Childbirth, aging and gynecologic disease may result in some unwanted changes to the area between the anus and the vagina. Known as the perineum, this area can bulge, sag, and sustain significant damage and scarring. A perineoplasty is one way for women to correct these deformities to improve the look and function of the vagina.
What Are the Benefits of Perineoplasty?
Perineoplasty is the gold standard surgical procedure to tighten a saggy, loose and gaping vaginal opening. The initial and most visible benefit patients note is the tight, youthful aesthetic appearance of the vaginal area. In addition, perineoplasty returns the vaginal opening to the pre-baby diameter (usually 2 finger-widths) allowing women to appreciate more friction, increased muscle tone and control with enhanced sexual satisfaction. Finally, many women request perineoplasty to stop vaginal airflow and resultant noises they notice with intercourse (queefing), yoga or walking.
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Who Is a Candidate for Perineoplasty?
The best candidates for perineoplasty are women who have:
- Delivered one or more children vaginally
- A gaping and relaxed vaginal opening
- A partner who falls out during intercourse
- Tampons which do not remain in place
- Vaginal air movement during intercourse (queefing), yoga, walking or exercise
What Does Perineoplasty Cost?
The cost of a perineoplasty will vary based on a patient’s physical exam including vaginal laxity measurements, documentation of vaginal muscle tone, vaginal health index and the presence of pelvic organ prolapse, as well as surgical goals. Most patients choose to return the vaginal opening to the diameter she enjoyed prior to delivering her first child.(Whatever the perineoplasty ends up costing, patients will have access to CareCredit, United Medical Credit, and Prosper Healthcare Lending financing options.)
"Dr. Brady is wonderful! She is so caring and willing to spend as much time needed answering questions & explaining procedures. My results are great & I can’t imagine going through this with anyone but her."
What Is the Recovery Like After Perineoplasty?
Patients will need to follow restrictions after their perineoplasty, avoiding sex, heavy lifting, bicycling, horseback riding, and tampon use for six weeks. After a few days of rest, patients should be able to return to work. While patients should expect mild discomfort in the area, over-the-counter pain medications and prescription lidocaine ointment can help soothe the incision. Patients will also experience light bleeding for the first 2-3 days after surgery and should plan to wear a panty liner or small pad.
What Is the Typical Duration of a Perineoplasty Surgery?
Perineoplasty surgery typically takes about one to two hours. The length of the procedure depends on the extent of the repair needed. This timeframe includes the preparation, surgery, and initial recovery in the operating room.
How Soon After Childbirth Can I Undergo Perineoplasty?
Generally, it’s recommended to wait 3-6 months (or longer) after childbirth before undergoing perineoplasty.Â
This period allows the body to heal naturally and the tissues to return to their pre-pregnancy state as much as possible. It also reduces the risk of complications and ensures a better surgical outcome.
Discuss your specific situation with Dr. Brady. She will help you determine the optimal timing for your procedure.
Will Perineoplasty Affect My Ability To Have Children in the Future?
Perineoplasty should not affect your ability to have children in the future. The surgery focuses on repairing and tightening the perineal area. It does not interfere with the reproductive organs.Â
However, it is important to note that future vaginal deliveries may impact the results of the perineoplasty.
If you plan to have more children, you may want to discuss the timing of the surgery with Dr. Brady. You may also want to consider completing your family before undergoing the procedure.
How Do I Know if I Need Perineoplasty or Vaginoplasty?
The choice between perineoplasty or vaginoplasty depends on your specific concerns and symptoms.
Perineoplasty focuses on repairing and tightening the perineal area. This can be beneficial if you experience discomfort, pain, or functional issues due to childbirth or other factors.Â
Vaginoplasty, on the other hand, involves tightening the vaginal canal. It may be more suitable if you have concerns about vaginal laxity or decreased sexual satisfaction.
A consultation with Dr. Brady at the Women's Wellness Institute of Dallas can help you decide which procedure is best for your needs.
What Are the Potential Risks and Complications Associated With Perineoplasty?
Perineoplasty has a low complication rate compared to many other procedures. However, it does come with some potential risks. These can include:
- Infection
- Bleeding
- Scarring
- Adverse reactions to anesthesia
Dr. Brady takes extreme care throughout the procedure to avoid such complications. It's also important to follow her post-operative care instructions closely to minimize risks.
Why Choose the Women’s Wellness Institute of Dallas?
Women who choose the Women's Wellness Institute of Dallas for perineoplasty surgery are under the expert care of Dr. Wesley Anne Brady. Dr. Brady is a board-certified gynecologic surgeon and a full fellow of the American Board of Obstetricians and Gynecologists.Â
Dr. Brady is a trailblazer in cosmetic gynecology. In 2006, she founded the Women's Wellness Institute of Dallas and became the first female physician in North Texas to offer these services. Her extensive experience and pioneering spirit ensure the highest quality of care.
Furthermore, Dr. Brady and her all-female staff have worked together for over a decade. They bring thousands of surgeries and countless hours of expertise to each new case. This long-standing collaboration creates a cohesive and supportive environment for patients and makes the Women's Wellness Institute of Dallas a top choice for perineoplasty surgery.
Schedule Your Perineoplasty in Dallas Today
A 30 minute outpatient surgery can regenerate the vagina to a more youthful tight, beautiful appearance enhancing sexual gratification for patients and the lucky partner they allow to participate in the benefits of their transformation. Don’t let your perineum issues cause pain, incontinence, or unhappiness with your appearance.
Schedule your perineoplasty today by calling us at +1 469-442-0079