Clit surgery pictures-World's Best Clitoris Stock Pictures, Photos, and Images - Getty Images

A clitoral frenuloreduction surgical intervention has not been described in the medical literature and through clinical-scientific research, a new surgical clitoral frenuloreduction intervention was developed. This procedure is based on the new anatomical discovery of the clitoral infrafrenulum fascial bundle, which is the deep stratum of the clitoral frenulum. A descriptive case series clinical research was designed with objectives to: develop a new clitoral frenuloreduction surgical intervention; evaluate surgical outcomes; assess the impact of this operation on genital self-perceived body image; female sexual activities; and to record complications. The primary outcome measured the ability to implement a new clitoral frenuloreduction surgical intervention. The secondary outcome measured: surgical outcome; the impact of this operation on external genital self-perceived body image; female sexual activities; quality of life; and recording potential complications.

Clit surgery pictures

Clit surgery pictures

Washing more diligently can resolve or prevent clitoral adhesions. Colleague's E-mail is Invalid. Clit surgery pictures excision techniques, first described and popularized by Alter, 1418 preserve labia edges and edge pigmentation. Technical simplicity Adaptability to all labial sizes and shapes Wound dehiscences rarely require revision. Female genital cosmetic surgery, when performed by a competent and certified plastic surgeon, has low complication rates and high patient satisfaction. Surgical technique Clinically, clitoral frenulo reduction can be classified into three different types: type I, Military wifes prayer myspace frenuloreduction by superficial stratum partial resection, Figs. On physical examination, the right side of the clitoral frenulum Clit surgery pictures longer, much thinner, and unnaturally fused with the upper part of the right labium minus surface, Fig. These casts were consisted of dry-hard materials and were loosely adhered to surrounding tissue with producing offensive odor the white circle. Advanced Search.

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Where is it? To try Preservation of oldie lovers, lie on your back. Subsequently, a standardized intersex management strategy was developed by psychologists at Johns Hopkins University USA based on the idea that infants are gender neutral at birth. As women have become more knowledgeable about the factors that affect sexual satisfaction, clitoris amplification surgery has become a Clit surgery pictures popular cosmetic genital surgery option. Patient surveys have indicated satisfaction with the outcome of such procedures. Circleaks is willing to listen to Dr. Given that Dr. Here's a no-frills guide to clitoral stimulation for masturbation or partnered sex. Clot about reduction? If your hood is larger, it may not retract as easily. Read this next. According Surger Jewish Woman InternationalDr.

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  • Wheeless, with its third edition printed in coincidentally the year that the federal law against FGM was enacted in the United States.
  • Contact us today for more about these and other services we offer in cosmetic gynecology.
  • Orgasmic pleasure derived from the clitoris can be very exhilarating.
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Log in to view full text. If you're not a subscriber, you can:. Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. The majority of labia reductions are performed by trimming the labial edges. Many of these women present with 1 asymmetry; 2 scalloping of the labial edges with wide, occasionally painful scars; and 3 abrupt termination and distortion of the clitoral hood at its normal junctions with the clitoral frenula and the upper labium.

Reconstruction can usually be performed with wedge excisions, labial YV advancement, and touch-up trimming. Reconstruction of a labial amputation, however, required the development of a new clitoral hood flap.

An island clitoral hood flap randomly based on the dartos fascia of the lower clitoral hood and medial labium majus is transposed to the ipsilateral labial defect to reconstruct a labium. Of the 10 patients with unilateral flaps, nine of the patients had previous bilateral labial reductions. Reconstruction of the opposite side in these nine women was performed using one or a combination of the following: wedge excisions, YV advancement flaps, or controlled touch-up trimming.

Five patients underwent revision of a total of seven flaps, but only two were for complications. As experience increased, revisions for aesthetic improvement became less common. Disclosure: The author has no financial interest to declare in relation to the content of this article.

He received no external funding. Gary J. Alter, M. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent.

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Separate multiple e-mails with a ;. Thought you might appreciate this item s I saw at Plastic and Reconstructive Surgery. Send a copy to your email. Some error has occurred while processing your request. Please try after some time. Alter, Gary J. Beverly Hills, Calif. Received for publication September 13, ; accepted December 15, Plastic and Reconstructive Surgery 6 , June Add Item s to:. An Existing Folder. A New Folder. The item s has been successfully added to " ". Thanks for registering!

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Female genital cosmetic surgery, when performed by a competent and certified plastic surgeon, has low complication rates and high patient satisfaction. In some patients the excision is performed as a "Y" extension off the labiaplasty. It is sometimes done as a form of elective surgery where the therapeutic goals are to improve the sexual functioning of the patient and the aesthetic refinement of the vulva. If and how a clitoral hood piercing affects your sex life comes down to you. What's the clitoris and exactly how big is it? What about reduction? Does the hood retract?

Clit surgery pictures

Clit surgery pictures

Clit surgery pictures

Clit surgery pictures

Clit surgery pictures

Clit surgery pictures. 2.Who needs it?

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Clitoropexy / Clitoral Hood Reduction Beverly Hills, California Plastic & Reconstructive Surgeon

A clitoral frenuloreduction surgical intervention has not been described in the medical literature and through clinical-scientific research, a new surgical clitoral frenuloreduction intervention was developed.

This procedure is based on the new anatomical discovery of the clitoral infrafrenulum fascial bundle, which is the deep stratum of the clitoral frenulum. A descriptive case series clinical research was designed with objectives to: develop a new clitoral frenuloreduction surgical intervention; evaluate surgical outcomes; assess the impact of this operation on genital self-perceived body image; female sexual activities; and to record complications.

The primary outcome measured the ability to implement a new clitoral frenuloreduction surgical intervention. The secondary outcome measured: surgical outcome; the impact of this operation on external genital self-perceived body image; female sexual activities; quality of life; and recording potential complications.

The validated instruments were used in the study. A clitoral frenuloreduction surgical intervention was executed in the procedure room on an outpatient basis under local anesthesia with light conscious sedation oral Valium and Phenergan rectal suppositories. No complications were recorded. Three-consecutive women were subjected to a new clitoral frenuloreduction surgical procedure.

The average time of surgery was 27 minutes. Improvement of sexual activities, quality of life, self-perceived body image, social life, and no feelings of regret of undergoing surgery was recorded.

In the current study, clitoral frenuloreduction was easy to implement without complications and with very pleasing aesthetic surgical outcomes. Self-perceived body image, quality of life, and sexual activities improved. Recently, Ostrzenski discovered the existence of the clitoral infrafrenulum fascial bundle anatomical structure, which creates the deep layer of the clitoral frenulum [1]. This discovery was incorporated into the current clinical-scientific research in which a new clitoral frenuloreduction surgical intervention was developed.

Disrupting this anatomical structure during surgery leads to severe complications of the clitoral stabilizing mechanism, particularly, the clitoral glans stability, Figs. A new surgical concept of frenuloreduction was to minimize or eliminate severe surgical complications.

Used with permission from original surgeons who requested consultations. The immediate postoperative image depicts severe complications resulted from over-resection of the clitoral frenula with clitoral infrafrenulum fascial bundles the red arrows and partially resecting the posterior clitoral glans the yellow arrow. The clitoral glans is elevated and retracted. The clitoral prepuce is rippling with wrinkles and irregular appearance.

The clitoral preputial orifice wide opened and gapping. The fragment of over-resected labia minora is also visible. Post corrective surgery on the clitoral frenulum is presented. The partially amputated clitoral frenulum was reattached to the lateral aspect of the labia minora the red arrows creating unnatural and permanent surgical fusion between the clitoral frenula and the upper part of the labia minora.

After the corrective surgery, the clitoral glans is elevated, facing upward, and retracted the yellow arrow. The elevated and retracted clitoral glans exposed the clitoral root the area between the clitoral glans and the external urethral meatus area and such a skin exposure caused severe dryness, pruritus, and skin wrinkling of this area.

The immediate postoperative image depicts severe complications resulted from inadvertently removing clitoral frenula with the infrafrenulum fascial bundle of the clitoris. The yellow arrow shows the partially everted clitoral glance and the retracted clitoral prepuce after total resection of the clitoral frenula and labia minora.

The red arrow indicates posterior clitoral glans partially resected and the resected clitoral frenulum. Two year after the original surgery. Iatrogenic fusion resulted from clitoral hoodoreduction and clitoral frenuloreduction. The anterior clitoral glance is fused with the inner surface and this fusion precludes the clitoral hood natural from natural ability to retract as well as it causes severe pain at the time of clitoral engorgement.

The clitoral frenula resected the red arrow and unnaturally fuses with the clitoral glans and the inners surface of the clitoral prepuce the black arrow. The clitoral glance was partially resected. Typically, the clitoral frenulum is described as one stratum skin fold and in the form of band-like anatomical structure. The upper part of the labium minus divergences anteriorly into two branches: 1 the superior branch of the labium minus is termed as the clitoral prepuce; 2 the inferior branch is labeled as the clitoral frenulum.

The proximal clitoral frenulum structure inserts into the posterior surface of the clitoral glans and the distal part connects with the labium minus bifurcation area [ 2 , 3 , 4 ]. The distal clitoral prepuce is laterally adjacent to the clitoral frenulum. Neither the anatomical function of the clitoral frenulum nor the description of the deep stratum of the clitoral frenulum was presented in the medical literature or textbooks.

A surgical clitoral prepucioplasty technique for aesthetic motives was described by Alter and termed as central V-plasty with extension [5]. Ostrzenski developed a new clitoral hoodoplasty surgical intervention. This surgical procedure was labeled as hydrodissection with reverse V-plasty [6]. However, a clitoral frenuloreduction surgical technique has never been described in the medical literature. The clitoral frenulum hypertrophy, asymmetry in length or in width, or thickness, asymmetrical attachment to the clitoral glans, or unnatural fusions with the neighboring anatomical structures can be responsible for a woman's negative self-perceived body image of external genitalia.

Therefore, to meet a woman's aesthetic expectation, a female genital cosmetic surgery is performed on the clitoral frenulum without the anatomical appreciation of the clitoral stabilizing mechanism existence and surgical injuro of this mechanism leads to severe, but avoidable, complications. The most commonly observed complication resulted from clitoral frenuloreduction is related to severing the infrafrenulum fascial bundle of the clitoris, which leads to clitoral glans losing anatomical stabilizing support, Figs.

In the view of the British's audit, cosmetic gynecologic surgical interventions are on the rise; therefore, the number of frenuloreduction or frenuloplasty is also on the rise [7]. Consequently, developing a new surgical intervention s for the clitoral frenulum surgical reduction is the necessity in order to minimize or eliminate surgical severe complications. The objectives of this clinical descriptive case series study were to develop and to implement a new surgical intervention of clitoral frenuloreduction with the primary outcome measured the ability to implement this newly developed procedure, and the secondary outcome measured aesthetic surgical outcomes, the impact of this operation on external genital self-perceived body image, impact on female sexual activities, impact on quality of life, and to report potential intraoperative and postoperative complications.

A long-term 60 months , postoperative follow-up has been conducted. Eligibility criteria included the presence of anatomical aberrations of the clitoral frenulum, which negatively affect the overall aesthetic look and cause emotional symptoms aesthetic dissatisfaction from the external genital appearance; decreased self-perceived body image; and feeling of being an inadequate woman. Such a clinical screening allows selecting a candidate for type I, for type II or for type III clitoral frenuloreduction.

Those subjects who were pregnant, suffer from clinical depression, autoimmune disorders, and underwent a prior surgery on external genitalia were excluded from this study. Subjects sexual activities, self-perceived body image, and quality of life were evaluated with a validated, multidimensional, self-reported Female Sexual Function Index FSFI questionnaire [8]. Surgical outcome results were determined and reported by women to the examining physicians.

The FSFI test was applied pre-operatively, 6-month, 2-year and 5-year post-operative period. Postoperative examination and FSFI tests were conducted in the office of referring physicians.

The doctors' notes and the results of validated FSFI questionnaire were sent back to the author in the sealed envelope. The subjects were advised that the clitoral frenuloreduction was a new surgical intervention and could not be considered as a routine, accepted or standard operation; no promises were made that this procedure can enhance subjects' sexual gratification. Written informed consent was prepared within the standards delineated by the American College of Obstetricians and Gynecologists and was signed by both the subject and the witness [9].

The clitoral frenuloreduction was performed under local anesthesia with light conscious sedation. An informed consent for the local anesthesia was also obtained. An authorization for taking digital images and their potential distributions in the clinical-scientific literature as well as to utilize them for educational purposes were obtained from each subject. The frenuloreduction procedure was executed under local anesthesia with light conscious sedation by administrating 2.

One hour before surgery, a thick layer of Lidocaine-Prilocaine 2. After applying the cream, the region was covered with sterile gauze. Also, thirty-minutes before the procedure, an ice pack was added to the vulvar area and was resting on the sterile gauze.

Upon removing the ice pack and wiping-off remaining anesthetic cream, the operative field was prepped with skin cleanser solution. Clinically, clitoral frenulo reduction can be classified into three different types:. The clitoral frenulum and the infrafrenulum fascial bundle are presented. The case asymmetrical clitoral frenulum is presented. The right clitoral frenulum is much longer and thicker than left and is fused with the inner labium minus surface black arrows indicate the superficial layer of the both clitoral frenula.

The clitoral frenulum superficial stratum was removed and the clitoral infrafrenulum fascial bundle is depicted clitoral frenulum deep stratum. Black dot-lines indicate the excision of the superficial stratum and emerging deep stratum the clitoral infrafrenulum fascial bundle are presented.

The predetermined reduction of both strata of clitoral frenula is carried-out black dot-lines. Clitoral frenuloreduction type I is displayed. Two-sutures ware placed laterally and superficially on the skin of the clitoral prepuce for retraction yellow arrows. The incision was made on the labium minus to get access to Fusion between the right distal clitoral frenulum and labium minus as well as to create de novo the labium minus bifurcation.

A tong depressor was used to protect surrounding tissues from inadvertent surgical injury. Separation of the right clitoral frenulum from the labium minus unnatural fusion is executed and followed by the length and thickness reductions.

The black arrow points to the reduced length and thickness of the right clitoral frenulum. The partially resected superficial layer the skin and deep stratum the infrafrenulum fascial bundle of the clitoris were done.

The length of the right clitoral frenulum was reduced to match the length of the left clitoral frenulum. The external genitalia before and after the surgery are exhibited. The external genitalia appearance before surgery. The same subject is depicted after surgery.

Clitoral frenuloplasty, clitoral preputial reconstruction, and labioreduction of the labia minora were executed. To minimize the male scrotum-like appearance of the labia minora, fenestration labioreduction was performed without preserving the original labial contour.

The new counter was established and the natural edges were preserved. Unnatural suspension and fusion of the right clitoral frenulum is depicted. The clitoral frenulum together with the labium minus and the redundant clitoral prepuce create a pocket the red arrow. The packet is suspended by preputial band-like tissue the black arrow.

Multiple and different in sizes, small structures whitish in color are present in the packet the white circle. These casts were consisted of dry-hard materials and were loosely adhered to surrounding tissue with producing offensive odor the white circle.

The right clitoral frenulum anatomical aberrations before and after surgery are depicted. External genitalia with multiple anatomical aberrations before surgery is presented. After clitoral frenuloreduction and frenuloplasty and have been completed the red arrow. In all types of frenuloreductive procedures, Chromic sutures were temporarily placed on the lateral aspects of the clitoral prepuce for retraction, Fig.

Clit surgery pictures

Clit surgery pictures

Clit surgery pictures