John G. Aesthetic alteration of the genitalia is increasingly sought by women unhappy with the size, shape, and appearance of their vulva. Although the labia minora are usually the focus of concern, the entire anatomic region—minora, labia majora, clitoral hood, perineum, and mons pubis—should be evaluated in a preoperative assessment of women seeking labiaplasty. Labiaplasty is associated with high patient satisfaction and low complication rates. The three basic labia minora reduction techniques—edge excision, wedge excision, and central deepithelialization—as well as their advantages and disadvantages are discussed to assist the surgeon in tailoring technique selection to individual genital anatomy and aesthetic desires. We present key points of the preoperative anatomic evaluation, technique selection, operative risks, perioperative care, and potential complications for labia minora, labia majora, and clitoral hood alterations, based on a large operative experience. Labiaplasty competency should be part of the skill set of all plastic surgeons.
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A clitoridotomy is a plastic surgery procedure wherein the clitoral hood is either split or removed completely. It is also known as female circumcision and has the same risks and potential complications as male circumcision. It also goes by other names, such as clitoral hoodectomy. A clitoridotomy is sometimes done in conjunction with other genital modification procedures, most of which are considered as purely cosmetic. Some examples are labiaplasty, a procedure that aims to reduce the labia minora, as well as a vaginoplasty. A clitoridotomy is different from a clitorectomy, which completely removes the clitoral hood and the labia.
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Christine A. Aesthetics of the female genitalia have come under increasing scrutiny with the popularity of Brazilian waxing trends and media promotion of sheer fashions. Women seek to have a clean and youthful appearance of the vaginal region, with minimal if any labial minora show beyond the labia majora. Labiaplasty by edge resection of the redundant labia minora tends to be the preferred method of treating labia minora hypertrophy by most gynecologists and plastic surgeons. This technique is effective in removing the excess circumferential rim of the labia minora, thus decreasing bulk and protrusion from the introitus. However, in select patients with redundant clitoral hood tissue, edge trim techniques may result in an imbalanced postoperative result where the hood actually looks larger. These patients complain of a prominence of the clitoral hood not present prior to their labiaplasty.
In female anatomy, the hood of the clitoris — or the clitoral hood — is the fold of skin that surrounds the head of the clitoris. It protects the sensitive clitoris from friction or rubbing. The clitoral hood varies widely in appearance from person to person, and larger or smaller hoods are perfectly normal. The article will discuss the clitoral hood, including its appearance, how to find it, and what function it plays. If a person is not happy with how their clitoral hood looks, surgery is an option. We discuss the benefits, risks, and process of surgery here. The vulva describes the whole external female genitalia. It contains the labia, the opening of the vagina, the opening of the urethra, and the clitoris.