Perineoplasty

The visible area between the vagina and the rectum is called the perineum. This is the same area where episiotomies are repaired and tears during a vaginal birth may occur. Some women note scar tissue, loose tissue and skin tags (redundant skin) in this area. A perineoplasty aims to tighten the opening of the vagina and repair the aesthetic to the perineum. The underlying muscles are repaired, bringing the perineal body back together. This aids in the sensation at the opening of the vagina for many women who feel too loose or have a “gaping” vagina.

It is important to have a consultation to determine if this treatment is needed or if you would be better suited with vaginoplasty. The vaginoplasty is done in addition to a perineoplasty to tighten the full length of the vagina.

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Who is a good candidate for Perineoplasty?

Perineoplasty is suitable for women who have experienced damage to the perineal area (the skin between the vagina and anus), often due to childbirth. Candidates include:

Women with perineal tears or scarring that affect the appearance or function of the area. (Birth trauma)
Women seeking to repair or improve perineal aesthetics or function after childbirth.
Those who are in good health and have realistic expectations for the outcome.

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What can the patient expect before, during, and after the treatment?

Before

A consultation to assess the degree of perineal damage and discuss patient goals.
Preoperative instructions to minimize infection and ensure safe healing.

During

The procedure involves the removal of scar tissue or excess skin and suturing the area to restore its form and function.
It is performed under local anesthesia.

After

Recovery involves up to a week of rest, with patients advised to avoid sexual activity and heavy physical activity for 4-6 weeks.
Follow-up appointments will monitor healing and satisfaction.

Risks involved

Risks related to Perineoplasty are generally minimal and are greatly reduced by the experience of your treatment provider. Dr. Lori Warren at Spa V in Louisville, KY is a renowned expert in pelvic reconstructive surgery. Perineoplasty procedure has an extremely low rate of issues related to treatment. As with any surgical treatment, there are always some inherent risks, which can include:

Infection
Bleeding
Scarring
Pain during intercourse
Numbness or changes in sensation

Frequently Asked Questions About Perineoplasty

1. What is the purpose of a perineoplasty?

Perineoplasty is performed to repair or improve the appearance of the perineum or vaginal opening, which may have been damaged by childbirth or aging. It enhances both aesthetics and function.

Some patients have excess tissue in this area and seek treatment for only improved aesthetics.

2. How long does it take to recover from perineoplasty?

Initial recovery may take up to week to resume most activities.

All activities may resume at 4-6 weeks, including intercouse.

3. Will perineoplasty affect my sexual experience?

Perineoplasty may improve sexual pleasure for some women by restoring a tighter vaginal opening, though individual results vary.

4. Are the results of perineoplasty permanent?

The results are long-lasting, though the perineal area may be affected by future pregnancies or aging. The procedure can be safely repeated if necessary.

5. Is perineoplasty painful?

Some discomfort is normal after the procedure, but it can be managed with pain medications and ice packs. The healing process may involve swelling and bruising, which subsides over time.

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