
Dr. Alter’s Before and After
Dr. Alter specializes in female genital surgery and has spent decades perfecting his reconstructive techniques. All patients featured in this gallery are unique and an individualized treatment plan was developed for each case.
Slide left and right to see the before and after sets.






PATIENT 9
CLITORIS REDUCTION
58-year-old with clitoral enlargement from anabolic steroids. She underwent clitoral reduction, “Alter Wedge” labiaplasty, and labia majora reduction.
a. Pre-operation b. Pre-operation with oblique view c. Pre-operation with labia open
d. Post-surgery e. Post-surgery with oblique view f. Post-surgery with labia open


PATIENT 10
CLITORIS REDUCTION
26-year-old with congenital clitoral enlargement. She underwent clitoral reduction and “Alter Wedge” labiaplasty.
a. Pre-operation b. Post-surgery




PATIENT 11
CLITORIS REDUCTION
35-year-old with congenital clitoral enlargement. She underwent clitoral reduction and “Alter Wedge” labiaplasty.
a. Pre-operation b. Pre-operation with oblique view c. Post-surgery d. Post-surgery with oblique view




PATIENT 12
CLITORIS REDUCTION
32-year-old with clitoral reduction after anabolic steroids. Underwent clitoral reduction and had previous labiaplasty.
a. Pre-operation b. Pre-operation with oblique view c. Post-surgery d. Post-surgery with oblique view


PATIENT 13
CLITORIS REDUCTION
36-year-old with clitoral enlargement after taking testosterone. Previous surgeon removed her clitoral hood and did a labia majora reduction. Patient underwent clitoral reduction, reconstruction of her clitoral hood, and further labia majora reduction.
a. Pre-operation b. Post-surgery






PATIENT 14
CLITORIS REDUCTION
46-year-old woman always had enlarged clitoris but it increased while taking testosterone. Patient underwent clitoral reduction, “Alter Wedge” labiaplasty, labia majora reduction, and perineoplasty.
a. Pre-operation b. Pre-operation with oblique view c. Pre-operation with clitoris visible d. Post-surgery e. Post-surgery with oblique view f. Post-surgery with smaller clitoris visible


PATIENT 15
CLITORIS REDUCTION
30-year-old woman with enlarged clitoris throughout her life with normal hormones. Patient underwent clitoral reduction, “Alter Wedge” labiaplasty, and labia majora reduction.
a. Pre-operation b. Post-surgery


PATIENT 16
CLITORIS REDUCTION
51-year-old woman with clitoral enlargement due to oral bio-identical hormone supplements. She underwent clitoral reduction, “Alter Wedge” labiaplasty, and vaginal tightening.
a. Pre-operation b. Post-surgery


PATIENT 17
CLITORIS REDUCTION
63-year-old who had a trimming labiaplasty with labial amputation, clitoral enlargement, and an open perineum. She had a two-stage reconstruction with clitoral hood flaps to reconstruct her labia minora along with vaginal tightening followed up by a clitoral reduction and fat injections to her labia majora.
a. Pre-operation b. Post-surgery
Patient-First Policy
Dr. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery. We take the time to learn about your concerns, goals, and desires, so we can build a plan that addresses your concerns and gets you the
results you deserve.
Thoughts & Insights


