Male and female genitalia can be altered and rejuvenated through a variety of methods. For females, vaginal rejuvenation includes labiaplasty, vaginoplasty, vulvaplasty, clitoral hood reduction and monsplasty. These procedures work to reduce the size or length of the vagina, tighten the area, reduce bulges of excess skin and fat in the upper part of the hair-bearing part of the vagina known as the mons and eliminate excess tissue in the clitoral hood. Male genitalia cosmetic surgery includes penis enlargement and testicular implants. These techniques can add size or volume to the male genital area as well as make it more aesthetically pleasing and rejuvenated in appearance.