Revision clitoroplasty is a surgical procedure performed to correct or improve the aesthetic or functional outcomes of a previous clitoroplasty. The procedure typically begins with a thorough preoperative evaluation, which includes a detailed medical history, examination, and possibly imaging studies to assess the current anatomical status and identify the specific issues that need to be addressed. The patient is given general anesthesia to ensure they are comfortable and pain-free throughout the surgery. The surgeon then carefully reopens the initial incision site, making meticulous adjustments to the clitoral structures, grafts, and any associated surrounding tissues. This often involves reducing any clitoral scarring, reshaping the clitoral hood, and ensuring that the clitoral glans is appropriately positioned and sensate.

During the revision clitoroplasty, special attention is given to preserving or enhancing the neurovascular supply to optimize sensory outcomes, which is paramount for both function and patient satisfaction. If necessary, additional tissue grafts might be harvested and used to address any deficits or asymmetries. The surgeon meticulously closes the incisions with fine sutures, aiming for minimal scarring and optimal aesthetic results. Postoperative care is crucial, including pain management, antibiotics to prevent infection, and detailed instructions on wound care to facilitate healing. Follow-up appointments are essential to monitor the recovery process and address any complications promptly. Overall, revision clitoroplasty is a complex, nuanced procedure that requires significant surgical expertise and a deep understanding of the unique needs of each patient.