Labia Minoraplasty & Clitoral Hood Overview

Symmetry, balance and comfort are the most common reasons why women request labiaplasty. The excess and sometimes darkened skin in this area frequently extends to the clitoral hood. For  this reason labiaplasty frequently needs to be combined with clitoral hood contouring.

Cosmetic surgery of the labia minora is focused on reshaping these delicate structures carefully and precisely. Reshaping of the labia minora is commonly referred to as reduction labiaplasty, labia minoraplasty or simply labiaplasty.

Some procedures are limited to one side only. Others may involve surrounding anatomical structures of the vulva such as the fourchette (the zone where the labia meet posteriorly), the labia majora or the perineum.


Who’s An Ideal Candidate For Labia Minoraplasty?

There are 2 types of candidates who are ideal for the labia minoraplasty. Women who are unhappy with their physical appearance in the region because it’s protruding too much and women who are experiencing discomfort during daily activities. In both cases, labia minoraplasty is the solution that will both reduce the size and make it more aesthetically pleasing.

Different Surgical Options for Labiaplasty

Cosmetic Reduction Labiaplasty
Reshapes the labia minora to a shape and contour desired by the patient. Some of the frequent reasons why women request this type of surgery are to make the labia minora more symmetric when there is large visible difference between the two sides, to reduce undesired bulging of labial tissue when wearing certain types of swimsuits, lingerie or other tight fashions, to display less hyperpigmented skin (labial skin that is much darker than the vulva which surrounds it), or to achieve less protrusion (hanging) of the labia when nude.

Most women who seek these procedures prefer to keep the entire bikini zone including the vulva smooth and free of body hair & often request laser hair removal of the bikini zone to reduce the need for frequent and painful brazilian waxing or shaving and razor burn. These treatments are available at the Spa.

Therapeutic Reduction Labiaplasty
Focuses on the resection of elastic, loose or pendulous labia minora tissue which has become a source of chronic discomfort as these tissues experience traction or pulling pain during normal activities, sports or sexual relations. Currently, medical healthcare insurance plans do not view the symptoms which drive women to seek reconstructive labiaplasty or therapeutic reduction labiaplasty as indications for surgical treatments and they regard all such procedures as purely cosmetic in nature and currently, the surgeries must be financed by those who request them.

Reconstructive Labiaplasty
Targets the restoration or repair of labia minora tissues and is usually performed to relieve symptoms arising as a result of damaged tissue. Typically, these procedures involve minimal resection of tissue.

Before & After Gallery

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Labia Minora Recovery

The recovery for labia minoraplasty is a full 6 weeks. Patients must reframe from having sex or swimming during this time. Nothing should be place in the vagina for these 6 weeks as well. In addition, for the first week to week and a half most patients experience swelling and itchiness in the region.

Key Facts About Labiaplasty and Clitoral Hood Reduction

Typical Duration: 1.5 hours

Work: 2-3 days

Sex: 6 weeks

Exercise: 6 weeks

Final Results: 6-8 weeks

Clitoral Hood Cosmetic Surgery

The clitoral hood, also known as the prepuce is layer of loose skin which envelops and protects the clitoral shaft and the head, or glans, of the clitoris from constant and unwanted friction.

Sometimes redundant folds of loose skin unrelated to the body of the clitoris (shaft and glans) develop alongside the lateral borders of the clitoris. This lax tissue may occur on either or both sides of the midline, may fuse with the labia minora and may exceed the clitoral hood in size.

Clitoral hood reduction procedures focus on these lateral folds of loose tissue. The glans clitoridis, the head of the clitoris, is not exposed by this type of surgery. Meticulous superficial dissection and precise incisions which avoid the course of the clitoral nerve supply protect the sensitive nerves which supply this region.

Clitoral hood reduction is usually performed in conjunction with labia minora reduction procedures (reduction labiaplasty, reduction labia minoraplasty, laser reduction labiaplasty). Since both structures are intimately fused, combined treatment of both structures yields better cosmetic flow than isolated treatment of either structure alone.

Anatomy of the Clitoris

The clitoris receives its nerve and blood supply from the pudendal nerves and vessels.

These structures emerge from behind bony structures known as the ischial tuberosities –  in lay terms, they are called the “sit bones”.

The pudendal nerves and vessels then course along the muscles beneath the labia majora (the bulbocavernosus muscles) and emerge from the deep tissues within the superfical layers of the clitoral shaft.

The skin of the clitoral hood (top arrow) is formed from the skin of the labia minora. This skin is also know as the prepuce.

The clitoral hood covers the entire shaft and head (glans of the clitoris; bottom arrow).

A cross-section view of the clitoris (inset) shows how the nerves (yellow) which provide sensation to the clitoris are not actually in the skin layer, but much deeper in the shaft of the clitoris itself.

The structure of the clitoris is identical to that of the penis except for the absence of the urethra.







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