Clitoral Hood Reduction Surgery
This is a gynecological plastic surgery procedure that surgically excises and reshapes excessive clitoral prepuce (clitoral hood) to simultaneously improve hygiene, eliminate discomfort, and achieve aesthetic refinement.
Recommended for
- Those for whom hygienic care is difficult due to excessive prepuce, and who are concerned about odor or inflammation
- Those who experience pain or discomfort from prepupal contact or adhesion during sexual intercourse
- Those who are concerned about excessive clitoral hood protrusion and have aesthetic concerns about appearance
- Those who are concerned about sensory dulling (anorgasmia) and wish for functional improvement
About Clitoral Hood Reduction Surgery
Clitoral hood excess (excessive clitoral prepuce) refers to a condition in which the foreskin (hood) covering the clitoris becomes excessively developed or lax, constantly covering the clitoris deeply. It often occurs in conjunction with labial hypertrophy and causes functional, hygienic, and aesthetic problems. Clitoral hood reduction surgery is an operation that fundamentally resolves these issues by excising and reshaping the excess prepuce.
Potential Problems and Surgical Goals
Between the prepuce and clitoris, sebum and secretions tend to accumulate, making proper cleansing difficult and causing "smegma" to form, which becomes a source of distinctive odor and chronic inflammation. Additionally, when the prepuce adheres to the clitoris, it can lead to dyspareunia or sensory dulling during sexual intercourse. Furthermore, some patients report psychological distress and aesthetic concerns related to prepupal thickening and protrusion. The surgery aims to simultaneously improve all three aspects: hygiene, function, and aesthetics.
Academic Evidence
A retrospective cohort study of 136 cases by Yin et al. (2022) published in Aesthetic Plastic Surgery (DOI: 10.1007/s00266-022-02841-7) reported that in the "trilobal technique" for simultaneous reshaping of labial hypertrophy and clitoral hood excess, satisfaction with functional improvement at 3 months postoperatively reached 95.9%, and aesthetic satisfaction reached 91.5%. There were no serious complications, and only 2.2% (3/136 cases) required revision surgery. This data demonstrates the high safety and efficacy of appropriately performed clitoral hood reduction surgery.
Additionally, a prospective comparative study on psychological and sexual outcomes after vulvoplasty published in the International Urogynecology Journal (2014) (DOI: 10.1007/s00192-013-2297-2) reported significant improvements in satisfaction with appearance, sexual self-image, and sexual function in the patient group undergoing surgery. At our clinic, based on this evidence, we employ a surgical technique that protects neurovascular bundles while excising only excess prepuce.
Surgical Procedure
We perform local anesthesia (cream anesthesia + injection anesthesia) to minimize pain and begin the procedure. Excess prepuce is marked, and the clitoris itself, nerves, and blood vessels are carefully excised and reshaped without causing damage. Absorbable sutures (dissolvable thread) are used for closure, so suture removal is generally unnecessary. The operative time is typically 30–60 minutes. Simultaneous labia minora reduction surgery is also possible.
Downtime and Postoperative Course
During the first 1–2 weeks after surgery, you may experience swelling, bruising, and discomfort. Light daily activities such as desk work are usually possible from the next day. Showering is permitted from around 2–3 days postoperatively as a guideline. Please refrain from sexual intercourse, strenuous exercise, and use of pools or hot springs for approximately 1 month after surgery. Absorbable sutures typically dissolve naturally within 4–8 weeks. Final results stabilize around 3 months postoperatively.
Our Clinic's Characteristics and Safety Management
At our clinic, procedures are performed by physicians specializing in gynecological plastic surgery, employing surgical techniques that prioritize protection of sensory nerves and blood vessels. All surgeries are performed in a sterile operating room, and postoperative antibiotic prescription is standard practice to prevent infection. If you have concerns about your postoperative course, we also offer consultations via telephone or LINE.
Features
Absorbable Sutures Used / Suture Removal Generally Not Required
All sutures used are absorbable. Since they dissolve naturally within the body, postoperative office visits for suture removal are generally unnecessary. This enables postoperative care with minimal pain.
Simultaneously Improve Hygiene, Function, and Aesthetics
We address three aspects in a single procedure: elimination of odor and inflammation caused by smegma accumulation, improvement of dyspareunia and sensory dulling, and resolution of aesthetic concerns about appearance.
Precise Surgical Technique Protecting Nerves and Blood Vessels
We selectively excise only the excess prepuce while protecting the sensory nerves and dorsal neurovascular bundle of the clitoris. This minimizes the risk of postoperative sensory changes.
Capable of Simultaneous Labia Minora Reduction Surgery
When labial hypertrophy and clitoral hood excess occur together, both can be reshaped in a single procedure. This contributes to a shortened recovery period and realization of more natural overall balance.
Treatment details
- Operative Time
- 30 minutes
- Downtime
- Peak swelling occurs at 2–3 days and generally subsides within 1 week. (Some individuals may experience sensory dulling for 1–2 months depending on individual variation, but this always returns naturally.)
- Durability
- Semi-permanent
- Showering
- Possible from the next day
- Bathing
- From 1 week after
Pricing
Clitoral Hood Reduction Surgery
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FAQ
Is there pain during surgery?
After applying cream anesthesia, we perform local anesthetic injection, so there is minimal pain during the procedure. You may feel a slight pinch when the anesthetic is injected, but the procedure is brief. After surgery, as the anesthesia wears off, mild pain or discomfort may occur, but this is manageable with the prescribed pain medication.
Ask ZetithAI about this →Will sensation be lost after surgery?
At our clinic, we employ a surgical technique that excises only excess prepuce while protecting nerves and neurovascular bundles, so sensation is not typically lost when performed appropriately. However, temporary sensory changes may occur due to swelling immediately after surgery. This usually resolves within a few weeks. We will explain this in detail during the preoperative consultation, so please do not hesitate to ask if you have any concerns.
Ask ZetithAI about this →How much downtime is there? Please tell me about the impact on daily life.
Most patients are able to return to light work such as desk work from the next day. Swelling and bruising typically subside within 1–2 weeks. Showering is possible from 2–3 days after surgery, but please refrain from bathing, hot springs, and pools for approximately 1 month. Sexual intercourse and strenuous sports are also recommended to be avoided for about 1 month. Since absorbable sutures dissolve naturally within 4–8 weeks, postoperative office visits for suture removal are generally unnecessary.
Ask ZetithAI about this →How do I make a reservation or consultation?
We accept reservations and consultations via LINE or telephone. During the initial consultation, the attending physician will confirm your current condition and provide detailed explanation regarding surgical indications, risks, surgical technique, and cost. Please feel free to contact us first.
Ask ZetithAI about this →Consultations about this treatment are free.
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