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other aesthetic & reconstructive surgeries

Perineoplasty (Perineorrhaphy)

The perineum or perineal body is the area between the vagina and the rectum. This is the region where episiotomies are cut and where tears during childbirth are most common. Perineoplasty (or Perineorrhaphy) aims to make this region appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles closer together to give a more snug feeling at the entrance and decreasing the size of the vaginal opening. Most plastic surgeons who perform Vaginoplasty surgery are actually performing Perineoplasty surgery, a more superficial procedure that does not tighten the entire depth of the vaginal canal. This procedure has been advertised by many to “Enhance Sexual Gratification. However, because only the first few centimeters or so of the vagina is addressed, many patients are disappointed. Dr. Mathews almost always accompanies Vaginoplasty with Perineoplasty to address the entire length of the vagina resulting in a superior result. This procedure takes 30 minutes to perform.

Clitoral Hood Reduction

Excess skin on the sides of the clitoris may cause the clitoris to appear large or uneven. Using precise surgical technique and specialized equipment used in neurosurgery (operating on the brain and nerves) which causes minimal tissue damage, the excess skin is removed from the sided of the clitoris avoiding the nerves. The clitoris itself and its nerves are never touched using this technique. It should be noted, THIS IS NOT clitoral mutilation or clitoral un-hooding. Clitoral Hood Reduction is done in the office under local anesthesia and takes about 30 minutes.


Cultural, religious or social reasons are what might call for a hymenoplasty. The torn hymen is pieced together using the tissue remnants, and pulled together so that the vagina will be again covered. Reconstruction of the hymen or hymen repair procedure takes about one hour and may be done in the office under local anesthesia.

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3108 Midway Road, Suite 200 & 210 | Plano Texas 75093 | 972-781-1444 copyright 2011. J. Kyle Mathews, MD., all rights reserved.