Though there can be benefits to an enlarged clitoris, there are also a number of risks and downsides. This part of the body is very sensitive and is dense in nerve endings. Procedures that require consistent pressure or force can damage the nerves, which can actually reduce sensation — even if the surface area is technically larger. There are also risks that come with taking hormone supplements, particularly if they aren’t dosed properly. Women who are concerned about the size of their clitoris or who want to explore enlargement options are usually best served by talking to a professional before taking things into their own hands.
This operation repositions the protruding clitoris and reduces the length and projection of the clitoral hood. It is also indicated in the woman with mild clitoral enlargement who does not want to undergo a formal clitoris reduction.
Some women are bothered by the size of the clitoral hood and the clitoris shaft or head (glans). The hood may protrude too much causing the woman to be self-conscious or irritated. She may feel that the protruding hood and clitoris cause a bulge in her clothing or the appearance of a small penis.
If desired by the woman, I routinely reduce the sides of the clitoral hood while performing labiaplasty. However, that does not change the length or projection of the clitoral hood. In order to resolve this situation, I make a horizontal incision on the lower clitoral hood and setback the clitoris slightly higher with a few sutures (clitoropexy). The pulling up and moving in of the head of the clitoris eliminates the protrusion and now allows me to remove some of the longitudinal hood skin. The hood becomes shorter, and the hood and clitoris no longer protrude. There is no risk of nerve injury or sensation change.
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The clitoropexy can be done alone or in combination with the Alter Labia Minora Reduction.