The perineum or perineal body is the area between the vagina and the rectum. Episiotomies are cut in this region and this is where tears during childbirth are most common. The purpose of Perineoplasty (or Perineorrhaphy) is to make this region appear normal by cutting excess skin, loose skin tags, and suturing the underlying muscles closer together to give a feeling of snugness 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 as a surgery that will “Enhance Sexual Gratification. However, because only the first few centimeters or so of the vagina is addressed, many patients are disappointed. It is often advantageous to accompany Vaginoplasty with Perineoplasty to address the entire length of the vagina to yield a superior result. This procedure takes 30 minutes to perform.

Clitoral Hood Reduction 

The clitoris can often look enlarged or uneven because of excess skin on the sides of the clitori. Various causes can make visible changes in the way the clitoris looks. Things such as genetics, estrogen, and testosterone exposure. Even cosmetic surgery such as labiaplasty may result in the appearance of a relatively larger clitoral area since the excess labia have been removed drawing the eyes to the clitoral region. Dr. Matsuda offers clitoral hood reduction for women seeking to improve the aesthetic appearance of their genital area by excising the extra folds of skin lateral to the clitoris. The clitoris itself and its nerves are never touched. This is NOT clitoral mutilation or clitoral un-hooding. Clitoral Hood Reduction is done in the office under local anesthesia. The procedure takes 30 minutes to perform.