At our office in West Columbia clitoral hood reduction is designed to aesthetically remove the excess skin on the sides of the clitoris which causes the clitoris to look enlarged or uneven. Factors such as genetics, estrogen, and testosterone exposure can make significant changes in the way the clitoral area looks. A reduction of the labia itself may result in the appearance of a relatively larger clitoral area since the excess labia have been removed drawing the eyes to the clitoral region.