Triangle Technique: If the clitoral hood is unilateral or bilaterally thick and drooping, performing a central wedge reduction (V incision) with lateral clitoral hood reduction is a safe procedure to remove this excess. Although this procedure has very few complications, patient satisfaction is high. After wedge resection is performed during the Labiaplasty procedure to cut the overgrown labium and lateral clitoral hood with sagging skin, if clitoris aesthetics is also performed, the sagging skin piece from the labium minor lateral face upwards in the direction of the clitoral hood should be removed separately in the form of a small triangle curved laterally and anteriorly. If the clitoral hood is asymmetrical and unilaterally drooping, the clitoral hood repair is performed on the drooping side, so that it takes the same shape as the other side and eventually the clitoris becomes symmetrical. If the clitoral hood is large and drooping symmetrically, the same procedure should be done on both sides.
Crescent Technique: With this technique, unnecessary excess clitoral hood tissue is removed in a crescent shape. The clitoris protrusion is held, and an arcuate incision is made around it as it is pulled. The length of the incision does not exceed 6-7 mm. The excess skin is removed, and the area is closed with absorbable suture material. Another technique is to remove excess clitoral hood (clitoral prepuce tissue) by making an incision parallel to the long axis of the clitoris. Excess skin, usually in the center of the clitoral hood, is removed with a separate incision. It is closed in two layers with suitable sutures. The patient should be informed that there may be a slight risk of numbness in such an operation. But this risk is small because the clitoris nerves are deeply embedded.