Perineoplasty (Perineorrhaphy)

What is Perineoplasty?

Perineoplasty, sometimes called vaginal rejuvenation, is a cosmetic surgery that repairs the perineum. When a woman gives birth, this area between the vagina and the anus, can be severely scarred, stretched or even torn due to a difficult vaginal delivery or episiotemy. As a woman ages, laxity and and/or damage from intercourse occurs. Perineoplasty is performed to repair the damage and tighten the vagina so that normal appearance and sexual function can be restored.

Who is a good candidate for this surgery?

  • women who experience vaginal looseness and decreased sexual pleasure after childbirth
  • women who have trouble achieving orgasm due to lack of friction
  • women who produce a lot of gas noises during intercourse
  • women, who through the aging process, have stretched muscles and tissue, and experience a loose vagina

What can be expected with this procedure?

The 30-minute surgery is usually done as an out-patient procedure, using local anesthesia to sedate the patient. Excess skin and loose skin tags are removed, and the underlying muscles or the perineal body are sutured to close the gap and create a tighter vaginal opening. There is a small recovery time, after which, the patient may go home. Since perineoplasty is often combined with vaginoplasty, the post-surgery expectations would depend on the vaginoplasty surgery. Typically, a patient can return to work 2-3 days after the surgery.

What are the Risks of Perineoplasty?

There are a few risks that can arise with perineoplasty surgery. If you experience any of the following, contact your physician right away.
  • Infection
  • Constipation
  • Excessive itching
  • Abnormal Bleeding
  • Abnormal vaginal discharge
  • Unsatisfactory results - too much or too little tightening

What are the Outcomes?

Patients have reported excellent outcomes, including enhanced aesthetic appeal with a more feminine look. Tighter vaginal opening created greater friction and gave more pleasure to partner, which increased their own sexual enjoyment and intimacy.

Shonan Beauty Clinic

The physicians and staff at Shonan Beauty Clinic are committed to helping you understand perineoplasty surgery. Contact us with any inquiries.