Perineoplasty vs Vaginoplasty: Understanding the Differences

by Martina Gonzalez

For some people, keeping their nether regions in pristine condition is a priority. Brazilian waxes ward off unpleasant stubble, Kegels may or may not provide an inner workout, and routine washing keeps the area clean. Perineoplasty is another way to improve the aesthetic appeal of both male and female genitalia, and make your sex life easier. Unlike other genital rejuvenation procedures like labiaplasty and vaginoplasty, perineoplasty addresses the often forgotten perineum.

What is a Perineum?

The perineum is the diamond-shaped area that extends from the anus all the way up to the male or female reproductive organs. The term is usually used to describe just the superficial structures like the penis, anal opening, and outer vaginal lips. The perineum is sometimes mistakenly identified as being synonymous with just the anogenital area, or the space between the genitals and the anus.

Perineoplasty can address both cosmetic and health concerns related to the perineum. The procedure is most often requested by women who have recently given birth, and find that their perineum has either been torn during childbirth or purposely cut by a doctor in order to make room for the infant’s head. Most women’s perineums heal on their own, but more extensive wounds can lead to a cosmetically disfigured genital area and a host of sexual problems, including:

Vaginal looseness
Anal incontinence
Painful intercourse

Perineoplasty Procedure

Perineoplasties should be performed by board-certified plastic surgeons with experience in genital reconstruction. Since it’s an invasive procedure involving incisions and stitches, perineoplasty can be performed under either local or general anesthesia. Depending on the patient’s needs, a perineoplasty can tighten the outer skin as well as the underlying muscles. It can increase the anogenital distance and decrease the size of the outer opening of the vagina.

Perineoplasty vs. Vaginoplasty vs. Labiaplasty

It’s important not to confuse a perineoplasty with other vaginal rejuvenation procedures, like vaginoplasties and labiaplasties.

Vaginoplasty: Also known as revirginization surgery, this procedure tightens the inner canal of the vagina for a pre-pregnancy feel. It’s often performed in a conjunction of a perineoplasty in order to address both outer looseness as well as inner.
Labial Rejuvenation: This procedure focuses on rejuvenating the inner vaginal lips. Some women find inner lips that protrude from the outer lips to be aesthetically unappealing, and labiaplasty can fix this issue.

If childbirth or other trauma has changed the look of your perineum, don’t hesitate to contact Plastic Surgery Portal. In addition to valuable information on plastic surgery procedures, Plastic Surgery Portal can help you find a board-certified plastic surgeon in your area with experience in perineoplasty. Contact our representatives now to schedule a consultation.