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Clitoral Hood Reduction

The labia (or the lips of tissue at the opening of the vagina) come in an endless variety of shapes and sizes.  Some women may be bothered by labial tissue that is excessive or asymmetric, and excess skin around the clitoris may lead to irritation or decreased clitoris sensation.  Clitoral hood reduction is a procedure which can address these concerns, and is often combined with labiaplasty to reshape the labia for a more aesthetic appearance or functional improvement.

Clitoral Hood Reduction in Atlanta, GA

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At Aviva Plastic Surgery, Atlanta Urologic surgeon Dr. Shaya Taghechian strives to help women see labiaplasty and clitoral hood reduction as common procedures that can improve quality of life, comfort, function, and confidence for the right person.

I've been bothered by the appearance of my labia for as long as I can remember. I felt self-conscious when wearing certain clothes, and {the labia tissues} would occasionally catch with sex. The whole experience with Dr. T and Aviva could not have been better, from the initial phone call to my surgery to recovery. I'm 6 weeks out from my labiaplasty procedure, and feel great--and so much more confident!

- Joanna, Clitoral Hood Reduction & Labiaplasty Patient; Atlanta, GA 

What is Clitoral Hood Reduction?

Clitoral hood reduction contours and reshapes the excess skin around the clitoris.  This procedure is also called clitoral hoodoplasty and clitoral unhooding.  The clitoris is a structure full of blood vessels and nerves important for orgasm and sexual function.  A large majority of the clitoris is covered by skin and is intricately woven with the urethra, vagina, and labia (lips of tissue around the vaginal opening); the 10% of the clitoris that is exposed is called the glans.  The skin around the glans is called the clitoral hood; its function is to protect this exquisitely sensitive organ.  Just like the labia tissue can sometimes be excessive or asymmetric, the skin covering the clitoris can be too long, and this can lead to irritation with tight clothing, sports, or sexual intercourse.  Excessively long clitoral hood tissue can also obscure the clitoris, decreasing its sensitivity and sexual pleasure.

Benefits of Clitoral Hood Reduction

Confidence in appearance and healthy function helps our patients look and feel their best every day, and this feeling extends to our patients’ professional, personal, and intimate lives.  In addition to improved self-confidence, clitoral hood reduction offers:

  • Greater clitoral sensitivity and easier time achieving orgasm
  • Less pain and discomfort during intercourse and exercise
  • Permanent results that carry a high patient satisfaction rate

Am I a Candidate for Clitoral Hood Reduction?

Every body is unique and vulva and vaginas come in a wide variety of shapes and sizes. While body dysmorphia and social media-generated unrealistic body standards may dictate a specific ideal of clitoral or labial anatomy, the clitoral hood reduction treatment is not appropriate for every person.  Speaking with a trusted and experienced physician like Dr. Taghechian about the reasons why you’re considering the treatment and sharing your concerns is an important step in your treatment journey.  Together, you and Dr. Taghechian can craft the right wellness strategy that ensures you reach your goals while retaining your individuality.

You may be a andidate for clitoral hood reduction treatment if you:

  • Experience discomfort or irritation of the labia or clitoral hood with tight clothing, exercise, or intimacy
  • Want to increase the sensitivity of your clitoris
  • Have pain or uncomfortable rubbing during sexual intercourse
  • Have overly long or stretched skin around the clitoris
  • Have decreased clitoral sensation
  • Have difficulty achieving orgasm 

Frequently Asked Questions

Dr. Taghechian commonly performs clitoral hood reduction in combination with labiaplasty, her most common women’s wellness procedure.  As women grow more comfortable in discussing their intimate health concerns, the clitoral hood reduction and labiaplasty treatments are becoming more acceptable in the medical community, and Dr. Taghechian has treated many women with these procedures.  Given the delicate and complex anatomy of the pelvis, a clitoral hood reduction requires extensive expertise for best outcomes, and Dr. Taghechian recommends meeting with a women’s wellness expert if you are interested in this treatment.

A clitoral hood reduction will take approximately 30 minutes and can be combined with other procedures such as a labiaplasty, Plasma Rich Protein (PRP) injections, or other labia augmentation procedures. 

Dr. Taghechian most commonly performs clitoral hood reduction surgery in our office, with the help of relaxing medications, laughing gas, and injectable numbing medicine.  Patients are released home after treatment, with most reporting taking a long nap after treatment.  During their recovery, most patients take 2-4 days off work and school, and are encouraged to wear compressive leggings or shorts.  About 2 weeks following clitoral hood reduction surgery, patients return to Aviva Plastic Surgery for a follow-up appointment with Dr. Taghechian.  During this visit, she assesses one’s healing progress and provides an updated timeline for recovery.

Clitoral hood reduction risks include bleeding, bruising, infection, changes in sensation, and asymmetry of the clitoral hood tissues.  A small amount of bloody drainage is normal for the first 2 weeks after surgery; however, significant bleeding is very rare, as is infection and permanently decreased sensation.  Resulting significant asymmetry of the clitoral hood skin is uncommon; this may require a revision or touch-up procedure.  Removing too much skin around the clitoris is a rare risk which can result in clitoral irritation; there is not a reliable way to correct this.

Most commonly, clitoral hood reduction treatment is a cosmetic procedure and is not typically covered by insurance.  Dr. Taghechian is not in network with insurance plans at Aviva Plastic Surgery; and all clitoral hood reduction and other women’s wellness treatments are self-pay at our practice. 

We offer financing options for women’s wellness treatments.  Please inquire with our staff about this at the time of your consultation.

Every patient has individually different anatomy and aesthetic goals; because of this, we encourage individuals interested in clitoral hood reduction and labiaplasty treatment to schedule a consultation with our women’s wellness expert in order to receive custom-tailored treatment recommendations and pricing information.  

Dr. T recommends that you heal for at least 6 weeks after your clitoral hood reduction procedure to resume intercourse.  She likes to see you in person to examine your healing before clearing you to resume your workout and sexual activity. 

What Should I Expect During My Clitoral Hood Reduction Treatment?

Clitoral hood reduction involves contouring and reshaping of labial tissue.  The skin around the clitoris and the labia minora (inner lips of tissue around the vaginal openong) may be excessive, asymmetric, or affected by scar tissue from childbirth; the tissue around the clitoris, called the clitoral hood, may be overly long or stretched also.  These factors, as well as any other anatomic findings, are carefully considered during the surgical planning of a labiaplasty treatment.  Given the sensitivity of the surgical area, the treatment requires high technical expertise, extensive training and experience of the surgeon, and great compliance with treatment instructions of the patient.  Ensuring patients are fully prepared to undergo labiaplasty starts by building a close, trusting relationship with each patient.

At Aviva Plastic Surgery, your intimate wellness journey begins with your initial consultation, during which we want to hear all about you, your concerns, and your goals.  After this, Dr. Taghechian performs a thorough examination, develops a customized treatment plan, and explains all available options to help you determine which approach will help you achieve your goals while fulfilling your needs.

In some instances of surgical labiaplasty, excess labial tissue is surgically removed in a length-wise manner along the free border of the labia minora.  Another popular option is the wedge technique, during which a wedge of excess tissue is removed and the natural border of the labia minora remains intact, with the labial tissue becoming lifted and no longer excessive or bothersome.

Unlike other surgeries, labiaplasty is a women’s wellness treatment which is often done as an outpatient procedure and completed in about 1-2 hours.  Dr. Taghechian commonly performs labiaplasty treatments in our luxurious, state-of-the-art office, using the help of relaxing laughing gas (also known as ProNox) and injectable numbing medicine.  In certain cases, Dr. Taghechian combines labiaplasty procedures with other treatments in the operating room and with the help of general anesthesia.  Dissolvable sutures are used to seal the surgical site, and patients return home to rest shortly after completion of treatment.

Labiaplasty and Clitoral Hood Reduction Treatment Care Instructions

Dr. Shaya Taghechian and our staff are strongly invested in both a smooth treatment and uncomplicated recovery for our patients. We work with you before and after your clitoral hood reduction and labiaplasty treatment to ensure that you are comfortable with the treatment plan and are thoroughly educated about the best before and after treatment care.

We recommend reviewing the Pre- and Post-Treatment instructions several times prior to and after your treatment.  We want to provide you with the information and tools you need to have an excellent treatment experience.  Please contact our office should you have any questions or concerns about these instructions, your preparation for surgery, or post-treatment recovery. We are here to help!

Please read and familiarize yourself with these instructions before and after your clitoral hood reduction and labiaplasty. By following them carefully you will assist in obtaining the best result from your surgery. If you have questions or concerns, please contact our office.

Shave the treatment area completely 2-3 days prior to the procedure.

Do not take any anti-inflammatories or multivitamins starting 7-10 days prior to your procedure (see list of anti-inflammatory medications below).  Avoid alcohol 48 hours prior to and 48 hours after your procedure.

Immediately following labiaplasty you should remain as flat as possible for the first week.

Apply ice packs to the treated area every 1-2 hours for the first 72 hours while awake, placed over a thin minipad.  Ice packs should never be applied directly to the skin.  Using ice packs for the first week as much as possible will greatly help your healing process, and reduce the amount of post-operative swelling and discomfort.

It is normal to have swelling and bruising of the labia.  This will resolve over the next 2 weeks.

Let soapy water wash over the incision sites at 24 hours after treatment.  Do not scrub.  Then apply antibiotic ointment to the incision points twice daily for one week. Tiny scabs may appear during the healing process. Please do not pick at the scabs.  

Use a peri bottle (clear plastic bottle provided for you) to clean the treated area with warm water after using the restroom; avoid wiping, as this can cause discomfort and bleeding.  Use the peri bottle for 1-2 weeks after treatment.  

Limit physical activity and exposure to excessive heat (including fires) and UV light for 2 weeks.

Avoid swimming and submerging in water the treated areas for 6 weeks after treatment.

Do not shave the treated area for 2 weeks after treatment.

Dressings
The surgical dressings can be removed anytime they are saturated and then replaced with a sanitary napkin or maxipad. There will be bloody or blood-tinged drainage for a minimum of 1- 2 weeks following your labiaplasty.

Apply antibiotic ointment to the incisions twice a day for 14 days. Please apply a thin coating only. Excessive amounts of ointment are not necessary.

You may switch to an Aloe Vera ointment after 2 weeks.

Pain Medication
Take Ibuprofen 800mg every 8 hours with food for the first 3-5 days after treatment. This can be alternated or combined with 2 regular Tylenol (325mg) every 8 hours. Both medications will help to reduce swelling and decrease your overall need for stronger pain medications.

Activities
Most patients will experience relatively minor discomfort after a labiaplasty. However, some patients do experience moderate to severe swelling that can cause much discomfort. Diligent post-operative application of ice packs may reduce swelling thereby reducing pain.

Patients who experience minimal swelling and bleeding should be able to resume sedentary work activities within a few days, resume light exercise at one week, and have no restrictions after 2 weeks (following your postoperative visit).

Patients with more excessive swelling and discomfort may want to limit their activities until they feel comfortable and gradually progress to their normal activities.

No intercourse for 6 weeks post-procedure.

Sexual Activities
As a general rule, you may resume sexual activity 6 to 12 weeks after surgery. This is totally patient-dependent. We will let you know when you are sufficiently healed.

Healing of sensory nerves
The skin of the labia may be partially numb for several months while the wounds are healing. Permanent numbness is very rare.

Intimate Health and Women's Wellness

Our mission at Aviva Plastic Surgery is simple – help patients achieve greater confidence and their best health and comfort.  By offering labiaplasty and clitoral hood reduction in a welcoming, professional environment, Dr. Taghechian and our experienced staff have helped many women understand that these common women’s wellness procedures can make life better in many ways.  To learn more about our women’s wellness treatments, review our patients’ before and after treatment photos and call our clinic at 678-974-8435.  We look forward to taking care of you!

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Contact us today to start your journey to your best self