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The area between the vagina and anus is called the “perineum”. Perineoplasty is a cosmetic procedure to reshape the perineum and vaginal opening. Perineoplasty is regarded as tightening of the external genital, commonly interchangeable with the broad term “vaginal rejuvenation”. Furthermore, perineoplasty can be in-depth for reconstructive purposes involving the removal of scar tissue, if present from episiotomy or lacerations from childbirth, and muscle plication to yield an aesthetic appearance.
Perineoplasty is performed with local anesthesia in a surgical suite, downtime is minimal, and routine postoperative care for vaginal surgery is suggested. No strenuous activity and nothing inside the vagina after post-procedure.
Patients who want to make changes to their perineum or the surrounding area for health or aesthetic reasons are the ideal candidates for perineoplasty. Patients must be in good health and must not have any pre-existing conditions that could negatively affect the healing process.
Having any of the following conditions can make someone a good candidate for perineoplasty:
- History of childbirth laceration
- Episiotomy with childbirth
- Painful intercourse (dyspaurenia)
- Small introitus (vaginal opening)
- Hymenal ring or band
Patients who are interested in undergoing a perineoplasty will need to schedule a consultation. During this, they will answer questions about their general health, medical history, and reasons for wanting the procedure.
As part of the consultation, the patient will be given more details about what the procedure involves. Patients are encouraged to ask questions and request clarification whenever necessary. If they have any concerns regarding the procedure, this would be the time to address them.
Following perineoplasty, patients will need to follow the provided recovery instructions closely. Rest is essential to encourage the healing process, and patients are advised to avoid any activity that could aggravate the affected area. Short strolls and mild exercise can help speed up the healing process.