what is perineoplasty

Births, physical injuries, tissue loss, and even physiological aging are the most common reasons why women undergo aesthetic procedures performed in the perineum, i.e. the area located between the vagina and the anus. The reason is both the desire to change the appearance of the skin and the opening but also to improve the quality of life and sexual pleasure. Perineoplasty, also called perineorrhaphy,  is the surgical excision of lesions and adhesions in the perineum and restoring the muscles in the opening of the vagina. Its purpose is also to restore the correct shape of the vagina which has been deformed due to injuries, in particular injuries associated with the delivery and perinatal processes. Thanks to the treatment, a woman has a chance to have a satisfying sex life while also improving the aesthetics. Perineoplasty will not cause any complications for your next pregnancy if you do plan on getting pregnant again.

Signs you might need perineoplasty:

  • The presence of unsightly scars after rupture or sewing of the perineum
  • Difficulty emptying the bowels or prolapse of the reproductive organ
  • Dissatisfaction during sexual intercourse
  • Recurrent vaginal infections
  • Pain during intercourse
  • Soreness when touching the perineum or wearing tight underwear
  • Pathological scar lesions
  • Weakness or sagging of the perineum

The Procedure

Perineoplasty is performed using minimally invasive surgical techniques that allow faster healing and less visible scars. The perineum is anesthetized locally but it is also possible to perform the procedure under general anesthesia. During the operation, the excess skin is removed and the deeper muscle layers are repaired, then the edges of the wound are brought back together with sutures. Perineoplasty is an outpatient procedure and usually lasts from 30 minutes to an hour. After a few hours of observation by the doctor, the patient can leave the clinic.

After Perineoplasty

Perineoplasty is an outpatient procedure and the patient usually leaves the clinic just a few hours after its completion. In the first days after surgery, it is possible to feel pressure and pain and also burning in the surgical areas. For a week or two after the procedure, the perineum may be swollen. The skin usually heals without complications, and there are no scars. For approximately 6 weeks after perineoplasty, patients should refrain from sexual activity in order to allow for proper healing.

Contraindications 

  • Pregnancy
  • Active vaginal infection
  • Abnormal pap smear results
  • Cancer
  • Vascular blemishes
  • Coagulation disorders

Before Perineoplasty

Perineal plastic surgery is preceded by a preoperative visit during which the doctor obtains medical history and performs an examination to find out what your goals are. Some testing may be required and it varies based on your age and medical history. It is possible to perform multiple corrective procedures at the same time. 

During this visit, Dr. Tahery will explain to you the alternative treatment options and risks and benefits. This is also an opportunity for you to ask all your questions before scheduling your surgery. 

You need to limit smoking (to 3 cigarettes a day) or give up prior to the operation. No fasting is required if the operation is performed under local anesthesia. If general anesthesia is used, 8-hour fasting is required. 

Dr. Michael Tahery with practices in Los Angeles and Glendale provides the best possible care during the whole process, from your first consultation until you are healed. To schedule a consultation with Dr. Tahery or to learn more about perineoplasty, please contact us.