Perineoplasty (Introitus Tightening) in Honolulu, HI

Restore comfort, confidence, and intimacy with expert perineal rejuvenation.

Reclaim Your Feminine Confidence

At Asia Pacific Aesthetics in Honolulu, board-certified plastic surgeon Dr. Shim Ching offers Perineoplasty—also known as perineal repair, vaginal opening tightening, or introitus rejuvenation—to restore the appearance and function of the vaginal opening and surrounding perineum. This refined procedure focuses specifically on tightening and reshaping the external vaginal entrance, distinct from vaginoplasty, which addresses the internal vaginal canal.

What Is Perineoplasty?

Perineoplasty is a surgical procedure that repairs and tightens the perineum, the area between the vaginal opening and the anus. This delicate tissue can stretch, tear, or lose tone following childbirth, aging, or trauma, leading to both functional and aesthetic concerns.

Unlike vaginoplasty, which rejuvenates the inner vaginal canal, perineoplasty focuses on the external entrance (introitus), restoring firmness, support, and a more youthful appearance to the vaginal opening.

Women often choose this procedure to:

Improve comfort and tightness during intimacy
Correct scarring or irregularities from childbirth or episiotomy
Enhance confidence in both aesthetic appearance and body function
Support pelvic muscle tone and overall vaginal health

Is Perineoplasty Right for Me?

You may be a good candidate for perineoplasty tightening if you:

Have experienced stretching, tearing, or scarring after vaginal delivery
Feel a loss of tightness or gaping at the vaginal opening
Experience discomfort or reduced sensation during intercourse
Have asymmetry or visible changes to the perineal area
Are in overall good health and have realistic expectations

During your private consultation, Dr. Ching or Dr. Long will carefully assess your anatomy and discuss your concerns to determine whether perineoplasty or a combination of procedures, such as vaginoplasty or labial rejuvenation, will best meet your goals.

The Perineoplasty Procedure

1. Anesthesia

Perineoplasty is typically performed under local or general anesthesia, depending on patient comfort and surgical goals. The procedure is usually completed in one to two hours as an outpatient surgery.

2. Incision and Reshaping

Dr. Ching begins by precisely marking the perineal area and vaginal entrance. Excess or scarred tissue is carefully removed, and the underlying muscles are tightened to improve both strength and contour.

3. Muscle and Tissue Repair

Fine sutures are used to restore the perineal body and reshape the vaginal introitus, thereby improving tone and function. This step enhances both aesthetic appearance and comfort during daily activities and intimacy.

4. Closure and Recovery

The incisions are closed with delicate, absorbable sutures to minimize scarring. Patients typically return home the same day, accompanied by detailed post-operative instructions.

Recovery and Results

Most patients return home the same day and can resume non-strenuous activities within a few days. Temporary swelling or sensitivity is normal and typically resolves within one to two weeks.

Downtime: 7–10 days
Sexual activity: Resume after 6–8 weeks
Final results: Typically visible once swelling subsides, with continued improvement as tissues heal

Results are long-lasting, providing both physical comfort and emotional confidence that enhance quality of life.

Why Choose Dr. Shim Ching and Asia Pacific Aesthetics

At Asia Pacific Aesthetics, patients benefit from world-renowned expertise and the most advanced surgical techniques in vaginal and perineal rejuvenation.

Dr. Shim Ching is an award-winning, board-certified plastic surgeon recognized among the Top 5% of doctors in America and celebrated as one of Hawaii’s best cosmetic surgeons. Trained at leading institutions in Geneva, New York, Toronto, and Rio de Janeiro, he combines surgical artistry with precision to create natural, balanced results.

Working alongside Dr. Zachary Long, board-certified plastic surgeon and clinical professor, the practice provides world-class care with warmth, discretion, and personalized attention.

Patients travel from across Hawaii, the mainland U.S., and abroad to experience Dr. Ching’s global standard of excellence in aesthetic and reconstructive surgery.

Schedule Your Perineoplasty Consultation

If you’re ready to restore comfort, confidence, and balance, contact Asia Pacific Aesthetics to schedule a confidential consultation for perineoplasty tightening in Honolulu. Our compassionate team will help you explore your options and design a personalized treatment plan to meet your goals.

FAQs

How much does perineoplasty cost?

The cost of perineoplasty at Asia Pacific Aesthetics starts at $8,000, depending on the complexity of the case and whether additional procedures (such as labiaplasty or vaginoplasty) are performed concurrently.

How is perineoplasty different from vaginoplasty?

While vaginoplasty tightens the internal vaginal canal, perineoplasty focuses on the external vaginal opening and perineal tissues. Many women choose perineoplasty for improved pleasure for their partner, external appearance, comfort, and function rather than internal tightening.

Will there be visible scars after surgery?

Incisions are placed discreetly along the natural contours of the vaginal entrance. Scarring is minimal and typically fades over time.

What type of anesthesia is used?

Most perineoplasty procedures are performed under local anesthesia with optional sedation, though general anesthesia is also available for patient comfort.

How long do results last?

Results are considered long-term, as the tightened muscles and restored perineal structure remain stable. Maintaining overall pelvic health and avoiding additional vaginal trauma will help preserve outcomes.

Is perineoplasty only cosmetic?

No. While it provides aesthetic enhancement, perineoplasty can also improve sensation for the male partner, restore comfort during sexual activity, correct scarring or irregularities from childbirth, and enhance muscle tone and function.