Skip to main content

Perineoplasty

The area between the vagina and the anus, called the perineum, is often torn or cut during childbirth. While tears and surgical cuts usually heal naturally without complications, sometimes the healing process can lead to excess scar tissue or deformities that cause lasting pain or discomfort.

A perineoplasty is a surgical procedure that repairs the perineum. It also tightens the vaginal opening, which can help restore sexual feeling in women who have suffered vaginal laxity due to childbirth.

  • A perineoplasty is the general name for a surgery to repair the perineum for either medical or cosmetic reasons. When performed specifically to repair a poorly healed episiotomy, it is called revision of episiotomy surgery. In addition to episiotomy revision, a perineoplasty may be needed if:

    • You suffered extensive tearing during childbirth that did not heal well
    • You’ve experienced decreased sexual feeling due to vaginal laxity
    • You’ve experienced changes in bowel habits or vaginal itching that has not subsided
    • You have “trigger points” that are painful when trying to insert anything into the vagina
    • You still have pain and discomfort after your recovery from childbirth

    A perineoplasty can help to correct these issues so that you can go back to your normal, pre-childbirth genital state. Perineoplasty can also be performed at the same time as a vaginoplasty or labiaplasty.

  • The best candidates for a perineoplasty:

    • Are in general good health
    • Do not smoke
    • Have medical or cosmetic issues with the perineum that only surgery can correct

    You can still have children after undergoing a perineoplasty, although you should keep in mind that having another child can create new problems that you may need another surgery to correct. We typically recommend waiting until after you’re finished having children if you’re undergoing perineoplasty for cosmetic reasons. However, if you are in pain or suffering extreme discomfort, there is no reason to wait for relief.

    Dr. Shats can help determine whether perineoplasty is right for you during your consultation. We offer many types of surgical and non-surgical procedures to help restore your intimate areas after childbirth, and some patients may benefit from a combination of treatments for best results.

  • Recovery from a perineoplasty typically takes around the same amount of time as recovery from an episiotomy. During recovery, you’ll need to:

    • Avoid strenuous exercise and heavy lifting (including lifting a child)
    • Use a donut cushion when sitting
    • Avoid sex for 6 to 8 weeks
    • Follow all of Dr. Shats’ instructions carefully

    If you have any questions or concerns during your recovery, please feel free to call New Look New Life. We will be happy to answer your questions, as we want to make sure you heal as well as possible.

If you are interested in perineoplasty, call New Look New Life today at 646-559-2854 to schedule your consultation at our Manhattan or Westchester office. Our board-certified gynecologist, Dr. Rita Shats, will be happy to discuss treatment options with you in a discreet and compassionate manner.

Schedule Your Perineoplasty Consultation

If you are interested in a perineoplasty, don’t hesitate to contact New Look New Life today at 646-559-2854 to schedule your consultation. We serve patients in Manhattan, Westchester, and other nearby areas of New York.