Clitoral Hood Reduction (Labiaplasty of The Clitoral Hood)
This procedure reduces the projection and visibility of the clitoral hood ("Prepuce of clitoris" in Fig.1, above), which often protrudes excessively beyond the level of the adjacent labia majora. The size and length of the clitoral hood can be reduced by the removal of a strip along each side of the hood near its attachment. This keeps the scar well hidden. It is very often combined with reduction labiaplasty of the labia minora, because the labia minora are so intimately associated with the hood itself (A. and B. in Fig.1, above).
On occasion, hood reduction is performed as a separate procedure without also reducing the labia minora (when excessive size of the clitoral hood is the only problem). I normally encourage hood reduction as part of labia minora reduction labiaplasty. This, however, is another decision that must be made by the patient before surgery and, hopefully, during her first consultation.
Hoodectomy (Clitoral Hoodectomy)
The clitoral hood ("Prepuce of clitoris" in Fig. 1) is the most forward extension of the labia minora that naturally drapes and conceals the clitoris ("Glans of clitoris" in Fig.1), unless the hood is "lifted" out of the way. Clitoral hoodectomy is the permanent surgical removal of that portion of the clitoral hood, which hides the clitoris from direct view. This "uncovering" of the clitoris is done with the intention of permitting greater exposure of the clitoral glans. There are many claims that this enhances sexual clitoral stimulation, and this is often the primary motivation for women to undergo this operation.
As with labiaplasty, hoodectomy can be performed under "twilight sleep" anesthesia, but, considering its limited area of involvement as well as its shorter operating time, it also lends itself well to a combination of topical and local anesthesia. Because it is such a brief and straight-forward procedure, a quite rapid recovery normally follows.