Some women have excess skin over and on the sides of the clitoris, which makes it look large and protruding. The skin is in an inverted V shape that is sometimes tight or long covering the clitoris – thus the term “hood”.
Generally this is caused by genetics, estrogen, and testosterone exposure, especially during pregnancy. Even after female genital surgery, such as labiaplasty of the labia minora and/or labia majora, the clitoris may still look disproportionate and not very pleasing. The excess skin in the clitoral area may cause irritation and discomfort during sexual activity.
The hood reduces sensitivity and may lead to decreased sexual satisfaction. Trimming that skin allows the clitoris to be less covered and thus much more easily stimulated during intercourse. The release of a tight hood or shortening of it leads to a much more satisfying sexual sensation.
These extra folds on the sides of the clitoris may be gently and precisely excised and recontoured. The trauma to the nerve ends can be avoided if done correctly.
This procedure is not in any way related to clitoral circumcision or mutilation. The clitoris itself and its nerves are never touched. Clitoral Hood Reduction (aka Clitoropexy) takes about one hour and is done in the office under local anesthesia with light oral sedation. Dr. Cappiello often combines the hood recontouring with labiaplasty, or reduction of the labia for similar indications.