Perineoplasty
The perineum—the area between the vaginal opening and anus—can lose tone or be damaged over time due to childbirth, trauma, episiotomy, or aging. For many individuals, this can result in discomfort during intimacy, hygiene concerns, or self-consciousness about appearance. Perineoplasty is a surgical procedure that restores structure and function to this area, often improving physical comfort and self-esteem.
At Avané Clinic, we perform perineoplasty with a focus on subtlety, safety, and personalized care. Whether you're addressing symptoms from a previous birth injury or seeking aesthetic improvement, our experienced surgeons approach each case with discretion and sensitivity. We’re here to help you feel comfortable in your body—without judgment.
Perineoplasty is a surgical procedure that repairs and restores the perineum—the tissue between the vagina and anus—after stretching, tearing, or scarring. It is often chosen after childbirth, especially when healing after an episiotomy or tear has left the area feeling loose or uncomfortable. Some patients also pursue perineoplasty due to age-related tissue laxity, aesthetic concerns, or discomfort with clothing or intimacy.
This procedure involves removing scar tissue, tightening the underlying muscles, and closing the area to restore both appearance and function. While subtle in scope, perineoplasty can significantly improve quality of life.
Perineoplasty is typically performed as an outpatient surgical procedure under local anesthesia with sedation or, in some cases, general anesthesia—especially if combined with other treatments like labiaplasty or vaginoplasty.
During the procedure, your surgeon carefully marks the area between the vaginal opening and the anus to identify damaged or stretched tissue. Any scar tissue, such as from a previous episiotomy, tearing, or trauma, is removed. The underlying muscles of the perineum and pelvic floor are then tightened and sutured together to restore support and structure.
Once the deeper repair is complete, the skin is gently re-draped and closed with fine sutures to create a smooth, natural-looking result.
The incision site is typically small and well-hidden in the natural folds of the perineum. In most cases, there is no need for skin grafts, and the goal is to maintain a healthy blood supply and minimize scarring. The entire procedure usually takes under an hour, and patients go home the same day with instructions for hygiene, medication, and movement.
Perineoplasty is most commonly performed for patients experiencing:
While primarily performed for women, perineoplasty may also be considered in gender-affirming surgery or reconstructive contexts as part of a broader plan for perineal restoration.
While perineoplasty is a minor procedure, the benefits can be deeply felt, both physically and emotionally. Patients often report:
It’s also commonly chosen alongside procedures like labiaplasty or vaginoplasty to create more comprehensive results.
You may be a good candidate for perineoplasty if:
During your consultation, your plastic surgeon or intimate wellness provider will discuss your symptoms, evaluate your anatomy, and explain what to expect from the procedure.
Most patients return home the same day after surgery and begin light activity within 1–2 weeks. In the first several days, you may experience swelling, tenderness, and mild bleeding or discharge from the incision site. Pain is typically well-managed with prescribed medication.
You’ll need to avoid intercourse, tampon use, and strenuous activity for at least 6 weeks to allow the perineal tissues and blood vessels to fully heal. Proper hygiene, supportive garments, and following your surgeon’s instructions will help reduce the risk of infection or certain complications, such as poor healing or scar tissue buildup.
Follow-up appointments ensure your recovery stays on track.
Once healing is complete, patients typically experience a noticeable improvement in both function and aesthetics. The perineal area will appear more refined and toned, and many report enhanced sexual comfort and body confidence. Results are long-lasting and typically require no future maintenance, though aging and future vaginal births can affect the area over time.
At Avané Clinic, we understand that intimate wellness is personal—and so is your care. Our surgeons are experienced in reconstructive and cosmetic surgery, and we offer perineoplasty in a private, respectful environment.
Whether your goals are functional, aesthetic, or both, we tailor your treatment plan to your anatomy, history, and preferences. Our team supports you every step of the way, with compassionate care, clear communication, and a commitment to lasting results.
No. While commonly performed after childbirth, perineoplasty is also chosen by individuals with perineal trauma, aging-related laxity, or personal aesthetic goals.
Many patients report improved sensation and comfort. However, results vary, and your surgeon will discuss how nerve pathways and healing may affect outcomes.
Perineoplasty is typically performed under local anesthesia with sedation, though general anesthesia may be used in certain cases or when combined with other procedures.
Yes. It’s often performed alongside labiaplasty, vaginoplasty, or scar revision for more comprehensive results.
Most patients return to light activity in 1–2 weeks. Full healing, including resuming intercourse, usually takes 6–8 weeks.
Incisions are placed discreetly in the perineal area and often heal with minimal scarring, especially when post-op care instructions are followed closely.
It depends on the reason for the procedure. If performed for reconstructive purposes, partial coverage may be available. We can help you verify eligibility.
All surgeries carry some risk. Potential complications include infection, scar tissue, changes in sensation, or wound separation. These are rare and can be managed
No. Perineoplasty only affects the area outside the vaginal opening. A vaginoplasty may be more appropriate if you’re looking for internal changes.
You may be asked to stop certain medications, avoid smoking, and arrange for someone to drive you home. Your surgeon will give you full pre-op instructions.
