Perineoplasty
Perineoplasty is a specialized surgical procedure that repairs and tightens the perineal body and surrounding tissues, often performed after vaginal childbirth or trauma to restore vaginal support, reduce laxity and improve comfort and sexual function. At LuxLipo in Jonesboro, AR, Dr. Desai offers tailored perineoplasty care using modern surgical techniques to achieve lasting, natural-looking results with attention to safety and patient comfort.
What is Perineoplasty?
Perineoplasty repairs and tightens the perineal body — the small area of tissue between the vaginal opening and the anus — by removing scar tissue or lax skin and re-approximating the underlying muscles. This reconstitution of the perineal muscles restores a more normal vaginal introitus (opening), elevates the pelvic floor support in that area and often improves sexual comfort and sensation. The procedure can also reduce occurrences of vaginal flatus (air escaping from the vagina) and limit tissue prolapse in mild cases.
The perineoplasty procedure
- Anesthesia: Outpatient procedure under local with sedation or general anesthesia depending on the extent of repair and patient preference.
- Incisions & repair: The surgeon excises scarred or redundant tissue and carefully repairs and re-approximates the muscles of the perineal body to recreate normal anatomy and tension.
- Optional combination: Vaginoplasty can be added to tighten deeper pelvic floor muscles and vaginal canal tissues when necessary.
- Duration: Typical operative time is approximately 60–90 minutes, but varies by case.
- Outpatient: Most patients go home the same day with specific post-operative instructions.
Before and after the treatment
Risks & safety
- Perineoplasty is generally safe when performed by an experienced surgeon, but as with any surgery, potential risks include:
- Bleeding or hematoma
- Infection
- Scarring or unfavorable scar appearance
- Altered sensation or dyspareunia (pain with intercourse)
- Need for revision surgery in rare cases
- Dr. Desai will review risks and safety measures during your consultation and individualize a plan to minimize complications.
Expected results & benefits
- Restoration of normal perineal anatomy and a tighter vaginal opening
- Reduced vaginal flatus and improved confidence during intimacy
- Improved comfort with clothing and hygiene
- Possible improvement in pelvic floor function and sensation
- Final improvement continues to develop over weeks to months as swelling resolves and tissues settle.
Before and after the treatment
Combining procedures
Perineoplasty is often combined with:
- Vaginoplasty — to tighten the vaginal canal and levator muscles
- Labiaplasty or labia majoraplasty — to address labial excess or asymmetry
- Non-surgical treatments (e.g., energy-based devices for collagen remodeling) when appropriate
- Combining procedures can provide comprehensive vaginal rejuvenation with the convenience of a single operative session when clinically indicated.
Insurance & financing
Perineoplasty is often considered a cosmetic or functional procedure; coverage varies. Our team can help verify insurance benefits and discuss financing options and payment plans.
Perineoplasty FAQ?
How long does perineoplasty last?
Results are typically long-lasting. However, aging, subsequent childbirth or significant weight change can affect outcomes.
Will I be able to have children after perineoplasty?
Yes. Future vaginal childbirth may impact the repair; discuss family planning with Dr. Desai to time surgery appropriately.
Is perineoplasty painful?
Discomfort is expected after surgery but is usually manageable with medication. Many patients report significant improvement within days to weeks.
How soon can I return to work?
Most patients return to desk work within 3–7 days; physically demanding jobs may require a longer recovery period.