Loose Skin Between Vaginal Hole and Anus? (photo)

I have this loose skin between vaginal hole and anus since as long as i remember.it looks like a tail and is quite embarrasing.it doesnt hurt or anything and is squishy to touch.i am 31 years female.what can be done for this?thank you

Doctor Answers 12

Loose Skin at Perineum, Behind Labia Minora: Treatment Options

Loose skin between the vagina and the anus can develop naturally. Sometimes it is an overgrowth of the labia minora and might require a specially-designed labiaplasty for correction, in other cases it might require a mini-perineoplasty, and in other cases it might require just a small skin resection. Any or all of these can be done under local anesthesia, with or without sedation, at your preference.

Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

Loose skin between vagina and anus

Hi there! I love cases such as yours because the surgical answer is quite simple with very little risk and downtime... And the result will be a resolution of something that has been bothering you for a long time. With some lidocaine and careful removal of the excess skin, you will have a natural looking scar in that area. There is normally a line between the vagina and the anus that forms naturally, and the scar will mimick that. 

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Loose skin

The loose skin can be easily removed under local anesthesia. It is a simple procedure with minimal post-operative discomfort.

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 21 reviews

Skin between vagina and anus

This skin is actually quite common and is basically and extension of the labia minora (inner lips.  It is relatively straight forward to basically trim this tissue away under local anesthesia +/- light sedation.  Glad to help... 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 117 reviews

Loose skin of perineum

The area between the vagina and the anus is known as the perineum. Just like the labia minora, there can be many variations on how his area appears that are all normal. Extra skin folds in the perineum can attach to the labia minora. If this bother you cosmetically, the skin folds can be surgically trimmed or removed. This is usually done under local anesthesia with minimal recovery. Consult with a Board Certified plastic surgeon for more information. 

Shareef Jandali, MD
Fairfield Plastic Surgeon
5.0 out of 5 stars 18 reviews

What is this loose skin and what can I do about it?

Based upon review of your photo this is a normal variant that can come about because of deliveries, aging or just the way you were made.  There is only a small defect and should be relatively straightforward to fix.

Michael Litrel, MD, FPMRS, FACOG
Woodstock Urogynecologist
5.0 out of 5 stars 3 reviews

Loose skin between the vagina and the anus

As a gynecologist we see this all the time and treat this all the time.   
Obviously I can only give you an opinion based on your picture but from what I can see the extra loose skin can easily be resected and then re-approximated.   This is done under local anesthesia in our procedure room.  The recovery although uncomfortable initially is rather quick.

David Ghozland, MD
Santa Monica OB/GYN
5.0 out of 5 stars 27 reviews

This is a common issue with a simple fix.

What you’re describing is very common issue that should be pretty easily resolved. Without any other concerns (such as loose muscles around the vaginal opening, for example), your plastic surgeon can simply remove the excess skin. If you do have additional cosmetic issues you’d like addressed (like undergoing labiaplasty, for example­), this excess skin can likely be removed at the same time. My only advice is to be sure and visit a board certified plastic surgeon who performs a wide range of genital rejuvenation procedures, so you can be sure you’re in experienced hands. Best of luck.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Treating loose skin on the perineum

This is actually something I see quite often in my practice- sometimes it bothers patients, sometimes not. This extra "roll" of skin is on the perineum which is the area between the vagina and the anus. It is easily treated in an exam room under local anesthesia. Depending on the amount of excess skin to be removed and patient preference, the area may be excised and closed with dissolvable sutures or perineal resurfacing may be performed using a laser or radio frequency. Cheers!

Removing extra skin around the vagina

Excellent question. The extra skin immediately behind the vagina can be surgically reduced with minimal downtime and scarring.  I often perform this procedure in an outpatient setting under local anesthesia. 


Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.