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Dr. Placik | Perineoplasty Chicago

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.

Board Certified Plastic Surgeon in Chicago

Dr. Otto Joseph Placik Board-Certified Plastic Surgeon

Dr. Placik is a board certified plastic surgeon in Chicago and an 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.


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.

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.


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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated March 24th, 2020

With businesses all around us closing by either mandate or voluntarily you may be wondering how long we will continue to operate, or even why we are still open at this point.

After serious consideration and in line with the recommendations of our State and Centers for Disease Control (CDC), we are limiting the practice until April 7th.

We are diligently monitoring conditions and recommendations from professional organizations such as the Center for Disease Control (CDC) and understand that the situation is ever-changing and may alter our plans at any point in the future

As physicians, we are cognizant of protecting our own patient population most at risk and the need to conserve our own limited resources. Actions have already been taken to postpone or cancel appointments and surgeries for patients who are best served staying home to limit potential exposure. We have also canceled or rescheduled appointments for services that are not immediately necessary in many cases.

Effective immediately the following will occur:

  • All procedures and in-person consultations will be limited until April 7th. This may be revised in the following week.
  • The office will be (not fully) staffed, and we will see our urgent post-surgical follow-ups.
  • We are instituting Virtual Consultations for all potential patients.
  • Many surgeries are rescheduled and some of the ones that are committed will occur on a per case basis.
  • No patient will ever have any financial recourse for our fees for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.

We continue to exercise all the latest recommendations that are handed down by the CDC. These include:

Staff have been fully informed and trained to understand the disease process and its modes of transmission.

  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Every patient is also being asked to refrain from coming to the office if they have any symptoms.
  • We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • We have asked all vendors that any unnecessary meetings are canceled until further notice.
  • Any exit and entrance from our office are followed by a protocol of changing shoes, scrubs and sanitization.
  • As we are an (NO accredited) medical facility, we are constantly sanitizing all surfaces. We have now vamped that up and our routine, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities. (We have assigned a person that does so on a constant basis.)

As previous communications have shared, procedures and protocols have been put in place (and continue to evolve) to protect our employees in the workplace. However, no one can guarantee the absolute protection from infection or potential exposure despite recommended precautions being taken.

The virus can be transmitted before an infected person starts exhibiting symptoms. It is possible for a person to be infected and also not experience symptoms. We are doing everything possible to prevent people exposed or exhibiting symptoms from access to our facilities. Even with all of our precautions, exposure to patients with the COVID-19 virus can happen. When we become aware of any potential exposure, our response is immediate and actions are taken to protect everyone directly involved.

Experts are predicting that 40% of the Chicagoland population will be infected within the next month. Current information demonstrates that for 97% of the people infected the symptoms will be mild or flu-like. 3-5% of patients will require hospital care, and the mortality rate is less than 2%.

Risk of exposure will occur at every touchpoint of our daily lives outside of our home-- including gas stations, grocery stores, and medical facilities.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

Here are some links that might be useful:

Please do not hesitate to contact us. We are always here to answer your questions

Please allow us time to respond.

Call us at our current phone line to leave a non-urgent message or via our online email, contact form, virtual consultation or apex chat service popup box. As always for any emergency services, please call 911