what is perineoplasty?

Perineoplasty in Cincinnati OH

This elective gynecologic surgery addresses any issues with the vaginal opening (introitus). The term perineum refers to the area between the opening of the vagina and the anus. Perineoplasty in Cincinnati is the operation used to correct either a small vaginal opening or a large gaping opening. This surgery repairs the tissue and tightens the muscles of the vaginal opening to make the perineum more asthetically pleasing.

Perineoplasty can also be performed in conjunction with the Labiaplasty procedure, which is called a modified Perineoplasty. A modified Perioneoplasty will only address excess skin in the perineum, it will not tighten the muscle or address a gaping vaginal issue.

Dr. Brenner has refined the in-office Labiaplasty using the Pronox device (inhaled nitrous oxide ) and microtumescent anesthesia.

What causes the enlarging of the vaginal opening?

The most common cause is childbirth. During vaginal delivery, tearing of the perineal tissue is extremely common. As the tissue heals, uneven scarring and disfiguration often occurs, often leading to looseness of the vaginal opening. Conversely, a women may feel the vaginal opening is too small or causes pain with intercourse. Usually these symptoms start after having a tear or an episiotomy in

childbirth. Often the pain is caused by excess scar tissue and reproducible on exam by a gynecologist. Child birth stretches or tears the perineum and/or vulva tissues causing structural issues with this area of the body. Excessive weight can also over-stretch and damage the structures of the perineum, causing a separation of the perineal muscles.

Procedure Details

What it treats
  • Vaginal looseness
  • Gaping vagina
Procedure time
  • 1 hour
Side Effects
  • Uncomfortable bowel movements
  • Slight pain
  • Swelling
Recovery time
  • 3-4 days of pain medications
  • 3-4 days of bed rest
  • 2 weeks of swelling

What can I expect during a recovery from a perineoplasty?

Following the procedure, you will be given a cocktail of medications to control pain, improve comfort during bowel movements. Expect to spend the first three to four days following the procedure on bed rest. Most women require pain medication for three to four days. You can expect swelling in the area for up to two weeks. After this time, you may return to desk work, but must avoid anything in the vagina (intercourse, tampons), heavy lifting, and soaking in water (bathtubs, swimming pools) for six to eight weeks.

Process & Results

Procedure Process

Dr. Brenner has refined the in-office Perineoplasty using the Pronox device (inhaled nitrous oxide ) and microtumescent anesthesia.

Step 1 Step 2 Step 3
Step 1

local anesthesia

Perineoplasty in Cincinnati is typically performed with local anesthesia and oral sedation; IV sedation is also available if preferred in our AAAASF accredited office surgical suite.

Step 2


During the surgery, Dr. Brenner will use the Ellman Surgitron Radiofrequency device to provide extremely precision incisions with little to no thermal damage. Any existing scar tissue will be removed.

Step 3

combining muscle + tissue

The underlying muscle and tissue will then be brought together and the incision will be closed with meticulous dissolvable sutures. The surgery will take approximately 1 hour.

Additional Information
Before & Afters Videos FAQ's
Before & Afters
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Our Cosmetic GYN Procedure Suite
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Types of Cosmetic GYN Procedures
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Do You Need This Procedure?
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Recovery After Perineoplasty
Can Perineoplasty be combined with other vaginal rejuvenation surgeries?

Absolutely, this procedure is often performed in combination with other types of cosmetic surgery such as Labiaplasty Minora, Labiaplasty Majora, Clitoral Hood Reduction, and Vaginoplasty. May also be combined with the O-Shot® or other gynecologic procedures, such as MyFlow® or MyControl®.

It's simple— identify the problem areas of your body and we will recommend the right treatment plan for you.