Perineoplasty (Perineal Reconstruction)

Perineoplasty

Perineoplasty is a surgical procedure that reconstructs and strengthens the perineal body—the area between the vagina and anus.
At Saga Clinic Tirana, Dr. Eser Agar performs perineoplasty to correct birth-related injuries, improve vaginal support, and enhance both function and appearance.

This procedure is often performed alone or combined with vaginoplasty for patients seeking comprehensive pelvic restoration.

What Is Perineoplasty?

The perineum is one of the most important support structures for the pelvic floor.
It may weaken or tear due to:

  • Vaginal childbirth
  • Episiotomy scars
  • Forceps or vacuum delivery
  • Improperly healed tears
  • Chronic pelvic floor strain
  • Aging or tissue laxity

Perineoplasty rebuilds this area by removing scar tissue, bringing the muscles back together, and creating a tighter, supportive perineal body.

Who Needs Perineoplasty?

You may be a good candidate if you experience:

  • A “gaping” vaginal opening
  • Pain or discomfort during intercourse
  • Visible scarring or irregular tissue
  • Weak perineal muscles
  • Difficulty retaining tampons
  • Decreased vaginal support even after childbirth
  • Aesthetic concerns about the vaginal entrance

Perineoplasty is especially beneficial for women who feel the vaginal opening is too open or unsupported after giving birth.

How Perineoplasty Works

Dr. Eser Agar performs the procedure with a detailed understanding of perineal anatomy and pelvic support structures.
The procedure typically includes:

1. Removal of Scar Tissue

Old episiotomy scars or poorly healed tears are excised to restore smooth tissue.

2. Muscle Reconstruction

The perineal muscles (bulbocavernosus, superficial transverse perineal muscles) are repaired and tightened for better strength.

3. Reshaping the Vaginal Entrance (Introitus)

The opening is reconstructed for improved function, aesthetics, and support.

4. External Contouring

The perineal skin is aligned to create a natural, balanced appearance.

Often, perineoplasty is combined with vaginoplasty when deeper support is needed.

Anesthesia & Procedure Details

  • Performed under local anesthesia with sedation or general anesthesia
  • Duration: 30–45 minutes
  • Outpatient procedure
  • Dissolvable sutures (no removal required)

Patients return home the same day.

Recovery After Perineoplasty

Typical recovery includes:

  • Mild swelling or discomfort for 3–7 days
  • Return to work in 2–4 days
  • Avoid heavy exercise for 4 weeks
  • No sexual intercourse for 4–6 weeks
  • Full healing and final appearance: 6–12 weeks

Postoperative instructions are provided to ensure smooth recovery.

Results and Benefits

Patients often experience:

  • Improved vaginal support
  • Enhanced comfort during sexual activity
  • Correction of irregular or painful scar tissue
  • More controlled vaginal opening
  • Aesthetic improvement of the perineal area
  • Restoration of confidence and comfort

Perineoplasty provides long-lasting results when performed with proper anatomical reconstruction.

Possible Risks

Perineoplasty is a safe and effective procedure.
Potential risks include:

  • Temporary swelling or bruising
  • Minor asymmetry
  • Scar sensitivity
  • Infection (rare)
  • Tightness that requires adjustment (very rare)

With careful technique, complications are uncommon.

Why Choose Saga Clinic & Dr. Eser Agar?

  • 15+ years of experience in cosmetic and reconstructive gynecologic surgery
  • Expertise in perineal and pelvic floor anatomy
  • Natural, functional, and aesthetically balanced results
  • Precise muscle reconstruction technique
  • Comprehensive postoperative care
  • Experience with international patients (Turkey & Albania)

We focus on functional recovery, aesthetic precision, and patient comfort.

Book Your Appointment

If you are experiencing discomfort, scarring, or loss of support in the perineal area, contact Saga Clinic Tirana to book your appointment with Dr. Eser Agar.
We will assess your anatomy and recommend the most effective surgical approach for you.

Contact & Appointments

For appointment requests or medical inquiries, please contact us using the options below.

📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Saturday, 09:00–16:00.

💬 WhatsApp (Outside Office Hours)
+355 69 362 0838
Available outside office hours via WhatsApp Message only.