Perineoplasty in Turkey (Antalya)
Laxity after childbirth, pain from an episiotomy scar or a widened vaginal opening can affect daily life and intimacy. I assess your symptoms and tissues at the examination, listen to your expectations and plan your perineoplasty individually.
- 13 years of experience
- Obstetrics & Gynecology Specialist
- English · Deutsch · Türkçe · Русский
Personal health data is protected in line with applicable legislation and professional confidentiality obligations.
What is perinoplasty?
The perineum is the area between the vaginal opening and the anus, where the pelvic floor muscles meet. Perinoplasty is a surgical procedure that aims to repair the muscles and tissues in this area, reshape the vaginal opening and, where needed, correct scar tissue from an episiotomy or a birth tear.
Changes related to childbirth
Vaginal delivery, an episiotomy or tears during birth can cause separation of the perineal muscles and laxity of the tissues.
Function and comfort
Repairing the perineum aims to reduce concerns such as a widened vaginal opening, scar-related pain and a pulling sensation.
How it relates to vaginoplasty
Perinoplasty focuses on the vaginal opening. If the vaginal canal is also lax, it can be planned together with vaginoplasty.
What to know before your appointment
These are the practical tips I give my patients most often. I explain your personal instructions at the consultation.
Timing your visit
An appointment on a day when you are not having your period makes the examination easier.
What to bring
Bring a list of your medications, especially blood thinners, and details of any previous operations.
On the day
Wear loose, comfortable clothing and cotton underwear. If sedation is planned, someone should accompany you home.
First weeks
Sitting may be uncomfortable at first; I recommend a soft cushion and avoiding heavy lifting.
Weeks without intercourse
To allow proper healing, avoiding sexual intercourse and tampon use for about six weeks after the procedure is generally recommended. I will confirm the exact period.
When is perinoplasty considered?
We decide on perineoplasty together, based on the nature of your concerns, the examination findings and your expectations. These are the most common reasons my patients come to me:
- A feeling of widening or laxity at the vaginal opening after childbirth
- Pain, pulling or hardness at an episiotomy or birth-tear scar
- Pain or reduced sensation during intercourse
- Bothersome symptoms such as air escaping from the vagina (vaginal wind)
- An old tear or scar in the perineal area that has healed irregularly
- Persistent discomfort about the appearance of the area
Timing: After childbirth, it is advisable to wait for the tissues to heal and the pelvic floor muscles to recover. If you plan future vaginal births, discuss beforehand how childbirth may affect the result.
Pre-procedure assessment
At the consultation my aim is to identify the cause of your concerns, examine the perineal and pelvic floor tissues, check for any accompanying prolapse or urinary incontinence and plan the appropriate approach together.
Assessed during the consultation
- Number and type of births and the time since your last delivery
- History of episiotomy or tears and the condition of the scar tissue
- Accompanying vaginal laxity, prolapse or urinary incontinence
- Plans for future pregnancy and childbirth
- General health, medications and allergies
- Your expectations and the limits of the procedure
Situations that may require postponement
- Active vaginal, urinary tract or skin infection
- Pregnancy or possible pregnancy
- Uncontrolled bleeding or clotting disorder
- Conditions that affect healing, such as uncontrolled diabetes
- Genital warts or sores that require treatment
- Any doubt that the decision is being made of the person’s own free will
How does perinoplasty work in Antalya?
I tailor the plan to each patient; the process usually follows these four steps.
Consultation
I listen to your concerns, expectations and medical history with full respect for your privacy.
Examination & consent
After the examination I explain the method, risks and limitations clearly and ask for your informed consent.
Perinoplasty
I perform the procedure under the anesthesia plan we agreed on, usually with dissolvable stitches.
Follow-up
I explain your aftercare step by step, and we check your healing together at follow-up visits.
How is perinoplasty performed?
I remove excess or scar tissue between the vaginal opening and the anus, bring the separated perineal muscles together and close the layers with dissolvable stitches. I plan the details individually according to your examination findings.
Scar revision
Hard, painful or tethering scar tissue from an episiotomy or tear is removed as needed.
Muscle repair
Perineal muscles separated during childbirth are brought back together to strengthen support in the area.
Shaping the opening
The width of the vaginal opening is planned in a balanced way so that it does not cause pain during intercourse.
Anesthesia and duration
The procedure can be planned with local anesthesia plus sedation, spinal or general anesthesia. Same-day discharge is possible in most cases.
Balanced planning: Over-narrowing the vaginal opening can cause pain during intercourse. The goal is not simply tightening, but a balance between function and comfort.
Recovery after perinoplasty
Swelling, tenderness and discomfort when sitting are common in the first days. Dissolvable stitches disappear on their own over time. How recovery progresses is closely linked to following the aftercare instructions.
What to keep in mind during recovery
- Take the medications I prescribe exactly as instructed.
- Clean the genital area gently as advised and keep it dry.
- Eat a fiber-rich diet and drink enough fluids to avoid constipation.
- Avoid sitting on hard surfaces for long periods in the first days.
- Avoid intercourse, tampons and strenuous exercise for the recommended period.
- Attend your planned follow-up appointments.
Seek medical help without delay if you notice
- Heavy or increasing bleeding
- Rapidly growing, painful swelling or bruising
- Fever, chills or foul-smelling discharge
- Severe pain that does not ease with painkillers
- Noticeable opening of the stitch line
- Inability to pass urine
Follow-up: Follow-up visits are important for checking your healing and deciding when you can resume sexual activity.
Travelling for treatment? If you are coming to Antalya for this procedure, plan your stay so that the early follow-up visit can take place before you return home. Discuss the timing of your flight and your return to work with me during the pre-operative consultation.
Possible risks and side effects
Perinoplasty is a planned surgical procedure, but like any surgery it carries some risks. I discuss your personal risks with you in detail before the procedure.
Bleeding and hematoma
Bleeding or a collection of blood may develop at the surgical site; in some cases further treatment may be needed.
Infection
Fever, increasing pain, redness or foul-smelling discharge should be assessed without delay.
Wound separation
The stitch line may open or healing may be delayed.
Pain during intercourse
Intercourse may be painful during recovery or if the opening has been narrowed too much.
Scar tissue
New scar tissue may form during healing and cause tenderness.
Anesthesia-related effects
Undesired effects such as nausea, dizziness or an allergic reaction may occur.
Myths and facts about perinoplasty
Below are the misconceptions I hear most often in my consultations, and what the medical evidence actually says.
“Perinoplasty and vaginoplasty are the same procedure.”
Perinoplasty focuses on the vaginal opening and perineum, while vaginoplasty focuses on the vaginal canal. The two can be planned together if needed.
“The tighter, the better.”
Over-narrowing can cause pain during intercourse. The aim is a balance between function and comfort.
“It should be done immediately after childbirth.”
It is advisable to wait for the tissues to heal and the pelvic floor muscles to recover.
“The result never changes.”
Later vaginal births, aging and hormonal changes can affect the tissues again.
Planning your treatment in Turkey
If you live outside Turkey, most of the planning can be done before you travel to Antalya.
Online pre-assessment
Send your questions and medical history via WhatsApp. I review them and tell you whether an examination in Antalya makes sense for you.
No interpreter needed
I speak English, German, Russian and Turkish, so you can discuss every step directly with your doctor.
Planning your stay
How many days you should stay depends on the procedure and your recovery. We agree on this together before you book your flights.
After you fly home
You can send us your questions via WhatsApp during your recovery at home.
Related information pages
I cover related topics on the pages below.
Frequently asked questions about perinoplasty in Antalya
These are the questions my patients ask me most often. We clarify the answer for your own situation together after an examination.
Is perinoplasty painful?
Appropriate anesthesia is used so that you do not feel pain during the procedure. Pain, tenderness and discomfort when sitting may occur in the first days afterwards, and you can use the painkillers I recommend.
How long does perinoplasty take?
The duration depends on the condition of the scar tissue, the size of the area to be repaired and whether it is combined with another procedure. The exact duration can be estimated after the examination.
When can I return to work after perinoplasty?
Most people with desk jobs can return to work within a few days to a week. This may take longer for jobs that involve standing for long periods or physical effort. I will advise you according to your situation.
When can I have intercourse after perinoplasty?
Avoiding intercourse for about six weeks is generally recommended. We decide the exact period together at a follow-up visit, based on your healing.
Can I have a vaginal birth after perinoplasty?
A vaginal birth may still be possible, but childbirth can affect the repaired tissues again. For this reason, the procedure is generally recommended once you have completed your family.
Can perinoplasty and vaginoplasty be done together?
If there is laxity at both the vaginal opening and in the vaginal canal, the two procedures can be planned in the same session. I assess whether this is suitable for you based on the examination findings.
Will perinoplasty relieve episiotomy scar pain?
Revising painful scar tissue may help reduce symptoms, but results vary from person to person and cannot be guaranteed. I assess the cause of the pain in detail before the procedure.
Specialist in Obstetrics and Gynecology. Graduated from Afyon Kocatepe University Faculty of Medicine and completed specialist training at Antalya Training and Research Hospital. 13 years of experience; speaks English, German, Russian and Turkish. Last updated: 29 September 2026.
Get in touch for a personal assessment
Whether the procedure suits you, which technique to use and when can only be decided together after an examination. Send me your questions on WhatsApp or call the clinic to book your appointment.
The content on this page is for general information only and does not replace a diagnosis, personal medical advice or an assessment of suitability for a procedure. Suitability, method and timing can only be determined by a physician after an examination; no outcome is guaranteed.
This content has been prepared solely for general health information purposes, in accordance with the Turkish Regulation on Promotion and Information Activities in Health Services published in Official Gazette No. 33075 on 12 November 2025. It is not a diagnosis or a treatment recommendation, and no outcome is guaranteed. It contains no prices, campaigns, discounts, patient reviews or before-and-after images. In an emergency, please contact the nearest healthcare facility.
