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Perineoplasty is the surgery to tighten and reconstruct the area called perineum between the anus and the vagina. Its purpose is to help support the vagina and pelvic floor muscles. Childbirth (especially difficult deliveries) and postpartum tears/stitches, excessive weight loss, trauma and other factors can damage this area and cause loosening and excessive stretching of the skin around the vaginal opening. The most common cause of weakening or damage to the perineum is vaginal deliveries, especially multiple deliveries, cuts or tears, and stitches at birth. Perineoplasty strengthens and tightens the perineum, narrows the vaginal opening and repairs loose,
scarred or damaged skin around the vagina; thereby restoring sexual functions and improving the appearance of the genitals. This process also narrows the vagina a little, but it is not very effective on the inner part, namely the vaginal canal.
Perineoplasty is often performed in conjunction with other procedures such as vaginaplasty and/or labiaplasty. It can be done with general anesthesia or with local anesthesia according to your preference (you can sleep with light sleeping pills if you want). After the damaged perineal skin is cut, a rhombic incision is made in the vaginal opening and the loosened tissues are removed. The vaginal entrance and perineal tissues are repaired with thin, self-dissolving sutures. If the procedure is done alone, it takes about 1 hour. Hospitalization is rarely required.
It is normal to experience some swelling and pain for the first few days. To keep these minimal, you will be advised to use ice and pain relievers, you will also have antibiotics to use, sterilizing solution for dressing the stitches and antibiotic cream to apply to the wound. It is recommended to put ice on your stitches uninterruptedly during the first day and to continue the ice application for 72 hours at
intervals. Pain can last up to two weeks. At the end of 2 weeks, pain, bruising and swelling are usually completely gone. It takes up to a month for the skin to fully heal. In this process, prevent your wound from getting germs by making your dressings meticulously. Avoid pressure on the wound by wearing loose and comfortable clothing and underwear. We do not recommend doing intense exercises, yoga, pilates for a month and a half. Also, remember, there will be a one-month absolute ban on sexual intercourse.