The perineal body is an essential junction of the pelvic floor muscles between the genitalia and rectum. It’s common for many women to experience injuries and lacerations in this area during pregnancy and birth, which creates a bigger opening of the vagina that may not regain its caliber even after healing.
Restoration of the perineum is possible with Miami perineoplasty. This procedure is best performed with a specialized plastic surgeon with extensive experience in vaginal surgery. Your surgeon will make sure any underlying conditions are adequately addressed so that Miami perineoplasty is performed in a way that yields aesthetically pleasing results.
In this article, you will learn more about the perineoplasty procedure and why it is so important to choose a prestigious surgeon to handle it. Many women in South Florida and from out of town choose Jolie Plastic Surgery to perform Miami perineoplasty because our surgeons specialize in this type of aesthetic and reconstructive procedure.
Perineoplasty is a vaginal tightening operation that helps repair the area between the genitalia and the anus. Unfortunately, this area is quite vulnerable to injury, particularly during childbirth as the perineum can experience tears or episiotomy during labor when the opening of the vagina is enlarged for the baby to pass through. The good news is that Miami perineoplasty can help correct the size of the perineum by bringing the pelvic floor muscles together and tightening or altering the vaginal angle so that the patient can feel better friction and stimulation of the clitoris and G-Spot.
Good candidates for Miami perineoplasty are women who due to the effects of childbirth, genetics, and age, have noticed relaxation in the area with trouble feeling friction or sexual pleasure. Likewise, women who have tried pelvic floor strengthening exercises without getting results due to detachment of the pelvic floor may be the best candidates for the perineoplasty procedure.
Besides improving sexual function, treating pain and cosmesis, perineorrhaphy has been used alone or combined with other pelvic procedures to treat pelvic floor disorders such as fecal incontinence, pelvic organ prolapse, and stress urinary incontinence with a good rate of improvement in bowel symptoms, according to an article published in the PMC Author Manuscript. However, there is still a lack of evidence as this operation may require further research. This surgical procedure strengthens the muscles supporting the genitalia opening and helps with the vaginal looseness that follows recurrent prolapse, giving birth, or over time.
During perineoplasty, a small diamond-shaped incision is made starting at the top of the genitalia floor going around the hymenal ring and opening of the vagina and then meeting in the midline above the anal verge. The skin in the vulvar vestibule and perineum is removed, and the skin in the vaginal opening is skinned back over the pelvic floor. Then, the old scar tissue from any tears or episiotomies is removed, and the muscles are put back together with the vaginal floor. The surgeon will proceed to pull back together the fascia towards the center to cover the muscles. The excess skin is cut away, and the tissue of perineum is stitched back together in an aesthetically-pleasing manner to make the genitalia opening look like it once did before pregnancy or any other life factor.
Patients are advised to weigh the perineorrhaphy risks and benefits so that they can make an informed decision. Some of the potential perineoplasty complications include:
During perineoplasty recovery, patients will be resting for a week and must refrain from some specific activities such as tampon use, heavy lifting, and vaginal intercourse for the next two weeks. By the 3rd week of recovery, patients can resume most activities but not all as it will take about a month to resume exercising fully, lifting objects, and so on, and about 6-8 weeks for vaginal intercourse. Most patients report the post-surgery discomfort to be less than expected. However, pain medications are always available for a few days after perineoplasty surgery as prescribed by your surgeon.
Patients are advised to consume lots of fluids, prunes and a stool-softener during the first week of perineoplasty recovery since pain pills and inactivity may slow down bowel movement. Some patients may experience over tightening of the vagina that require dilators before resuming vaginal intercourse. A variety of pelvic floor strengthening exercises with a physical therapist at least once daily are recommended. These exercises can boost the results and durability of perineoplasty.
The average perineoplasty cost in Miami is $4,150 ranging from $500 to $7,100, according to RealSelf perineoplasty reviews. However, the cost of this procedure can vary depending on the patient’s anatomy, symptoms, surgeon and specific location. The patient’s gynecological history together with a clinical examination will help the surgeon determine whether an additional procedure may be needed. It is important patients don’t select the surgeon based on cost alone. Other related surgical costs such as anesthesia fees, surgical facility fees, may be included or added to the total cost.
Like many feminine health issues, perineoplasty is not a topic that women discuss openly, but unfortunately, this topic affects millions of women in South Florida and nationwide, particularly after childbirth and menopause. If you are experiencing a vaginal problem that has affected your self-confidence and quality of life, perineoplasty can help you meet your needs and get the results you want.
Perineoplasty can be performed at Jolie Plastic Surgery by our talented surgeons who have the training and certification required. Our primary mission is to ensure the highest quality of patient care as we continue to expand our services with both surgical and non-surgical cosmetic procedures that help our patients improve their appearance and self-esteem significantly. If you would like to find out more about perineoplasty or any other vagina rejuvenation surgery, you can call us today and arrange a consultation.
It’s possible for the perineum to become stretched during childbirth requiring stitching. In many cases, the stitching is poorly done, which can leave scarring and make the vagina look wider than usual. Consequently, sexual intercourse may not feel like it once did prior to childbirth.
Women may experience a variety of symptoms such as changes in bowel habits as a result of giving birth and experience third and fourth-degree tears where the muscle and the skin in the perineum, nearby or inside the anus, is torn.
Yes, it is possible for the perineum to be restored through perineoplasty surgery.
During surgery, the scarred and redundant tissues in the genitalia are narrowed, and the muscles switched back together. The perineoplasty procedure can be done for cosmetic or medical purposes to tighten the external genital area or to treat a pelvic medical condition.
When preparing for perineoplasty surgery, you must keep a few things in mind. For patients that are post-menopausal, the vaginal walls are probably under-estrogenized unless the patients use estrogen therapy. Some surgeon may suggest this therapy as it can strengthen the healing capacity of the area. Your surgeon will talk about activities to refrain from or to engage after perineoplasty surgery. Patients should make any arrangements for perineoplasty recovery before surgery. Keeping a balanced diet with plenty of protein and water, and exercising regularly can help you prepare for perineoplasty. Your surgeon may give you an antibiotic injection before the operation, and place you on oral antibiotics 1-2 days before perineoplasty.
Patients may experience nausea and vomiting 1-2 days after perineoplasty surgery, and pain around the surgical wound, which can be relieved with pain medications. Bleeding and abnormal vaginal discharge is also possible. Contact your doctor immediately if abnormal bleeding is present since it might lead to blood clot formation in about less than 1% of the patients. There is also a risk of infection, but it can be easily treated.
The perineoplasty procedure takes approximately 60 to 90 minutes.
Most patients report a positive experience. The outcome is directly reliant on how consistent the patient has been when following the perineoplasty before and after guidelines. There are some stories out there where unprepared patients that chose an inexperienced surgeon didn’t get the results they expected. While even experienced surgeons can occasionally have complications, is much less common.
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