If childbirth left you with lasting changes to the area between your vagina and anus, whether from a tear, an episiotomy that did not heal quite right, or general stretching over time, perineoplasty may be able to help. Dr. Adam Shoman, MD, FACOG, MBA, and the surgical team at Hackensack CMIGS perform perineoplasty in Hoboken, NJ, to repair and restore the perineal area, addressing both comfort and appearance.
Don’t let perineal discomfort or changes in appearance affect your quality of life. Contact Hackensack CMIGS today to schedule a confidential consultation.
Perineoplasty is a surgical procedure that repairs and tightens the perineum, the strip of tissue between the vaginal opening and the anus. It is most often performed after vaginal childbirth, particularly when an episiotomy or natural tear did not heal as expected, leaving the area weakened, scarred, or altered in shape. The goal of surgery is to restore the structure and function of the perineal tissue, which can improve comfort, sexual sensation, and appearance.
Perineoplasty is frequently performed as part of a broader vaginal rejuvenation plan, often alongside vaginoplasty, though it can also be done as a standalone procedure.
You may want to discuss perineoplasty with Dr. Shoman if you are experiencing:
If your primary concern is pain during intercourse from a poorly healed episiotomy, perineoplasty is one of the most direct ways to address the underlying scar tissue causing that pain, rather than just managing the symptom.
Perineoplasty typically takes 30 to 90 minutes, depending on the extent of repair needed, and can be performed under local or general anesthesia based on your preference and the scope of the procedure. During surgery, Dr. Shoman tightens the perineal muscles and removes excess or scarred skin to restore natural form and function to the area. If posterior repair is needed for pelvic support, this can often be addressed at the same time. You can see real patient outcomes and a detailed timeline on our perineoplasty before and after page.
Most patients go home the same day.
It is common to experience some temporary numbness or altered sensation in the perineal area in the weeks following surgery. This typically resolves on its own as the nerves heal, though your provider will monitor this at follow-up visits. For a full week-by-week breakdown of what recovery looks like, visit our perineoplasty before and after guide.
These two procedures are commonly confused because they are often performed together. Vaginoplasty tightens the internal vaginal canal and the muscles surrounding it. Perineoplasty focuses specifically on the external perineal tissue between the vagina and anus, most often to repair damage from childbirth. Many women benefit from having both procedures done in the same surgery for the most complete restoration of comfort and appearance. Dr. Shoman will assess your specific anatomy during consultation to recommend the right approach.
Is perineoplasty painful? The procedure itself is done under anesthesia, so you will not feel pain during surgery. Some soreness and tenderness in the first week is normal and is managed with pain medication.
How long does perineoplasty recovery take? Most patients are able to return to light activity within one to two weeks and are cleared for sexual activity and exercise around the six-week mark, once healing is confirmed at a follow-up visit. See our perineoplasty before and after page for a full recovery timeline.
Can perineoplasty fix pain from an old episiotomy? Yes, this is one of the most common reasons women seek perineoplasty. Removing the scarred, poorly healed tissue and repairing the area properly can significantly reduce or eliminate pain during intercourse for many patients.
Will I lose sensation permanently after perineoplasty? Temporary numbness or altered sensation in the weeks after surgery is common and typically resolves as the nerves heal. Permanent changes in sensation are uncommon but will be discussed as part of your informed consent.
Can perineoplasty be combined with vaginoplasty? Yes, this is a very common combination and can often be performed in a single surgery for more complete results.
At Hackensack CMIGS, we understand that perineoplasty is a deeply personal decision. Our compassionate team, led by Dr. Shoman, provides expert care through every step, from your first consultation to full recovery. Contact us today to schedule your private consultation.
This content is for informational purposes only and does not replace a personalized medical consultation. Individual results and candidacy vary.
Adam Shoman, MD, FACOG, MBA, is an obstetrics and gynecology specialist with over 15 years of experience in medicine, fibroids, and surgical treatment.