Changes after vaginal childbirth
Reduced tissue tone, a widened vaginal opening, and a feeling of vaginal looseness following childbirth—especially after an episiotomy or perineal tear.
Aesthetic surgery · procedure
Perineoplasty.
— repair of the perineum and vaginal vestibulePerineoplasty is a surgical procedure that restores the natural shape and function of the perineal area — performed for women after childbirth or injury, with careful attention to physical comfort, the quality of intercourse and intimate aesthetics.
Procedure time~60 minutesfrom preparation to leaving the clinic
Anaesthesialocalchosen to match the scope of the perineal repair
Areaperineum, vaginal vestibulevaginal tissue correction is also possible
Return to intercourseafter individual assessmentfollowing the post-operative instructions
Perineum repair,
designed for comfort.
— in brief
Perineoplasty is the surgical repair of the perineum and vaginal vestibule, performed for women whose perineal tissues have been damaged or overstretched — most often as a result of vaginal childbirth or an injury to the intimate area.
During the procedure, excess skin and lax soft tissue are removed, and the carefully prepared structures are then precisely sutured. The goal is to restore the natural shape, muscle tone and better support of the vaginal vestibule.
Perineoplasty resolves the problem of a widened vaginal opening, discomfort during intercourse and a tendency to recurrent intimate infections. It is a medical procedure focused on physical comfort, hygiene and confidence in your own body.
Who it is for
The most common situations
where perineoplasty helps.
Every qualification for perineoplasty is individual. Below are typical situations in which perineal repair can significantly improve quality of life — not every patient will need surgery.
Discomfort during intercourse
Pain, chafing or a feeling of reduced contact during intercourse, related to changes in the tissues of the perineum and vaginal vestibule.
Recurrent intimate infections
Increased susceptibility to infections and irritation caused by insufficient protection of the vaginal vestibule due to anatomical changes.
Sense of aesthetics and hygiene
The wish to restore the aesthetic appearance of the perineal area, greater ease in daily hygiene and a sense of psychological comfort.
How the procedure works
From preparation
to the final suture.
The entire procedure — from entering the treatment room to leaving the clinic — usually takes between one hour and an hour and a half. The steps below help you understand what perineoplasty looks like in practice.
- Step 01
Consultation and qualification
A detailed history, gynecological examination and a discussion of your symptoms, expectations and the available treatment options — both surgical and conservative.
before surgery - Step 02
Preparation and anaesthesia
Disinfection of the surgical area and selection of the type of anaesthesia. Depending on the scope of the repair, local anaesthesia is used.
~10–20 min - Step 03
Perineal repair
Surgical removal of excess skin and lax tissue, and correction of the pelvic floor muscles and vaginal vestibule to restore natural shape and tone.
~40–45 min - Step 04
Suturing and bleeding control
The tissues are closed with sutures suited to the intimate area, bleeding is controlled and an appropriate dressing is applied.
~15–20 min - Step 05
Post-operative instructions
A thorough discussion of hygiene, restrictions on physical activity and intercourse, and the schedule of follow-up visits. The patient receives a written aftercare plan.
immediately after surgery
Safety and recovery
Standards where
no corners are cut.
Procedures before and during surgery.
✦
Disinfection of the surgical area
High-quality antiseptic agents are applied immediately before the perineal repair begins.
✦
Choice of anaesthesia
The type of anaesthesia is chosen individually, depending on the extent of the procedure and the patient's health.
✦
Perioperative prophylaxis
Where indicated, antibiotic prophylaxis and measures minimising the risk of bleeding and infection are applied.
What influences tissue healing.
✦
Individual healing capacity
The tissues’ response to surgery, wound healing, and the final outcome are individual and may vary from one patient to another. Smoking impairs the healing process.
✦
Following the post-operative instructions
Diligently following the recommendations on hygiene, physical activity and intercourse increases safety and influences the final result of the procedure.
✦
Possible complications
Complications after perineoplasty are rare (an estimated 4–10%) and are discussed in detail during the pre-operative consultation.
Room for all your questions.
✦
Discussing the treatment
During the consultation the patient can ask about every aspect of the planned treatment — the scope of surgery, the expected results and alternative methods.
✦
A decision made together
The decision to perform perineoplasty is made after jointly discussing the benefits, the risks and your expectations.
Pricing
Honest pricing —
no hidden costs.
Below are indicative prices for the perineoplasty procedure. The final quote is set individually during the consultation — depending on the scope of the procedure and the surgical technique chosen.
Main procedure
Perineoplasty.
from4 500zł
- Qualifying consultation before surgery
- Local anaesthesia (ointment + Citocartin)
- Surgical procedure using an individually chosen technique
- Antibiotic prophylaxis
- Non-absorbable sutures and their removal at the check-up
- First follow-up visit (day 7–10)
- Written post-operative instructions
- Access to the doctor throughout the healing period
— The exact scope and price are set individually after assessing the anatomy and discussing expectations.
Payment: cash or card on the day of surgery. A VAT invoice is issued at the patient's request. Prices apply to procedures performed at ul. Czesława Miłosza 35/4 in Białystok. This price list does not constitute a commercial offer within the meaning of the Polish Civil Code.
Results — before & after
Real cases —
in complete discretion.
Genuine medical documentation of perineoplasty results, published with the patient's explicit written consent. These materials are intended for adults only — each case is presented as a pair: before and after surgery.
Perineoplasty — case 1
at 3 mos
Perineoplasty — case 2
Perineoplasty — case 3
Perineoplasty — case 4
Complete documentation of results is shared only during an in-clinic consultation — in conditions of full discretion, with each patient's explicit consent. The photographs are medical material intended for adults.