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The area between the vaginal opening (introitus) and the anus, known as the perineum or by the slang term “taint,” can tear during childbirth or become scarred from a surgical episiotomy or become stretched out as a result of obesity. This can cause lax muscles, a feeling of the introitus being too loose or open, diminished sexual sensation and problems with incontinence or other urogenital concerns. Women commonly report dissatisfaction with the associated protrusion of visible tissue from the vaginal cavity.

Perineoplasty can help resolve aesthetics or functionality relative to the perineum. Although in some ways similar to vaginal rejuvenation, perineoplasty only addresses the skin and muscles that immediately surround the introitus rather than the muscles inside the vaginal canal.

Board certified plastic surgeon Dr. Otto Placik has helped women from Chicago and the surrounding suburbs to feel more confident about the appearance of their vaginal area and improve sexual confidence and sensation. A female genital rejuvenation specialist, Dr. Placik has the right combination of surgical skill and professional discretion to ensure that you feel comfortable from consultation through recovery.

Please contact us online or call our Chicago or Arlington Heights plastic surgery offices for more information on perineoplasty, including prices.

Dr. Otto Joseph Placik Board Certified Plastic Surgeon

Dr. Placik is a board certified plastic surgeon and active member of The American Society of Plastic Surgeons. He received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery.

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About Perineoplasty

During childbirth, it’s not uncommon for physicians to perform an episiotomy, an incision made through the perineum that temporarily widens the introitus to allow an easier birthing process and preemptively prevent the possibility of a spontaneous tear. Either an episiotomy or a natural tear runs the risk of not healing optimally. Even without tearing, the introitus may be permanently stretched out in the birthing process. Obesity can also weaken, stress or separate the perineal structures. Perineoplasty can help improve the physical appearance of the perineal area as well as tighten the introitus.

When performing perineoplasty, Dr. Placik repairs damage to the perineum, addressing both the upper layers of skin and the lower muscle layers that are most commonly damaged during an episiotomy. Dr. Placik also restores the introitus to its pre-pregnancy state to improve sexual sensation and excise the visible protruding vaginal tissue (hymenal fragments). Perineoplasty may be performed as an isolated procedure or as part of vaginal rejuvenation, in combination with labia reduction or both.

Actual
Patient Not a Model

The perineum presents a unique concern for many women, as there may be problems if the introitus is either too loose or too tight; perineoplasty can help with either. A too-tight introitus can lead to dyspareunia (painful sexual intercourse), and can also be a contributing factor to vaginismus, the involuntary contraction of vaginal muscles that prevents penetration. While perineoplasty is most commonly associated with correcting excessive looseness of the introitus, in these cases Dr. Placik may use the procedure to relieve the opposite concern and promote easier, more comfortable intercourse.

Perineoplasty can be performed under local or general anesthesia, depending on Dr. Placik’s recommendation and whether other procedures will be performed at the same time. Most patients are able to return to work and other day-to-day activities after a few days, although you should avoid more strenuous exercise, sexual intercourse and tampon use for about 6 weeks.

Perineoplasty FAQ

Am I a candidate?

If your doctor performed an episiotomy during childbirth, you experienced tearing during delivery or notice significant looseness around your vaginal opening, you may be a candidate for perineoplasty. Many women report dissatisfaction with the appearance of protruding tissue from the introitus. Problems with decreased sexual sensation can also be improved with perineoplasty. Alternatively, perineoplasty may help alleviate the discomfort associated with dyspareunia or vaginismus. However, this is usually performed in combination with botulinum toxin (BOTOX®) injections to diminish the intensity of the accompanying painful muscle spasms.

Will my sex life improve after my perineoplasty?

Excessive laxity or tightness of the introitus can significantly impair your sexual satisfaction, and a perineoplasty is intended to resolve these concerns. Additional procedures, such as G-spot amplification or clitoral hood reduction can also be beneficial for enhancing sexual stimulation and satisfaction.

What can I expect during my consultation?

At our office in Chicago or Arlington Heights, Dr. Placik will discuss your concerns and give you a general physical exam as well as a pelvic exam. From there, you’ll work together to decide the best surgical approach to help you meet your goals. Dr. Placik may also suggest different or further treatments if he feels they may be beneficial.

How much does perineoplasty cost?

The total costs for perineoplasty vary widely, depending on many varying factors. In some cases, your health insurance provider may pay for all or a portion of your procedure if your primary doctor determines that a perineoplasty is medically necessary. Surgical fees include Dr. Placik’s fees, the cost of the surgical center and the anesthesiologist fee, if needed. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.

What can I expect during surgery and recovery?

A perineoplasty typically takes about an hour, depending on whether other procedures are performed at the same time and which type of anesthesia (local or general) is used. After your procedure, you can expect to feel swollen and sore for the first few days, but most patients are able to return to work in less than a week. Dr. Placik will give you detailed instruction to follow during your recovery to help you feel comfortable. You should be able to return to your normal exercise routine after about 2 weeks, and resume sexual activity 4 weeks later.

What are the risks?

There are only negligible risks associated with perineoplasty, including itching, bleeding (which may be exacerbated by walking) vaginal discharge and pain. Other possible risks may occur although this is rare. In the majority of cases, the potential benefits of perineoplasty far outweigh the minimal risks.

Dr. Placik promises you his best possible care and attention. If you would like to schedule a private consultation to learn more about perineoplasty, please contact us online or call us at 847-398-1660.