What is difference vaginoplasty and perinoplasty? I'm confused :-(

Hi I had so called vaginal tightening excision of the mucosal layer.What is the difference between cutting mucosa and muscle?how would mucosa make vagina tighter.i asked for tightening of the vagina but no muscle was touched.I keep reading that vaginoplasty tightens whole canal to make smaller but I was only tightened a few inches.what else causes looseness, as Ive heard alot people with no children who complain of feeling "slack",is it the pelvic floors that define wether your loose or not?

Doctor Answers 6

What the difference between perineoplasty and vaginoplasty?

Tightening to the entrance is called a perineoplasty.  Tightening of the vaginal canal is called vaginoplasty.   A perineoplasty will improve the appearance but likely not do much for sexual pleasure.  It should be combined with a vaginoplasty to tighten the canal.  Other things that may be needed involved repairing the dropping of organs such as the uterus, bladder, intestines or rectum.  This problem is called pelvic organ prolapse.  Surgeons that specialize in repair of pelvic organ prolapse or typically gynecologists with sub-specialty certification in Female Pelvic Medicine and Reconstructive Surgery.  Not all FPMRS surgeons do Cosmetic surgery so you should find that kind of doctor.   

Woodstock Urogynecologist
5.0 out of 5 stars 4 reviews

Vaginoplasty vs. Perineoplasty

Candidates of Vaginal Rejuvenation or Vaginoplasty surgery are women who desire a more youthful appearance and function of the vulva and vaginal area.  For some women, the effects of childbirth, aging, trauma, and/or genetics, causes their vaginal tissue and muscles to become stretched, which results in loss of strength and tone in the vaginal area. This may result in decreased intimacy and sexual satisfaction. In some cases, the laxity of tissues can be visible. 

The lining of the vagina can be reduced, removing excess and redundant mucosa decreasing the diameter of the canal. The muscle ring, pubococcygeus, at the entrance or introitus can be tightened.  These procedures along with exercises such as Kegles can help keep the muscle tone in this area. Aesthetic Vaginoplasty, in many cases, can increase friction during intercourse, giving women more control of vaginal muscles, increasing sexual satisfaction, while also creating a more attractive and appealing appearance to the vaginal area.

Now, for perineoplasty...

Vaginoplasty and labiaplasty may be carried down to the area below the Vulva and above the anus, the perineum. This area may be irregular from childbirth or previous trauma. It can be corrected with excision and closure to further enhance the region. 


Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

What is the difference between vaginoplasty and perineoplasty?

This is a great question and unfortunately the terminology can be confusing and at times is used interchangeably, further confusing the definitions of these procedures. Vaginoplasty is a surgery done to restore the inner caliber of the vagina (tighten the muscles). Perineoplasty is done to tighten the opening of the vagina. When we perform vaginal rejuvenation surgery, both vaginoplasty and perineoplasty are done at the same time for optimal results. If there is also a bulging into the vagina from the posterior side of the vagina (a rectocele), then this must also be addressed at the time of surgery to restore the vaginal anatomy. Seek a consultation with a urogynecologist who is board certified in Female Pelvic Medicine and Reconstructive Surgery to learn more about the best treatment of choice based on your specific history and exam. 

George Shashoua, MD
Austin Urogynecologist
4.9 out of 5 stars 38 reviews

This is the difference between perineoplasty and vaginoplasty

Vaginoplasty tightens the deep vaginal muscles (aka the levator muscles, PC muscles, Kegels) and the outer muscles of the perineum. Perineoplasty only tightens the outer vaginal muscles if it's done properly. See the video:

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.7 out of 5 stars 26 reviews

Vaginiplasty vs perineoplasty

Vaginiplasty refers to tightening of the vaginal canal - surgical or non surgical, usually done for vaginal laxity or prolapse.

Perineoplasty is the surgery to reduild perineal body which is main component of vaginal opening (introitus). This is usually done for prolapse, gapping of the vaginal opening or sometimes pain related scar tissues caused by prior procedures. Hope this helps

Armen Kirakosyan, MD, FACOG, FACS
East Aurora Urogynecologist
5.0 out of 5 stars 1 review

Vaginoplasty vs perineoplasty

Perineoplasty means to do plastic surgery of the opening of the vagina by fixing the perineum.  The indication for having the surgery might be 1) gaping vaginal opening ( cosmetic)  2) tightening the opening of the vagina ( cosmetic) ( which alone will not enhance sexual gratification 3) perineal pain  4) scar tissue

Vaginoplasty- usually entails tightening the internal 2/3's of the vagina as well as the perineum.  So its essentially two procedures and this is done primarily for enhancing intercourse.  If one just cuts the skin and removes excess skin you might get a little increased tightness but most likely this won't last more than a few months.  No one I know cuts the muscle instead you pull the muscles towards the midline in side of the vaigna to narrow the caliber of the vagina to tighten it for sex.  If you didn't have your muscles pulled together you didn't really have a vaginoplasty.  Choose a surgeon who has experience, expertise and a reputation for vaginoplasty and not just someone who states " i do this operation"    Good luck with you care. 

John R Miklos MD

Atlanta ~ Beverly Hills  ~ Dubai

John R. Miklos, MD, FPMRS, FACS
Atlanta Urogynecologist
5.0 out of 5 stars 20 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.