What is Perineum?

Your Perineum is a small area of skin found between the bottom end of your vulva (protecting the vagina) and the opening of your anus.

Loosening of the perineum

The perineum can become badly stretched, particularly in childbirth. It may have been torn during delivery and required stitching. The stitching may have been badly done, leaving a lot of scarring. It can make the vagina feel wider than normal, meaning that lovemaking is not the same as it was prior to giving birth.

Problems associated with a damaged Perineum

You may have noticed changes in your bowel habits as a result of childbirth (e.g. you had third or fourth degree perineal tears). A third-degree tear means that the muscle and skin in your perineum and the muscle surrounding your anus are torn. A fourth-degree tear is the same as a third-degree tear, but the area immediately inside your anus is torn as well.

What Is Perineoplasty?

Perineoplasty is a medical operation that is required when the perineum is rather loose and requires tightening up. Sometimes Perineoplasty is used to tighten the vagina to increase sexual pleasure for the patient and her husband or partner. While a Perineoplasty is also a vaginal surgery, it is different from a vaginoplasty or vaginal plastic surgery which is used for tightening the muscles of the vagina.

Candidates for Perineoplasty

Any woman who is facing problems because of a loosened post delivery perineum can consider undergoing Perineoplasty.

The Perineoplasty Procedure

The main goal of this procedure is to “Enhance Sexual Gratification.” The procedure almost always accompanies Vaginoplasty since you are working in the same area.

During Perineoplasty, the perineum is cut and the damaged or stretched skin and muscle tissue are reconstructed and tightened to restore the perineum to its pre-pregnancy stage. The surgery is carried out under local anesthesia. Depending upon the damage to the perineum being reconstructed, the surgery can take 30 minutes to an hour.


As a result of perineoplasty, the vaginal opening is tightened to its pre-pregnancy state, which not just increases pleasure during intercourse, but also rids patients of the other problems associated with a loose perineum.

Risks and Side Effects

Like any plastic surgery, a perineoplasty involves the risk of infection or unnaturally heavy bleeding, although chances are minimal and they can be easily remedied with treatment.

Costs and Recovery

Depending upon your geographical location and your choice of clinic, a Perineoplasty cost will also depend on the area of damage. Patients undergoing Perineoplasty will have to abstain from sexual intercourse and heavy physical activity for a month to six weeks. One can return to work within a week of the operation.


Can my Perineum be restored to normal?

Yes, it can.

What does the surgery involve?

The vaginal opening is cut and the underlying tissues stitched back together using dissolvable stitches. The stitches remain in place for up to 6 weeks. A general anaesthetic will be given.

Will there be complications?

There may be some bleeding. You should contact us if it is heavy. As with most invasive surgery there is always a risk of infection, but this is easily treated.

How long does the surgery take?

The procedure can take just 30 to 45 minutes

What will happen in the recovery period?

You should avoid sexual activity and physical exertion (especially carrying heavy things) for about a month. You may be able to return to work a week after your surgery. Your surgeon will discuss with you all possible complications and limitations of the operation before it is carried out.

What is the recovery time?

You can expect to be fully recovered in 6 weeks.

What can I expect from the surgery?

We, at Beverly Hills Medical Group, can guarantee a tightened vagina, leading to better sexual pleasure. Your vaginal area should also feel and look better. Perineoplasty can also be performed during Vaginoplasty (an operation to tighten the vagina).