What is Perinioplasty?

A perineoplasty is a plastic surgery procedure, performed to reshape or tighten the vaginal opening. It does not tighten the deeper vagina canal, although it can be combined with other procedures.

The perineum is the area between your vagina and rectum that is visible. Tears during childbirth are very common in the perineum. Women may choose a perineoplasty for the following reasons
  • Remove excess skin and skin tags for a smoother appearance
  • Give the vagina a snugger feel
  • Increase sensation during sexual intercourse

Most women who opt for a perineoplasty are in their 30s to 50s. This procedure does not prevent someone from having more children, but pregnancy and vaginal delivery will re-open the tissues. We recommend a perineoplasty only for women who have completed their families.

The Perineoplasty Procedure

The first step is to schedule a consultation with an aesthetic gynecologist to discuss your goals for surgery. After thorough discussion of your wishes, we will plan a surgical approach that is customized for your desired result.

In all cases, an incision will be made at the vaginal opening, and the underlying tissues will be repaired and/or tightened to your desired size. Any excess tissue will be removed and the incision will be repaired with absorbable sutures. In most cases these can be hidden underneath the skin. A perineoplasty is an outpatient procedure — arriving in in the morning and going home that day.

Perineoplasty Recovery

After one to two hours under the watchful eyes of the recovery gynecology team, patients are sent home with a friend or family member to drive. Expect some initial pain and pressure from the tightening effects of the surgery; this will improve as the body heals. The initial swelling that occurs during this surgery usually dissipates after two days, and being tender for up to six weeks is normal. Prescriptions for pain medication will be provided.

A follow-up visit in one to two weeks will be scheduled to check on your healing process. Activities may increase as the pain and swelling improves. Sexual intercourse or any vaginal penetration is prohibited for six weeks. Many women return to work after three to five days, as long as there is no strenuous physical activity.

Intimate Aesthetics At AWH