An enlarged clitoris or clitoral hood can affect both sexual experience and the appearance of the genital area — making some women self-conscious in fitted clothing, swimwear, or intimate moments. The size and prominence of the clitoris can be shaped by many factors: some women are born with a larger clitoris or an overabundant clitoral hood; others develop enlargement with age, from the testosterone exposure of athletic training at high levels, from testosterone supplementation, or as a consequence of congenital adrenal hyperplasia (CAH). Some women also describe physical discomfort — friction of the clitoris against clothing, bathing suits, or workout gear that becomes painful or uncomfortable. Clitoral reduction, sometimes called clitoropexy or clitoral hood reduction, is the surgical procedure that addresses these concerns directly.

Dr. John Anastasatos performs clitoral reduction at his Beverly Hills practice with the reconstructive precision this nerve-rich anatomy requires. Dr. Anastasatos served as Chief Resident in Plastic Surgery at the University of Alabama at Birmingham — senior-level training covering the full reconstructive tissue handling spectrum — and serves as an Expert Reviewer for the Medical Board of California, a peer-vetted credential reflecting the standards his peers trust him to evaluate. Board certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons (FACS), and named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World. Dr. Anastasatos has performed clitoral reduction many times for his female patients and every consultation is conducted with the discretion this personal subject requires.

Why Women Pursue Clitoral Reduction

The reasons women seek clitoral reduction span physical comfort, sexual experience, and aesthetic concerns:

• Congenital Clitoral Hypertrophy: Women born with a larger-than-average clitoris or an overabundant clitoral hood.
• Age-Related Enlargement: Gradual enlargement of the clitoris or clitoral hood that develops with age and hormonal change.
• Athletic or Hormonal Causes: Clitoral enlargement related to increased testosterone production from high-level athletic training or from testosterone supplementation.
• Congenital Adrenal Hyperplasia (CAH): Clitoral enlargement related to CAH, which clitoroplasty can address as part of the broader treatment of this condition.
• Physical Discomfort: Friction of the clitoris against clothing, swimwear, or athletic apparel that has become painful or uncomfortable.
• Self-Consciousness in Fitted Clothing or Swimwear: The clitoris being visible through fitted pants or bathing suits, producing self-consciousness with normal activities.

“Clitoral reduction is one of those procedures that patients often have been thinking about for a very long time before they finally schedule a consultation. Many women haven’t realized it’s even an option. The procedure itself is relatively straightforward, but the impact on the patient’s comfort and confidence is significant. My approach is precise tissue reduction that preserves the nerve anatomy responsible for sensation — because done correctly, women report increased rather than decreased sensitivity after the procedure.” — Dr. John Anastasatos

Procedure and Recovery

Clitoral reduction is a quick, outpatient procedure that lasts about one hour. It can be performed under local anesthesia, intravenous sedation, or general anesthesia, depending on patient preference and the scope of the procedure. The result is permanent — the reshaped anatomy remains stable over time absent future hormonal or weight changes.

Recovery is fast. Most patients experience minimal discomfort, well controlled with oral medication over the first few days. Return to normal daily activity typically occurs within a few days. Return to sexual activity may be as soon as two weeks, depending on individual healing. Many women report an increase in clitoral sensitivity after this operation, likely reflecting both the reduction of redundant tissue covering the nerve supply and the psychological improvement of feeling more comfortable with their anatomy.

Frequently Asked Questions About Clitoral Reduction

Will clitoral reduction affect sexual sensation?

Many women report increased rather than decreased sensitivity after clitoral reduction. Dr. Anastasatos’s surgical technique preserves the nerve supply responsible for sensation. The reduction addresses redundant tissue without compromising the nerve anatomy beneath it.

How quickly can I return to sexual activity?

Return to sexual activity may be as soon as two weeks after surgery, depending on individual healing. Dr. Anastasatos provides specific guidance during follow-up visits on when activity can safely resume.

Is clitoral reduction permanent?

Yes. The anatomical change is permanent. Future hormonal changes, significant weight fluctuation, or testosterone exposure could theoretically produce new changes, but the surgical result itself remains stable.

Can clitoral reduction address CAH-related enlargement?

Yes. Clitoral reduction is part of the broader treatment options for clitoral enlargement related to congenital adrenal hyperplasia. The consultation evaluates your specific situation and the appropriate surgical approach.

Will anyone be able to tell I had the procedure?

No. Dr. Anastasatos places incisions along natural anatomical lines where they become essentially invisible once healing is complete. The final result appears as a more proportional version of the existing anatomy.

Is clitoral reduction covered by insurance?

Clitoral reduction is typically considered cosmetic and not covered. In rare cases with documented functional indications — severe discomfort from friction, or as part of CAH treatment — partial coverage may apply. The consultation discusses your specific circumstances.

Why Choose Dr. Anastasatos for Clitoral Reduction

• UAB Plastic Surgery Chief Resident: Senior-level reconstructive training covering the precise tissue handling this delicate anatomy requires.
• Medical Board of California Expert Reviewer: Peer-vetted authority on complex surgical care — a credential few California plastic surgeons hold.
• Board-Certified and FACS: Certification by the American Board of Plastic Surgery and Fellowship in the American College of Surgeons.
• Extensive Experience: Has performed clitoral reduction many times for patients with congenital, age-related, or hormonal clitoral hypertrophy.
• Nerve-Preservation Technique: Careful surgical approach that preserves the sensory nerve supply throughout the procedure.
• Private, Discreet Consultation Setting: Entire experience structured around respecting patient privacy.
• Top 10 International Recognition: Named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World.

Schedule Your Private Clitoral Reduction Consultation in Beverly Hills

If an enlarged clitoris or clitoral hood has been affecting your physical comfort, your confidence in fitted clothing, or your sexual experience, clitoral reduction can directly address the anatomy. Dr. John Anastasatos welcomes patients to the Beverly Hills office at 436 North Bedford Drive, Suite 202, Beverly Hills, CA 90210, for a private and discreet consultation. Contact us at Los Angeles Plastic Surgery to schedule your consultation with Dr. Anastasatos to privately discuss clitoral hood or clitoris reduction surgery.