Hello ! I recently had a Perineoplasty along with Vaginal tightening , the perineum muscles are too tight and am wondering if it is possible to loosen the area with another surgery , my husband and I are having issues with penetration and also noticed the area is now very dry (no natural lubrication) like before the surgery . Can you please give insight and would loosening the muscles be another major procedure ? Thank you
May 27, 2022
Answer: Issues with penetration and dryness may not be solved by loosening muscles Hello Jesuis1,
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May 27, 2022
Answer: Issues with penetration and dryness may not be solved by loosening muscles Hello Jesuis1,
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Answer: Tight perineoplasty Using vaginal dilators works well with stretching the perineum. The key is to be consistent. Your cosmetic surgeon will inform you on the brand of vaginal dilators they prefer and the use of them. Another option is having the perineoplasty loosened (reversed) to allow for better penetration. This has to be done by a qualified surgeon. This procedure is short and the recovery is not as involved as the original perineoplasty.
Helpful
Answer: Tight perineoplasty Using vaginal dilators works well with stretching the perineum. The key is to be consistent. Your cosmetic surgeon will inform you on the brand of vaginal dilators they prefer and the use of them. Another option is having the perineoplasty loosened (reversed) to allow for better penetration. This has to be done by a qualified surgeon. This procedure is short and the recovery is not as involved as the original perineoplasty.
Helpful
May 28, 2022
Answer: Can one loosen the perineum Thank you for your question It is rare that the muscles are what is interfering with penetration. It is usually the skin fold at the perineal- vaginal junction This can be easily and inexpensively opened by making a small v shaped excision at the “posterior orifice” which should allow easy penetration Moisture comes from vaginal vascular supply. When removing vaginal tissue there is less area to supply moisture. That might be improved with radio frequency or laser treatments which treat dryness or by use of lubricants Just an added note: surgery should not sew muscles but the surrounding tough tissue layer called fascia to bring the muscles into position
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May 28, 2022
Answer: Can one loosen the perineum Thank you for your question It is rare that the muscles are what is interfering with penetration. It is usually the skin fold at the perineal- vaginal junction This can be easily and inexpensively opened by making a small v shaped excision at the “posterior orifice” which should allow easy penetration Moisture comes from vaginal vascular supply. When removing vaginal tissue there is less area to supply moisture. That might be improved with radio frequency or laser treatments which treat dryness or by use of lubricants Just an added note: surgery should not sew muscles but the surrounding tough tissue layer called fascia to bring the muscles into position
Helpful
May 27, 2022
Answer: How to loosen a perineoplasty without another surgery? The perineum can sometimes be loosened with vaginal dilators and botox injections. If there is thick scarring, however, these won't work and you will need surgery. It's called a reverse perineoplasty, it's not major surgery and the recovery is mild. If done properly, it works great and looks great. If done wrong, it will look weird. That's why I recommend that you set up a virtual consult with an expert and travel if you must.
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May 27, 2022
Answer: How to loosen a perineoplasty without another surgery? The perineum can sometimes be loosened with vaginal dilators and botox injections. If there is thick scarring, however, these won't work and you will need surgery. It's called a reverse perineoplasty, it's not major surgery and the recovery is mild. If done properly, it works great and looks great. If done wrong, it will look weird. That's why I recommend that you set up a virtual consult with an expert and travel if you must.
Helpful
June 29, 2022
Answer: Reverse Perineoplasty Hello Jesuis1, I am wondering how long ago your surgery was as it may just take time as this area is healing for the elasticity and moisture to come back. If the surgery was several months ago and there is scarring at the opening or inside the opening then this would need surgical release. This is not a major procedure, it is easily performed in the outpatient setting and would significantly relieve your symptoms. Hope this helps!
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June 29, 2022
Answer: Reverse Perineoplasty Hello Jesuis1, I am wondering how long ago your surgery was as it may just take time as this area is healing for the elasticity and moisture to come back. If the surgery was several months ago and there is scarring at the opening or inside the opening then this would need surgical release. This is not a major procedure, it is easily performed in the outpatient setting and would significantly relieve your symptoms. Hope this helps!
Helpful
