Perineoplasty is a surgical method of rapid and qualitative correction of the structure of soft tissues and muscles which are located between the upper congenital fusion of the labia majora and the anus. The main indication for perineoplasty are disorders of a normal sexual intercourse. This situation often occurs as a result of the difficult childbirth which led to the muscle ruptures, loss of their physiological tone, and cicatricial deformity.

The last but not least etiological factor is the age-related changes that contribute to the decrease in the elasticity of the perineal tissues. However, the development of modern plastic surgery makes it possible to correct these problems in the shortest possible terms. Plastic surgeons in GRACE specialising in intimate plastics will give you a sense of confidence and attractiveness and return the harmony to your sexual relations.

What is perineoplasty?
The operation has a functional and aesthetic nature and is carried out in the women whose external
genitalia, as well as the perineal region, are deformed.

Duration of surgery: 60-90 minutes

Rehabilitation: 2 months

Our approach the vaginoplasty

  • Use of high-quality tools and materials for the operation.
  • Increased attention to the safety of Patients.
  • Reduction of rehabilitation period 2-3 times in comparison with other clinics.

Medical indications

  • Deformation of the perineum as a result of birth injuries and scarring of the intimate areas.
  • Prophylaxis or elimination of uterine prolapse.
  • Decreased elasticity of the external genital tissues.
  • Extended vagina.
  • Imbalance of microflora of the vaginal mucosa due to deformation of the perineum.
  • Cicatricial changes of the tissues in the intimate area as a result of the perineal incision.
  • Accumulation of air in the vagina that causes discomfort.
  • Excessive stretching of the tissue of the intimate areas.

Psychological and other motives

  • Psychological complexes associated with negative changes in the external organs of the urogenital system.
  • Uncertainty about sexual attractiveness.
  • Painful sensations during intimate intercourse, prolonged sitting, or physical activities.

Postpartum perineoplasty

The perineum in women is an area between the upper congenital fusion of the labia majora and the anus. It includes the large and small labia, clitoris, and vestibule of the vagina. Perineoplasty is often performed after childbirth with a reconstructive purpose.

During the birthgiving, the reproductive tract experiences an increased load. It needs to be elastic that is be able to stretch in order to provide the child with an easy birth.

When the perineum lets the child’s head out, its tissues are exposed to high pressure from the inside. As a result, the muscular layer of the pelvic floor becomes thinner. Besides that, in its central regions, the blood circuit decreases or completely stops. After having been weakened, the perineal diaphragm

Possible complications
Potential risks of perineal plastic surgery include the development of infections, bleeding, and bruising, as well as a short-term decrease in sensitivity and swelling.

However, the ten-year experience of the physicians at GRACE, the use of high-quality technologies and medications, and the approach to safety at GRACE minimise the above-listed risks.

Self-preparation for surgery

  • 14 days before surgery, you should stop taking hormones and aspirin-containing drugs. In case this cannot be done, it is necessary to tell the surgeon about the systematic administration of these medications. Simultaneously, you should quit smoking or minimise it up to 2 cigarettes a day.
  • 7 days before surgery, it is necessary to exclude spiced and fatty foods as well as stop drinking alcohol.
  • In the evening before surgery, you should not take any food since for safe anesthesia, the stomach must be  empty before surgery.
  • In the morning on the day of surgery, when arriving at the clinic, you should have comfortable clothes, personal hygiene products, spare underwear and all necessary documents and test results with you.

The operation is not performed during the menstrual period. On the day of perineoplasty, your mental and physical conditions should be in a state of equilibrium. In the preoperative period, light physical exercises are advised: long walks, jogging, training in the gym. In addition, attention should be paid to adequate rest and balanced nutrition. In some cases, the intake of vitamins or, in the case of serious operations, preparations containing iron are prescribed.

Specific aspects of the postoperative period

  • During first 2 days, a patient is prescribed to stay in the inpatient unit a hospital and have rest. In the case of painful sensations, the doctor prescribes her painkillers.
  • During 2 weeks, intimate intercourse, water procedures (swimming, bathing), and physical activity are prohibited.

During the rehabilitation period, it is required to avoid such exercises as squats and usage of hygienic tampons. The postoperative wound should be treated with antiseptic solutions. Food rich in vitamins, microelements and all necessary substances should be included in a patient’s diet while avoiding food that can provoke constipation.

The course of complete rehabilitation

Day 2 Discharge from the inpatient unit. It is allowed to have a shower.
Week 2 Removal of the residual stitches. Returning life to normal
After 1 month It is allowed to visit the sauna and fitness centres. You can return to an active sexual life.
After 1.5
You can evaluate the result of an operation

Detailed consultation is the key to a successful operation
Before surgery, the consultation by a gynecologist and anesthesiologist is conducted to discuss all issues related to surgery and anesthesia as well as to eliminate contraindications for them.

The duration of the initial consultation at GRACE takes, on average, 40-50 minutes. This time is necessary to hear and understand as deeply as possible all the needs and desires of a patient. During the consultation, we always strive to help our patients to create the correct expectation about perineoplasty.

To ask questions, please contact us by phone:

+38 (044) 499-70-00