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(Vaginoplasty; Vaginal Plastic Surgery; Vaginal Rejuvenation Surgery)

Definition

Perineoplasty is cosmetic surgery to reduce the size of the vaginal opening.

Reasons for Procedure

This may be done if your vaginal opening has increased in size due to:

  • Damage during childbirth
  • Weight changes
  • The normal aging process

It may also be done in women who have medical problems that cause pain during sex.

Possible Complications

Problems from the surgery are rare, but all surgeries have some risk. Your doctor will review problems that could happen, such as:

  • Infection
  • Too much bleeding
  • Pain during sex
  • Scarring
  • Change in vaginal sensation
  • A reaction to anesthesia
  • Nausea and vomiting

Before surgery, talk to your doctor about ways to manage things that may raise your risk of problems such as:

  • Smoking
  • Drinking
  • Long-term health problems like diabetes or obesity

What to Expect

Prior to Procedure

Leading up to your surgery:

  • Arrange for a ride to and from the hospital. Also, arrange for someone to help you at home.
  • Talk to your doctor about your medicines. You may be asked to stop taking some up to 1 week before surgery.
  • Do not eat or drink after midnight the night before surgery.

Anesthesia

Your doctor may choose:

  • General anesthesia—you will be asleep
  • Local anesthesia—the vaginal area will be numbed

Description of the Procedure

The amount of skin that you would like tightened will be marked. The exact steps will depend on your needs. Sutures may be placed under the skin to change the size and shape of the area. Extra skin may also be removed with a scalpel or laser. Stitches may be needed to close the skin.

How Long Will It Take?

1 hour

Will It Hurt?

Anesthesia will prevent pain during surgery. Pain and swelling is common in first 1 to 2 weeks. Medicine and home care can manage pain.

Post-procedure Care

At the Care Center

The staff may give you pain medicine right after surgery.

During your stay, the hospital staff will take steps to lower your risk of infection such as:

  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered

There are also steps you can take to lower your risk of infection such as:

  • Washing your hands often and reminding visitors and your care team to do the same
  • Reminding your care team to wear gloves or masks
  • Not letting others touch your incisions
At Home

More intense activity will be limited for 2 weeks. Sexual intercourse will need to be avoided for about 6 weeks.

Call Your Doctor

Call your doctor if you have:

  • Signs of infection, such as fever and chills
  • Redness, swelling, or leaking from the incision
  • Heavy bleeding
  • Pain that you cannot control with medicine
  • Pain and burning during urination

If you think you have an emergency, call for emergency medical services right away.

RESOURCES

American College of Obstetricians and Gynecologists  https://www.acog.org 

Family Doctor—American Academy of Family Physicians  https://www.familydoctor.org 

CANADIAN RESOURCES

Health Canada  https://www.canada.ca 

Society of Obstetricians and Gynecologists of Canada  https://www.sogc.org 

References

Barbara G, Facchin F, et al. Vaginal rejuvenation: current perspectives. Int J Womens Health. 2017;9:513-519.

Furnas H, Canales F. Vaginoplasty and perineoplasty. Plast Reconstr Surg Glob Open. 2017 Nov;5(11):e1558.

Perineorraphy (perineoplasty). Women’s Health Specialists—Washington Township Medical Foundation website. Available at: https://www.mywtmf.com/documents/Women-s-Health-Library/Perineoplasty-Perineorraphy.pdf. Accessed May 9, 2019.

Vaginal rejuvenation surgery. International Society of Aesthetic Plastic Surgery website. Available at: https://www.isaps.org/procedures/body/vaginal-rejuvenation/. Accessed May 9, 2019.

Vaginal rejuvenation surgical options. American Society of Plastic Surgeons website. Available at: https://www.plasticsurgery.org/cosmetic-procedures/vaginal-rejuvenation/vaginoplasty. Accessed May 9, 2019.

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