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Dr. Dina Rezk · Aesthetic Gynecology · Riyadh
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Reconstructive Intimate Surgery · Riyadh

Perineoplasty in Riyadh:
Repair, Restore & Renew

Perineoplasty (also called perineorrhaphy or perineal repair) is a surgical procedure that repairs and tightens the perineum — the area between the vaginal opening and the anus. It removes excess skin and scar tissue, repairs deeper muscles, and narrows the vaginal opening for improved comfort, function, and confidence. Performed by Dr. Dina Rezk at her private clinic in Riyadh.

Quick Summary: Perineoplasty is a 45–60 minute surgical procedure that repairs and tightens the perineum, removing excess skin and scar tissue and narrowing the vaginal opening with permanent results. Recovery: desk work after 3–5 days, full activity after 4–6 weeks. SAR 8,000 (standalone).

View Pricing
⏱ How long is surgery? 45–60 minutes.
🤰 Is it suitable during pregnancy? No, not recommended.
🌙 Can I do it during Ramadan? Yes, after breaking fast (local anaesthesia allowed).
👩‍⚕️ Performed by Dr. Dina Rezk, SCFHS-registered. 10+ years experience.
Understanding the Procedure

What Is Perineoplasty? The Complete Guide

Quick Answer: Perineoplasty (also called perineorrhaphy or perineal repair) is a surgical procedure that repairs and tightens the perineum — the area between the vaginal opening and the anus. It removes excess skin and scar tissue, repairs deeper muscles, and narrows the vaginal opening for improved comfort, function, and confidence. Surgery takes 45–60 minutes, day-case, recovery 4–6 weeks. SAR 8,000.

Perineoplasty is a reconstructive surgical procedure focused on the external vaginal opening and perineal body. Unlike vaginoplasty — which tightens the internal vaginal canal — perineoplasty restores the muscles and tissues at the entrance of the vagina. It is frequently performed after childbirth to repair damage from tearing or episiotomy, but it also addresses age-related looseness, trauma, and cosmetic concerns.

The perineum plays a crucial role in supporting your pelvic floor and contributing to vaginal tone and sexual sensation. When this area becomes stretched, scarred, or torn, women may experience discomfort, reduced friction during intimacy, vaginal gas, or self-consciousness. Perineoplasty provides permanent structural correction where pelvic floor exercises alone are insufficient.

With Dr. Dina Rezk in Riyadh, every perineoplasty is precisely tailored to your anatomy, the extent of repair needed, and your personal goals — whether functional, aesthetic, or both.

Why Women Choose Perineoplasty

🩹

Episiotomy & Tear Repair

Permanently corrects painful scar tissue, improper healing, and tissue separation after vaginal delivery.

🎯

Narrowed Vaginal Opening

Restores a tighter, more supported entrance without altering the internal vaginal canal.

Restored Sensation

Improved perineal tone enhances friction and comfort during intimacy.

🏋️

Pelvic Floor Support

Repairs the perineal body to help support bladder, bowel, and sexual function.

🌸

Cosmetic Restoration

Removes loose, protruding, or gaping skin for a more youthful, contoured appearance.

💎

One-Time Day Procedure

A single surgical session with same-day discharge. No repeated clinic visits required.

🤝

Combinable Procedure

Frequently combined with vaginoplasty or labiaplasty for comprehensive intimate rejuvenation in one session.

Transparent Pricing

How Much Does Perineoplasty Cost in Riyadh?

All-inclusive pricing — surgeon fee, anaesthesia, facility, and post-operative care are included. No hidden fees.

Quick Answer: Standalone perineoplasty SAR 8,000. Combined with vaginoplasty SAR 20,000.
ProcedurePrice (SAR)Notes
Perineoplasty (Standalone)SAR 8,000Surgeon fee + anaesthesia + facility included
Perineoplasty + LabiaplastySAR 14,000External contouring + labial reshaping
Vaginoplasty + PerineoplastySAR 20,000Full canal tightening + perineal body repair
Complete Rejuvenation PackagePrice on consultationVaginoplasty + Perineoplasty + Labiaplasty
Revision / Secondary RepairSAR 10,000Dependent on complexity and scar tissue

Factors Affecting Perineoplasty Cost

  • Surgeon's expertise — specialist gynaecological training ensures anatomical precision and scar tissue management
  • Extent of repair required — episiotomy revision vs. full perineal body reconstruction
  • Scar tissue complexity — extensive tearing or prior repairs require extended surgical time
  • Anaesthesia type — local anaesthetic (simple repairs) vs. general anaesthetic (complex or combined cases)
  • Combined procedures — vaginoplasty or labiaplasty in the same session reduces total cost
  • Clinic facility standards — premium Riyadh clinic with private recovery suite
Transparent pricing guarantee: Your consultation includes a written, itemised quote. No surprises on the day of surgery.
Book Consultation for a Full Written Quote →
The Surgical Journey

The Perineoplasty Procedure: Step by Step

1
Private Consultation — Riyadh

Dr. Dina Rezk conducts a comprehensive one-to-one assessment reviewing your symptoms, childbirth history, medical background, and desired outcome. She examines the perineal area to assess scar tissue, muscle separation, and tissue laxity, then advises whether perineoplasty or a non-surgical alternative best suits your case.

2
Pre-Operative Preparation

Pre-anaesthetic assessment if required, and instructions on medications to discontinue (blood thinners, anti-inflammatories). Fasting requirements provided in advance if general anaesthesia is planned.

3
Surgical Procedure Under Anaesthesia

Performed under local anaesthetic (for simple repairs) or general anaesthetic (for complex or combined procedures). A small incision is made at the vaginal opening/perineum; excess skin or scar tissue is carefully excised; deeper perineal muscles are tightened and reshaped with dissolvable sutures; the incision is closed to restore a narrower, neater entrance.

⏱ 45–60 minutes procedure time
4
Immediate Post-Operative Recovery

You recover in a private suite for 1–2 hours under clinical supervision. Most patients go home the same day — a day-case procedure. A responsible adult must accompany you if sedation is used.

⏱ Same-day discharge
5
Recovery Timeline & Final Results
TimeframeActivity Status
First 48 hoursRest; ice packs and prescribed pain relief
Days 3–7Sitz baths for comfort; keep area clean and dry
Week 2Light daily activities; avoid strenuous exercise
Week 4Gradual return to exercise; follow-up review
6 weeksSexual activity may resume (pending clearance)
6–8 weeksFinal results fully visible as tissues heal completely
Suitability Assessment

Who Is an Ideal Candidate?

✓ Suitable Candidates

  • Noticeable perineal laxity or gaping at the vaginal opening
  • Post-childbirth tearing or episiotomy complications (excess scar tissue, poor healing)
  • Reduced sexual sensation due to perineal looseness
  • Vaginal gas (air trapping) at the vaginal entrance
  • Chronic perineal discomfort or irritation
  • Good overall health with no active pelvic infections
  • Realistic expectations about permanent surgical outcomes
  • Women who have completed their family planning

✗ Not Currently Suitable

  • Pregnant or breastfeeding women
  • Active pelvic or vaginal infection
  • Uncontrolled bleeding disorders or on blood thinners
  • Untreated gynaecological conditions requiring specialist repair
  • Those seeking non-surgical alternatives only
  • Women planning future pregnancies (results may be affected)
Important: Women planning future vaginal deliveries are advised to postpone perineoplasty until their family is complete, as delivery may affect surgical results.
Informed Decision Making

Perineoplasty vs. Vaginoplasty — Which Do I Need?

FactorPerineoplastyVaginoplasty
Area treatedPerineum (external, between vagina and anus)Vaginal canal (internal)
Primary goalRepair external tissues, narrow vaginal openingTighten internal canal, repair pelvic floor muscles
Best forEpisiotomy scars, loose perineal skin, gaping openingSignificant internal laxity, reduced canal tone
Surgery time45–60 minutes1–2 hours
Recovery4–6 weeks4–6 weeks
Can be combined?✓ Yes — frequently performed together✓ Yes — frequently performed together
Your priceSAR 8,000SAR 15,000
Note: Many women benefit from combining both procedures for complete internal and external rejuvenation. Dr. Rezk will advise the most appropriate approach for your anatomy during consultation.

Surgical Perineoplasty vs. Non-Surgical Alternatives

FactorPerineoplasty (Surgical)Laser / RFO-Shot PRP
MechanismSurgical excision & muscle repairThermal collagen remodelingPRP biological tissue regeneration
ResultsPermanent, significant tighteningMild–moderate, 1–2 yearsModerate, 12–18 months
AnaesthesiaLocal or generalNone (topical only)Topical numbing cream
Procedure Time45–60 minutes15–30 minutes45–60 minutes
Downtime1–2 weeksNoneNone
Best ForModerate–severe perineal laxity, scar tissueMild laxity / maintenanceSensitivity, dryness, mild laxity

Dr. Dina Rezk will recommend the most appropriate option based on your degree of laxity, scar tissue presence, and personal goals at consultation.

Why Choose Us

Benefits of Perineoplasty with Dr. Dina Rezk

01

Specialist Gynaecological Surgeon

Advanced training in reconstructive pelvic surgery ensures anatomical precision, scar tissue expertise, and optimal patient safety.

02

Personalised Surgical Plan

Every woman's perineal anatomy and childbirth history is unique. Surgical technique is tailored to your degree of damage and desired outcome.

03

Private Women-Only Setting

Consultations, surgery, and recovery occur entirely in a private, women-only clinical environment.

04

Same-Day Discharge

Day-case procedure with no overnight stay. Recover in the comfort and privacy of your own home.

05

Form & Function Restored

Natural, balanced results that improve both daily comfort and intimate wellness simultaneously.

06

Comprehensive Aftercare

Detailed post-op instructions, direct WhatsApp access to your care team, and scheduled follow-up appointments.

Your Physician

Meet Dr. Dina Rezk SCFHS-Registered Aesthetic Gynaecologist

👩‍⚕️

Dr. Dina Rezk — specialist in aesthetic gynaecology with over 13 years of experience in Riyadh. She holds an International Fellowship in Aesthetic & Reconstructive Gynaecology (Europe) and advanced training in pelvic floor reconstruction. Registered with the Saudi Commission for Health Specialties (SCFHS).

Clinic: MOH-licensed · Riyadh, Saudi Arabia

🔗 LinkedIn · Instagram

"I believe every woman deserves to feel confident and comfortable in her own body — especially after the physical changes of childbirth."

E‑E‑A‑T Credentials

Why Trust Dr. Dina Rezk?

🏅 Medical Qualifications

  • SCFHS Registered — Aesthetic Gynaecology
  • International Fellowship in Aesthetic & Reconstructive Gynaecology (Europe)
  • Advanced Certification in Pelvic Floor Reconstruction
  • 10+ Years Clinical Experience in Riyadh

🎖️ Clinic & Safety Standards

  • SFDA-compliant surgical procedures · MOH-compliant advertising
  • Accredited day-surgery facility with private recovery suite
  • Riyadh — women-only environment
Patient Questions

Frequently Asked Questions: Perineoplasty in Riyadh

How long does perineoplasty surgery take?
The procedure typically takes 45 to 60 minutes for a standalone repair. When combined with vaginoplasty or labiaplasty, total surgical time may extend to 2–2.5 hours.
Is perineoplasty painful?
The surgery itself is entirely pain-free — you're under anaesthesia throughout. Afterwards, mild to moderate discomfort is very normal, and it's well-managed with prescribed pain relief. Most women are genuinely surprised by how comfortable the recovery turns out to be.
How much does perineoplasty cost in Riyadh?
Perineoplasty starts SAR 8,000 standalone, and when combined with vaginoplasty the combined price starts SAR 20,000. Your exact cost is confirmed at your personal consultation.
What is the recovery time after perineoplasty?
Most women are back at a desk job within 3–5 days — and many feel well enough sooner than that. We do ask you to give your body four to six weeks before returning to strenuous activity or sexual intercourse.
Will perineoplasty improve sexual sensation?
Many women notice a real and meaningful improvement in intimacy after perineoplasty. Restoring natural perineal tone and removing scar tissue often increases friction and comfort — and this is something patients frequently tell us has made a profound difference to their confidence.
Are perineoplasty results permanent?
Yes — the tightening and scar correction achieved through perineoplasty is permanent. It's worth knowing that a future pregnancy or significant weight change may affect results over time, which is something Dr. Dina Rezk will discuss openly and honestly with you.
What is the difference between perineoplasty and vaginoplasty?
Perineoplasty repairs the external perineum and vaginal opening. Vaginoplasty tightens the internal vaginal canal. They treat different areas and are frequently combined for complete rejuvenation. See our comparison table above for full details.
Can I combine perineoplasty with other procedures?
Yes. Popular same-session combinations include Vaginoplasty (internal canal tightening), Labiaplasty (labial reshaping), and O-Shot PRP performed 4–6 weeks post-surgery to enhance tissue quality.
When will I see the final results?
Initial improvement is noticeable once swelling subsides at 2–3 weeks. Full results — including complete scar maturation and final tissue settling — are evident at 6–8 weeks post-surgery.
What are the risks of perineoplasty?
Like any surgery, perineoplasty carries small risks — including infection, bleeding, temporary altered sensation, or scarring. Serious complications are rare when the procedure is performed by an experienced specialist. Dr. Dina Rezk's fellowship training and careful surgical technique are specifically designed to minimise these risks.
Does insurance cover perineoplasty?
Perineoplasty is typically considered cosmetic and isn't usually covered by insurance. If there's a documented functional reason — such as significant perineal trauma affecting bowel function — partial coverage may sometimes apply. Our team is happy to help guide you through this during your consultation.
Can perineoplasty fix an episiotomy scar?
Yes. In fact, episiotomy scar revision is one of the most common reasons women seek perineoplasty. Dr. Rezk carefully removes thick or painful scar tissue and reconstructs the area for improved comfort and appearance.
"I believe every woman deserves to feel confident and comfortable in her own body — especially after the physical changes of childbirth. My role is to provide safe, effective, and discreet treatments that honour your individuality and restore your sense of self."
— Dr. Dina Rezk, SCFHS-Registered Aesthetic Gynaecologist, Riyadh
Real Stories from Riyadh

Our Patients' Experiences with Perineoplasty

Before making your decision, here are real patient experiences from women in Riyadh who underwent perineoplasty — for episiotomy scar repair, combined surgery, or cosmetic restoration — with full details from consultation to final results.

👩
Mother of two · Riyadh Episiotomy scar
★★★★★
🩹 Episiotomy Scar Repair
"After my second delivery, my episiotomy scar was thick, painful, and made me self-conscious. I didn't even know perineoplasty existed until I found Dr. Dina. Six weeks after surgery, the scar is barely visible and intimacy is comfortable again. I only wish I'd known about this sooner."

45-minute procedure under local anaesthetic · Back to work in 4 days · Scar pain resolved completely

👩
Mother of three · Riyadh Combined surgery
★★★★★
🤝 Combined Vaginoplasty + Perineoplasty
"I wanted the complete result — inside and out. Dr. Dina explained exactly how the two procedures work together. The recovery was very manageable, and at my 6-week check-up I finally felt like myself again. Like before my babies."

Combined 2-hour procedure · Permanent results · Full recovery at 6 weeks

👩
Late thirties · Riyadh Cosmetic restoration
★★★★★
🌸 Cosmetic Perineal Restoration
"It wasn't about sex for me — it was about looking in the mirror and not seeing damage anymore. Dr. Dina understood that completely. The result is so natural, and the confidence it gave me was unexpected."

Standalone perineoplasty · Local anaesthetic · Returned to normal activities in 1 week

👩
Mid-thirties · Riyadh Pelvic floor support
★★★★★
🏋️ Pelvic Floor Support
"I had this constant dragging sensation and air trapping that was embarrassing. Pelvic floor exercises didn't help because the tissue was actually torn. Dr. Dina repaired the muscle separation and the difference was immediate."

Perineal body reconstruction · General anaesthetic · Bowel/bladder support improved

👩
Early forties · Riyadh Revision repair
★★★★★
💎 Second Opinion / Revision
"I'd had a repair after my first baby that healed badly. I was nervous about a revision, but Dr. Dina's experience put me at ease. She corrected what the first surgeon missed, and the healing was actually easier than the original delivery."

Revision perineoplasty · Complex scar tissue · Final result at 8 weeks

⚠️ Individual results may vary based on anatomy and medical condition. All procedures are performed under the supervision of Dr. Dina Rezk, Aesthetic Gynaecologist, licensed by the Saudi Commission for Health Specialties.

Book Your Perineoplasty Consultation in Riyadh

Ready to restore perineal comfort, function, and confidence? Schedule a private, obligation-free consultation with Dr. Dina Rezk. Written quote provided. Complete discretion guaranteed.

📍 Riyadh, Saudi Arabia ⏱ 45–60 minute day-case procedure 🔒 Complete confidentiality guaranteed
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Evidence Base

Medical References

  1. American College of Obstetricians and Gynecologists. (2023). Vaginal Rejuvenation and Cosmetic Vaginal Procedures: Committee Opinion.
  2. Furnas HJ, Canales FL. Vaginoplasty and Perineoplasty. Plast Reconstr Surg Glob Open. 2017;5(11):e1558.
  3. Ulubay M, Keskin U, Fidan U, et al. Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina. Biomed Res Int. 2016;2016:2495105.
  4. Swieten ECAMV, Stralen KJV, Vollebregt A, Roovers JWR. Opinions of Gynecologists About Indication and Technique of Perineoplasty. J Clin Med. 2024;13(24):7536.
  5. Kojima M, Miyake T, Tani S, et al. Perineoplasty for anal incontinence after obstetric anal sphincter injury repair: a case report. Surg Case Rep. 2024;10(1):116.

📍 Clinic Locations — Al Olaya & Izdihar District, Riyadh

Dr. Dina Rezk's aesthetic gynecology clinic has two locations in Riyadh, Saudi Arabia: Al Olaya district and Izdihar district (Uthman Ibn Affan Rd.) — easily accessible from all parts of the city. The clinic provides a completely private, comfortable environment for all aesthetic gynecology treatments in Riyadh.