Perineoplasty in Wroclaw, Poland – Effective Treatment for Postpartum Concerns

Perineoplasty is a surgical procedure in operative gynecology aimed at restoring the normal anatomy and function of the perineum. For many women, it provides a real solution to problems that developed after natural childbirth and that affect daily comfort, intimate life, and overall wellbeing.
At Nowa Estetyka Medical Center in Wroclaw, perineoplasty is performed by Dr. Łukasz Bełza, offering comprehensive care to women who wish to regain comfort, function, and confidence in their bodies.

What Is Perineoplasty?

Perineoplasty is a surgical procedure involving reconstruction of the perineum and the vaginal entrance. Its purpose is not only aesthetic improvement, but above all restoration of proper anatomical conditions that may have been disrupted by childbirth, perineal tears, episiotomy, or improper tissue healing.
The procedure allows for:

• lifting and strengthening of the perineum,
• reduction of excessive vaginal opening width,
• improvement of tissue tone.

Perineoplasty is a medical procedure performed when anatomical changes genuinely affect a patient’s quality of life.

When Is Perineoplasty Recommended?

Changes in the perineal area most often occur after vaginal deliveries, although they may affect women many years postpartum. Symptoms are not always visibly obvious – often it is a gradually increasing sense of discomfort.

Common Indications for Perineoplasty

• lowered perineum after childbirth,
• sensation of a “loose” vaginal entrance,
• reduced sensation during intercourse,
• discomfort while walking, sitting, or exercising,
• recurrent intimate infections,
• vaginal dryness caused by excessive vaginal opening width,
• improperly healed perineal tears or episiotomy,
• subjective feeling that intimate areas “have not returned to their pre-pregnancy state.”

For many women, these concerns are difficult to articulate and even harder to discuss. It is important to emphasize that these are medical indications, not merely aesthetic concerns.

What Problems Does Surgical Perineoplasty Address?

Perineoplasty works on several levels simultaneously:

• restores proper tissue tension,
• reduces excessive vaginal opening width,
• improves comfort during intercourse,
• eliminates discomfort in everyday activities,
• may reduce the tendency toward infections if caused by anatomical abnormalities,
• restores a sense of control over one’s body.

For many patients, the procedure results not only in improved intimate function but also in a significant improvement in overall quality of life and self-confidence.

How Is Perineoplasty Performed at Nowa Estetyka?

At Nowa Estetyka Medical Center, perineoplasty is performed surgically using radiofrequency technology, allowing for highly precise tissue modeling.
The goals of the procedure include:

• lifting the perineum,
• reconstruction of tissues damaged during childbirth,
• restoration of pre-pregnancy anatomy,
• improvement of vaginal entrance function.

The use of radiofrequency enables precise cutting and coagulation, supporting optimal healing and minimizing tissue trauma.

Step-by-Step: The Perineoplasty Procedure

1. Medical Consultation (approx. 30–45 minutes)

During the consultation, Dr. Łukasz Bełza:

• conducts a detailed medical interview regarding childbirth history, symptoms, and expectations,
• assesses the degree of perineal descent and vaginal opening width,
• qualifies the patient for surgery or recommends alternative solutions,
• discusses expected results, recovery, and contraindications.

At this stage, the patient fully understands whether the procedure is appropriate and what concerns it will address.

2. Pre-Procedure Preparation (several days before)

Patients receive clear recommendations, including:

• completion of basic medical tests,
• temporary discontinuation of blood-thinning medications (if applicable),
• avoidance and reporting of intimate infections,
• planning for a few days of reduced physical activity after the procedure.

3. Anesthesia (without general anesthesia)

Perineoplasty at Nowa Estetyka is performed under local anesthesia. The treated area is effectively numbed, and the patient remains conscious without the need for general anesthesia.
Local anesthesia:

• ensures comfort during the procedure,
• eliminates pain in the treated area,
• allows the patient to return home the same day,
• does not require an anesthesiologist or hospitalization.

The patient may feel touch or mild tissue tension, but not pain.

4. Surgical Procedure (approx. 30–60 minutes)

During the surgery, Dr. Bełza:

• removes or reshapes excess tissue,
• reconstructs the perineum to restore its proper position,
• reduces excessive vaginal opening width,
• strengthens tissues responsible for perineal function.

The procedure is performed using radiofrequency for maximum precision and optimal healing.

5. Completion and Return Home

• Absorbable sutures are used and do not require removal.
• After a short observation period, the patient returns home the same day.
• Detailed post-operative instructions regarding hygiene, activity, and follow-up visits are provided.

6. Post-Procedure Period – What to Expect

• Mild swelling and a sensation of tightness may occur for several days,
• return to light daily activities is usually possible after a few days,
• complete healing and stabilization of results take approximately 4–6 weeks.

Results of Perineoplasty – What Can You Expect?

Functional results:

• improved perineal tension,
• greater comfort in everyday life,
• enhanced sensation during intercourse.

Intimate results:

• reduction of the “looseness” sensation,
• improved sexual satisfaction,
• greater self-confidence.

Aesthetic results:

• more harmonious appearance of intimate areas,
• correction of postpartum deformities.

The results are long-lasting, and their extent depends on individual anatomical conditions.

Recovery After Perineoplasty

Healing occurs gradually. Typically:

• light activity is possible after several days,
• full recovery takes approximately 4–6 weeks,
• intercourse and intense physical activity should be avoided for a specified period,
• strict adherence to medical recommendations and proper intimate hygiene are essential.

Safety and Contraindications

Perineoplasty is a safe procedure when performed after proper qualification; however, like any medical intervention, it carries potential risks.
Contraindications may include:

• active intimate infections,
• pregnancy,
• uncontrolled chronic diseases,
• blood clotting disorders.

Individual medical assessment is therefore essential.

Perineoplasty at Nowa Estetyka Medical Center – Wroclaw

At Nowa Estetyka, we prioritize:

• an individualized approach to every patient,
• thorough medical qualification,
• discretion and comfort,
• Dr. Łukasz Bełza’s expertise in operative and aesthetic gynecology.

This is not a “cosmetic correction” – it is real medical support for women seeking to restore comfort and function after childbirth.
Would you like to find out whether perineoplasty is the right solution for you?
Schedule a consultation with Dr. Łukasz Bełza at Nowa Estetyka Medical Center in Wroclaw for an individual assessment and treatment plan.
Phone registration: +48 796 464 006

For Patients Traveling from the United Kingdom

At Nowa Estetyka, patient comfort extends beyond the procedure itself. For women traveling from abroad — including London, Manchester, Bristol, Liverpool, Leeds, Newcastle upon Tyne, Bournemouth, Nottingham (East Midlands), Glasgow, and Edinburgh — Wroclaw offers convenient direct flight connections, making medical travel simple and efficient.
We have established a special collaboration with Element by Westin® Wrocław, located approximately 3 minutes on foot from our clinic. Our patients receive preferential accommodation conditions and access to numerous recovery-friendly amenities.
Benefits include:

• airport transfers arranged by the hotel,
• post-operative support such as cold packs,
• room service meal delivery and assistance with pharmacy purchases upon request,
• modern, functional rooms with a living area, bedroom, spa-inspired bathroom, and fully equipped kitchenette,
• accessible rooms for patients with disabilities,
• underground parking, outdoor spaces, and EV charging stations,
• business corner facilities for those combining treatment with work,
• high-quality regional cuisine, fitness center, bicycles, and pet-friendly options.

Element by Westin® is part of the prestigious Marriott International network, ensuring high standards of comfort and service.
If you are planning your visit to Nowa Estetyka, we will be happy to provide full details and assist in organizing your stay.
You can learn more about the accommodation option here:
Accommodation details for international patients
Payment in Euro or USD is available for international patients.

Frequently Asked Questions

Is perineoplasty painful?

The procedure is performed under local anesthesia. Moderate pain, tightness, or swelling may occur afterward and usually last a few days, controlled with pain medication.

What tests are required before perineoplasty?

Medical qualification and basic diagnostic tests are required to safely plan the procedure and exclude contraindications.
Most commonly ordered tests include:

• current gynecological examination,
• vaginal swab to exclude infection (any inflammation must be treated before surgery),
• cervical cytology if not performed within the last 12 months,
• blood tests, including complete blood count and coagulation parameters.

The scope of tests is always determined individually during consultation.

How long is recovery?

Initial healing takes about 2–3 weeks. Full recovery and tissue remodeling typically take 4–6 weeks.

When are results visible?

Initial functional improvement is noticeable after swelling subsides, usually after 2–3 weeks. Final results are visible after complete healing, around 4–6 weeks.

When can I resume intercourse?

Intercourse is recommended no earlier than 4–6 weeks, after full tissue healing and according to individual medical advice.

Are the results permanent?

Yes, results are long-lasting, provided there are no subsequent vaginal deliveries or other significant anatomical changes.

Is perineoplasty only aesthetic?

No. It is primarily a functional procedure aimed at improving anatomy, daily comfort, intimate quality of life, and reducing issues related to a lowered or loose perineum.

Can perineoplasty reduce recurrent infections?

If infections are caused by anatomical abnormalities and excessive vaginal opening width, the procedure may significantly reduce susceptibility to infections.

Will there be visible scars?

The scar is located within the perineal area and is usually barely visible. Absorbable sutures are used, and healing occurs gradually.

Does perineoplasty affect future childbirth?

The procedure does not exclude future pregnancy. However, a subsequent vaginal delivery may again affect perineal anatomy, which is discussed individually during consultation.