Perineoplasty surgery, a key component of cosmetic gynecology, has gained recognition for its profound impact on women’s physical and emotional well-being.Perineoplasty surgery, a key component of cosmetic gynecology, has gained recognition for its profound impact on women’s physical and emotional well-being. This elective procedure focuses on enhancing the aesthetics and functionality of the perineal area, often performed in conjunction with vaginoplasty for comprehensive results. While there are minimal risks involved, the numerous benefits of perineoplasty make it a transformative option for many women. 

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Enhancing Aesthetics and Functionality

One of the primary benefits of perineoplasty is the improvement in vaginal tightness and tone. Over time, factors such as childbirth, aging, and trauma can lead to a LAX” perineum, causing discomfort and negatively impacting sexual satisfaction. Perineoplasty tightens and repairs the perineal muscles, restoring a sense of youthfulness and improving the overall functionality of the genital area.

Many patients seek out Dr. Joseph Berenholz because of a “gaping vaginal opening” after childbirth. Patients are disturbed by this” LAX” appearance and become very self-conscious during intimacy not only due to appearances but because of the decreased sensation during intimacy.

Dyspareunia (painful sex)

Some patients come to Dr Joseph Berenholz with complaints of dyspareunia (painful sex). This is usually due to either a perineal repair gone wrong after childbirth or a botched perineoplasty or vaginoplasty by a doctor of lesser experience. Dr. Berenholz has performed hundreds of perineoplasty just for the relief of this dyspareunia. By strengthening the perineal muscles, this surgery can help alleviate problems as mentioned above allowing a woman to lead a more active and comfortable lifestyle.


While the risks associated with perineoplasty are minimal it is essential to acknowledge them. Potential complications may include infection, bleeding, scarring or subsequent pain. However, these risks are typically low or nonexistent when performed by skilled surgeons such as Dr. Berenholz. This procedure is started by a thorough preoperative care examination as well as a thorough post operative evaluation. It is worth noting that perineoplasty is often performed in conjunction with vaginoplasty, another procedure that focuses on improving the vaginal canals tightness and tone. Combining these surgeries can provide a more comprehensive transformation addressing both aesthetic and functional concerns in the genital area. In conclusion, perineoplasty surgery offers numerous benefits from improving tightness vaginally and sexual satisfaction to alleviating physical discomfort and enhancing self-esteem. While minimal risks are associated with the procedure careful consideration and thorough communication with a qualified surgeon is essential. By often pairing perineoplasty with vaginoplasty, women have the opportunity to achieve a comprehensive and transformative improvement in the aesthetics and functionality of their genital area, ultimately leading to improved overall quality of life.

Before & After

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At the forefront of Vaginal Rejuvenation with expertise in labiaplasty, labia minora and labia majora reduction surgeries.