Clinic 360
Perineoplasty Surgery
Perineoplasty is a surgical procedure designed to repair and tighten the perineum, the area between the vagina and anus. This procedure is often sought after childbirth or aging, as the perineal muscles can become stretched or weakened, leading to discomfort, reduced vaginal tightness, or aesthetic concerns. At Clinic 360, Dr. Giannoulias specializes in perineoplasty to restore both function and appearance, improving comfort, confidence, and overall pelvic health. Whether performed alone or combined with other vaginal rejuvenation procedures like vaginoplasty or labiaplasty, perineoplasty can help enhance both daily comfort and sexual satisfaction.

Who is a Good Candidate for Perineoplasty?
Perineoplasty is ideal for women who experience:
- A loose or weakened perineal area due to childbirth or aging.
- Discomfort during intercourse or daily activities.
- Aesthetic concerns about perineal scarring or asymmetry.
- Mild vaginal laxity that does not require a full vaginoplasty.
Understanding Perineoplasty and Its Benefits
The perineum, located between the vagina and anus, can be affected by childbirth, trauma, weight changes, or congenital conditions, leading to excessive stretching, tearing, or muscle separation. This can result in gaping introitus (an enlarged vaginal opening), causing vaginal laxity, discomfort, and a sensation of “openness.”
Difficult childbirths, especially those involving tearing or an episiotomy, can leave excessive scarring. In some cases, non-invasive laser treatments can soften scar tissue, while thick scarring may require surgical removal. Even without complications, vaginal childbirth places significant strain on the perineal muscles, and improper healing—whether due to natural trauma or incorrect suturing—can lead to pain and muscle dysfunction. Perineoplasty corrects these issues by reopening and resuturing the perineal area to promote proper healing and restore muscle function.
Loosening the Perineal Muscles
While most perineoplasties focus on tightening, some conditions require loosening the perineal muscles. Dyspareunia (painful intercourse) and vaginismus (involuntary muscle contractions) can make sexual activity difficult. In these cases, perineoplasty can be performed to release tension, allowing for a more comfortable vaginal opening.
Vaginoplasty vs. Perineoplasty
While vaginoplasty is primarily a cosmetic procedure, perineoplasty—though also considered cosmetic—addresses both aesthetic and functional concerns. It is often performed to correct issues caused by perineal damage, such as vaginal looseness, itching, incontinence, and reduced sexual sensation due to weakened vaginal muscles. Some women also choose perineoplasty for aesthetic reasons, such as reducing excess skin or bulging in the area.
A key difference between the two procedures is their focus: vaginoplasty tightens the internal vaginal canal, while perineoplasty restores the perineal area at the base of the vaginal opening. The procedure involves making a small incision, removing excess tissue, and suturing the perineal muscles back together for improved function and appearance. Like vaginoplasty, perineoplasty is a minor surgical procedure that typically takes about one hour to perform under local or general anesthesia.
How is Perineoplasty Performed?
The procedure is performed under local or general anesthesia. Dr. Giannoulias removes excess scar tissue and tightens the perineal muscles, restoring strength and support to the area. The incisions are carefully sutured for a natural, refined appearance. If needed, perineoplasty can be combined with vaginoplasty for more extensive tightening.
Perineoplasty Recovery
Most patients experience mild swelling and discomfort for a few days, with full recovery taking about 4-6 weeks. Patients should avoid strenuous activities and sexual intercourse during this time to ensure proper healing. Dr. Giannoulias will provide personalized aftercare instructions to support a smooth recovery.
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Related Links
Vaginoplasty
Vaginal Rejuvenation
Perineoplasty
Labiaplasty
Hymenoplasty (Hymen Restoration)
Clitoral Unhooding
Choosing the Right Surgeon
Perineoplasty FAQ
What is perineoplasty?
Perineoplasty is a surgical procedure that aims to correct damage to the area between the vagina and anus, known as the perineum.
What different types of perineoplasty are there?
What is the difference between vaginoplasty and perineoplasty?
What types of conditions benefit from perineoplasty?
Dyspareunia is a condition characterised by painful intercourse caused by an overly tight vaginal opening, or by vaginismus, which is the involuntary contraction of the perineal muscles. In these cases, loosening of the perineal muscles is required.
What happens during the perineoplasty procedure?
How long does perineoplasty take?
What other procedures can be performed with perineoplasty?
What kind of anaesthetic is used during the perineoplasty procedure?
How long is the recovery time following perineoplasty?
What are the risks associated with perineoplasty?
What is the cost of perineoplasty?
Is perineoplasty covered by my insurance?
Perineoplasty is considered a cosmetic, and therefore elective procedure, and is usually not covered by insurance.