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 OBGYN about any symptoms you may be experiencing to determine if perineoplasty is right for you.
Performing a Perineoplasty
Perineoplasty is an out-patient procedure that typically lasts 30-45 minutes. Your OBGYN will perform the perineoplasty with minor sedation 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 an hour of observation.
Recovering from Perineoplasty
It is recommended you rest with ice and medication for the first three to four days following the perineoplasty. You may experience some discomfort and minor bleeding. Wearing a sanitary pad can help catch 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 two 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 four weeks, at which you may resume normal activities. However, you should abstain from intercourse for six weeks following the procedure.
If you have any questions about perineoplasty– speak with your OBGYN. Click the button below to see our pricing on perineoplasty and other AGD – Services.
Frequently Asked Questions
The procedure is usually done in a surgery center. If a simple labiaplasty is performed, then the option of performing the surgery in the office under local anesthesia and oral and injectible medication can be considered. We tailor the surgery to the patient’s projected pain tolerance, anxiety level, and health status.
General anesthesia, IV anesthesia (“twilight”), and local anesthesia are all used depending on where the surgery is performed, the individual’s anxiety level, and the complexity of surgery.
Fortunately, serious risks of aesthetic vulvovaginal surgery are quite rare and seen in less than 1% of cases.Anesthesia is a risk factor because of the very rare possibility of a reaction to either the injected medication or inhaled agents. You can also aspirate food or fluid that can obstruct your breathing tube or even cause a pneumonia. There is risk of infection at the surgical site. There is also a possibility of bleeding or hemorrhage and a need to have a transfusion. With transfusions there is risk of HIV, Hepatitis, and perhaps other unknown viruses. There is even the risk of death. A risk you should also consider is one similar to “buyer’s remorse” when one is not fully happy with the result of surgery. The risk of having the surgery redone or amended is present but fortunately is very rare. We will fully review the risks of surgery before the case is even scheduled and give you every opportunity to have your questions answered.
Yes. I work with highly respected Aesthetic Plastic Surgeons who are able to perform anything from liposuction, tummy tucks, to breast implants or facial reconstruction. Those names can be provided upon request. Your whole “mommy makeover” can be achieved at one time!
The initial consultation is $175. During this initial consultation, we will discuss the risks/benefits/options of surgery, do an examination, discuss costs, and give you every chance to ask questions that are vital to you.
Each procedure varies in cost depending on the length of surgery and difficulty involved. If having a vaginoplasty, a perineoplasty is included. Any secondary procedure(s) is discounted 50%. The listed price is ALL-INCLUSIVE of the facility fee, the surgeon fee, the anesthesia fee, photo documentation, preoperative visits, and postoperative visits if performed in the office. If you request or need to have the procedure performed in a surgery center, then an estimate will be provided at the time of consultation.
YES we do. We have financing programs available, and the application process is quite easy. In fact, you can apply right on our website and get an answer within minutes!