If you’re experiencing looseness or discomfort in the perineal area—the bridge of tissue between the vaginal opening and anus—you’re not alone. A perineoplasty (also called perineorrhaphy or introitoplasty) is a proven surgical solution designed to restore tone, function, and confidence to this delicate area. At Pelosi Medical Center, Dr. Marco Pelosi III brings over 25 years of specialized expertise in cosmetic gynecology, combining advanced surgical techniques with a personalized, compassionate approach that puts your comfort and natural-looking results first.
What Is a Perineoplasty?
A perineoplasty is a surgical procedure that repairs and tightens the perineum when it has become stretched, weakened, or damaged—most commonly following childbirth. The procedure rebuilds the perineal body (the muscular foundation between the vagina and anus) by reconnecting and tightening the underlying muscles, resulting in improved structural support and enhanced sensation.
In some cases, the perineum can be too tight, causing pain during intercourse or daily activities. For these situations, we perform a reverse perineoplasty (Fenton procedure) to gently release tension and restore comfort.
Who Needs a Perineoplasty?
You may be an ideal candidate for perineoplasty if you experience:
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Looseness or gaping at the vaginal opening
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Decreased sensation during intimacy
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Visible perineal stretching or thinning after childbirth
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A shortened distance between the vagina and anus
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Pain or discomfort from an overly tight perineum (reverse perineoplasty)
Dr. Pelosi can determine instantly during your exam whether perineoplasty alone will meet your goals, or if a vaginoplasty (internal tightening) would better address your concerns.
Understanding the Anatomy
From left to right, the images above depict the bulbocavernosus muscles & perineal body (blue), the relationship of the perineal muscles to the deeper levator muscles, and the transverse perineal muscles (superficial & deep). The perineal muscles are the collective term for the bulbocavernosus and transverse perineal muscles. The fusion point of the left and right sides of the perineal muscles is known as the perineal body. When the perineal body is thin or shortened, the most common cause is thinning or absence of left-right muscular connections in the midline. Perineorrhaphy corrects the anatomy and increases the distance between the anus and the vagina.
What to Expect
Key Facts About Perineoplasty
Why Choose Pelosi Medical Center?
Dr. Marco Pelosi III is an internationally recognized leader and innovator in cosmetic gynecology, trusted by patients locally in Hudson County and worldwide. His minimally invasive approach prioritizes your safety and natural results, backed by advanced techniques refined over decades. Our bilingual team provides honest assessments, fair pricing, and compassionate care in a comfortable, non-judgmental environment. Every procedure is performed in a fully accredited hospital operating room for maximum safety, and comprehensive aftercare ensures your best outcome.
Ready to Restore Your Confidence?
You deserve to feel comfortable, confident, and like yourself again. Contact Pelosi Medical Center today at (201) 858-1800 to schedule your private consultation with Dr. Pelosi and discover how perineoplasty can help you feel good and look good.
