumors, adrenal hyperplasia (a disorder of hormonal metabolism that affects the genitals and fertility ), or by the administration of steroids. In almost all cases, hypertrophy of the clitoris is accompanied by hypertrophy of the hood (enlargement of the fold of skin that covers it).
The clitoris and the hood can be corrected in the same operation, the clitoriplastia , which consists of restoring their normal size by removing excess redundant skin around the clitoris and reducing the skin of the hood. The intervention is usually performed under local anesthesia in the operating room, and the sensitivity of this organ is completely preserved. Occasionally, due to age, the clitoris may appear saggy and protruding from the labia majora, which is called clitorpexy , and then an operation may be performed to reposition it and raise it to its normal position.
In general, clitoral hypertrophy, when it has a genetic cause, usually appears jointly with malformations in the labia minora, so both corrections are usually performed in the same operation.
It is important to rest the first 48 hours after surgery when the patient will be more upset and tired, but afterwards she can regain her normal life with the help of anti-inflammatories and analgesics prescribed by the doctor.
clitoral hood reduction
What is it and who can benefit?
Some women have an excess of skin that covers the clitoris, which can form like wrinkles giving an enlarging and uneven appearance without proportion in the set of external genitalia.
What are the causes ?
The main reasons that lead to this abnormal growth are genetics, hormones such as estrogens and exposure to testosterone have a great influence on this area. Also a reducing labiaplasty can make the clitoral area more prominent.
What does the procedure consist of?
Excision of the enlarged and redundant folds of the clitoral hood with superficial incisions only on the skin. The clitoris and its nerves never touch.
Where do we do it?
The reduction of the clitoral hood is performed in the operating room since in most cases it is accompanied by other procedures in the vulvovaginal area, but in selected cases it can be performed in the office under local anesthesia, which drastically reduces costs.
When are the results noticed?
Immediately although the final appearance takes one to two months.
Healthy patients without major diseases only require a general analysis, in other cases the necessary studies will be assessed individually.
Hospitalization: Does not require hospitalization
Duration of the surgical procedure normally between 30 minutes.
Anesthesia: Local anesthesia is the most frequent associated or not with sedation, you can also use spinal anesthesia, especially if we combine more than one surgical procedure in the same operation.
Local cold the first day. It is not necessary to remove the stitches they resorb themselves in two to three weeks. Bruises and inflammation may appear the first days along with a stinging sensation, everything will gradually disappear. Pain is rare but may require a mild pain reliever.
When can I go back to work?
Rest should be maintained the first week with activities at home, with a lot of hygiene and wearing loose underwear. From the first 7 to 10 days a review will be scheduled with your surgeon and you will be able to return to work with a basic normal activity, from the 4th week you can do more intense exercises. It is advisable to restart sexual activity from 4 to 6 weeks.
Contraindications to the operation
Gynecological disease or current infection. Pregnancy. Mental illness. Malignant disease. Any other illness will be assessed personally. Adrenogenital syndrome.
As in any surgery, there may be wound infection, dehiscence (the wound is partially opened before healing). Bruising Very marked scarring that can distort the aesthetic result. Hypersensitivity of the area. Injury to the glands of the body of the clitoris. Complications are very rare but if they occur, immediate communication with your surgeon will prevent further damage.
Very often this surgery is performed in combination with other genital cosmetic procedures such as:
(labiaplasty) thinning of the labia minora
Reduction of mons pubis fat
(Hymenoplastite) reduction of the clitoral hood
(Perinoplasty) reconstruction of the perineum. and entrance to the vagina
Proctological surgery (hemorrhoids, anal fissure) anal cosmetic surgery.