What is Perineoplasty?

The perineum is the area between the vagina and the rectum. It may require surgical repair, or a perineoplasty, due to loosening, tearing or scarring.

Who is a Candidate for Perineoplasty?

During childbirth, you may experience tearing in the perineal tissue or require an episiotomy. While these generally heal naturally, large cuts or tears may require surgical treatment to heal properly. In other cases, scar tissue can change the look of your vaginal area or cause discomfort.

You may also notice stretched vaginal muscles and tissue that leaves you with a feeling of looseness in the vagina. This can be caused by vaginal delivery or extreme weight loss. Vaginal looseness may result in decreased sexual satisfaction. Speak with your cosmetic gynecologist about any symptoms you may be experiencing to determine if perineoplasty is right for you.

Performing a Perineoplasty

Perineoplasty is an outpatient procedure that typically lasts 60 minutes. Your surgeon will perform the perineoplasty with minor topical and local anesthesia. Excess tissue and any scar tissue is removed using a small v-shaped incision. The two sides are then rejoined. You will likely be able to return home after about 30 minutes of observation.

Recovering from Perineoplasty

It is recommended you rest with ice and medication for the first three to five days following the perineoplasty. You may experience some discomfort and minor bleeding. Wearing a sanitary pad can help with any bleeding. Since the incision is closed with stitches, it’s important to keep the area clean and dry. The sutures should dissolve after about four to six weeks.

You may experience discomfort with urination or constipation. Drinking plenty of water and eating fiber can help reduce the risk of constipation. In addition, you should limit yourself to light activity for six weeks, at which time you may resume normal activities. However, you should abstain from intercourse for eight  weeks following the procedure.


Before & After Photos

Before & After