Medically Reviewed April 2023, by Claire Clarke - Head of Surgical Services for The Harley Medical Group
Cosmetic Gynaecology Surgery
Cosmetic Gynaecology is one of our fastest growing surgical procedures, with women increasingly realising that they don’t have to simply accept something that’s making them unhappy. We meet women every day who have either always been unhappy with their vagina or have become unhappy due to natural changes from childbirth, ageing or weight loss.

Clitoral Hoodoplasty
The clitoral hood, or prepuce, is the tissue that naturally drapes and conceals the clitoris to protect against over-stimulation. This sheath naturally retracts during sexual intercourse leaving the clitoris exposed. However some women with excess prepuce find they cannot climax as the surplus tissue limits stimulation.
Hoodectomy or Hoodoplasty removes the excess tissue allowing the clitoris to become more easily exposed enabling women to experience improved sexual sensitivity.
Fourchette (frenulum of Labia Minora) Reconstruction
During childbirth the Fourchette may be torn; to limit damage to the woman's body the midwife may perform an Episiotomy, deliberately cutting from the Fourchette and continuing back along the perineum toward the anus. The incision can, on occasion over-repair itself leaving a raised area within the vagina that can become sore and cause pain during intercourse.
Fourchette Reconstruction, or Refashioning, is a procedure that removes the rigid scar tissue enabling you to be more comfortable with your body.
Perineal Refashioning
Perineal Refashioning is a procedure to improve the appearance and the muscle tone of the perineum area which has been damaged by an Episiotomy or tear during childbirth. Excess scar tissue is excised, and the perineal body reconstructed, thereby restoring the appearance of the vulva, and the tone at the Fourchette.


Meet our expert consultant
Isaac Manyonda is a Professor of Obstetrics and Gynaecology at St George’s University of London and Consultant Obstetrician and Gynaecologist at St Georges University Hospitals NHS Foundation Trust.
In 1982 Professor Manyonda qualified as a Doctor after completing his medical studies at St. George’s Hospital Medical School, University of London and has since had 25 years of experience at consultant level.
He has undertaken ground breaking Obstetrical and Gynaecological research, much of which has been published in prestigious peer-reviewed journals. He has also written books and contributed to chapters in books in this subject area. His current clinical interests are cosmetic gynaecology, the menopause, recurrent miscarriage and complex gynaecological surgery especially involving fibroids. He is also an accomplished Keyhole Surgeon.
During his free time, Professor Manyonda enjoys reading, especially Russian literature and is also a keen football player.
Professor Manyonda will be performing the following procedures for The Harley Medical Group:
- Labial Reduction
- Vaginal Tightening
- Hoodectomy
- Vulval Puffing

Cosmetic Gynaecology Prices
Cosmetic Gynaecology | Prices start from |
---|---|
Hoodoplasty | £5,300 |
Labial Reduction | £5,400 |
All prices quoted are complete, there are no hidden extra costs.