Perineoplasty

• Cosmetic Surgery
• Gynaecology
• Perineoplasty

Medically Reviewed 10th January 2025, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons

What is Perineoplasty?

Also known as Perineorrhaphy, Perineum Repair or Pelvic Floor Repair, Perineoplasty is a surgical procedure that strengthens the pelvic floor muscles and corrects concerns affecting the perineum (the area between the vagina and the rectum). Perineoplasty is regularly performed for women following childbirth. When a damaging tear occurs during birth or an Episiotomy has not been closed effectively, the female perineum can be affected by deep scar tissue when healed. This can affect confidence and cause discomfort during intercourse or uncomfortable rubbing on clothes. In some cases, childbirth difficulties can lead to weakness in the pelvic floor and lax muscles, presenting problems in urinary function such as incontinence. 
 
Perineoplasty surgery is a highly effective procedure, restoring both the cosmetic appearance of the perineum and the muscle tone deep in the pelvic floor and vaginal muscles. It can be performed as a standalone surgery, or alongside other Gynaecological procedures to address several concerns. Cadogan Clinic has brought together the UK’s leading consultant surgeons who focus on delivering the best quality patient care and surgical outcomes. 

Perineoplasty at a Glance

Perineoplasty Before and After

During your initial consultation with one of our consultant gynaecological surgeons, you will be shown a range of Perineoplasty before and after images. These will show you the cosmetic results of Perineum Repair and how this procedure could address your personal concerns. As Pelvic Floor Repair surgery also involves tightening and manipulating the internal tissues and muscles this cannot be reflected in photographs. However, your consultant will thoroughly discuss the benefits of the procedure and give you realistic expectations for the results you could achieve. 

If you are considering undergoing other procedures alongside your Perineoplasty such as Labiaplasty, your surgeon will show you before and after images that also involve these results.

Why Do People Have Perineoplasty?

Vaginal delivery can have a significant impact on a woman’s body. Giving birth can lead to tearing or a small cut being made in the female perineum (known as an Episiotomy), which requires stitches to fix. If these stitches are not placed correctly, or the area has healed poorly, the perineum may look or feel distorted, and you may experience pain or discomfort during sex.  

Another common concern following childbirth is pelvic organ prolapse, caused by weakened muscles and ligaments in the vagina. In pelvic organ prolapse, one or more of the organs situated in the pelvis, including the bowel, uterus or bladder, move from their normal position and sink towards the vagina. Although this is not life-threatening, pelvic organ prolapse can cause discomfort or cause a heavy or ‘dragging’ feeling around the genitals. Pelvic organ prolapse can also cause pain during sex, problems with urination, and loss of sensation. Depending on the severity of the prolapse, you may see bulging tissue coming out of your vagina, or there may be no visual evidence of the prolapse. Pelvic organ prolapse can also occur due to natural ageing.  

These concerns can have a profound effect on women’s confidence, well-being and their intimate or sexual relationships. Perineorrhaphy and Pelvic Floor Repair are effective methods for addressing common issues following childbirth. 

Who Is Suitable for Perineoplasty?

During your initial consultation at our award-winning clinic based in Chelsea, London, your surgeon will assess whether you are a suitable candidate for Perineal Surgery.

The consultation will be up to an hour long and will involve:

• A discussion about your concerns and why you are considering Female Perineum Repair
• A physical examination to allow your surgeon to see the severity of your concerns
• Your surgeon will explain the most suitable treatment to address your concerns, as well as a comprehensive discussion about the surgical preparation, recovery and any associated risks

To decide whether you are suitable for Perineoplasty or Perineorrhaphy surgery, your surgeon will consider the following factors:

Your cosmetic and functional concerns: Typical concerns which lead patients to consider Perineoplasty include:

• Deep or thickened scar tissue
• Loss of sensation
• Impaired urinary function
• Pelvic organ prolapse
• Discomfort during intercourse
• Injury or physical trauma caused by childbirth

Your desired outcomes: It is important to have realistic expectations for the results that can be achieved from your Perineal Operation and this will depend on the nature and severity of your concerns. Your surgeon will discuss this with you, and ensure you understand this during your consultation.

Family planning: If you are planning another pregnancy, particularly with a vaginal birth, your surgeon may recommend waiting until you have completed your family before undergoing Perineum Repair. Surgery will not make your body immune to the effects of childbirth and having another pregnancy after your surgery may affect the result, requiring further treatment.

Your general health and wellbeing: Your surgeon will take into account any previous or underlying health concerns you may have to establish whether you are fit for a general anaesthetic procedure. 

What Are the Benefits of Perineoplasty?

Perineorrhaphy and Perineoplasty are highly beneficial procedures which effectively address concerns arising from childbirth.

Benefits of Perineoplasty include:

• Reduction of scar tissue – For patients who are experiencing discomfort due to thickened scar tissue around their perineum, Perineal Surgery can remove this scarring, improving aesthetics and physical comfort
• Addressing functional concerns – Issues such as compromised urinary function, organ prolapse and discomfort during sexual intercourse can all be improved and treated through Pelvic Floor Repair surgery
• Improved confidence and quality of life – Many patients find that perineal concerns following childbirth impact their confidence and intimate relationships. Female perineum repair surgery alleviates these concerns, allowing women to live a happy and confident life.
• Long-lasting results – Cadogan Clinic’s team of expert consultant surgeons produce the highest-quality results, achieving long-lasting satisfaction following Perineoplasty surgery. 

Words From Our Founder