Thread lift of the perineum, also known as perineoplasty with threads, represents a minimally invasive procedure aimed at rejuvenating, tightening, and strengthening the tissues of the perineum. Specialists at the "Dobrobut" medical network use modern techniques of cosmetic gynecology and the latest equipment and materials to correct structural and functional disorders of tissues that may become stretched and weakened due to factors such as childbirth, aging, or trauma.

When Is Thread Lifting Necessary:

Perineoplasty is often necessary for those who experience discomfort, functional issues in the perineal area, or wish to improve the appearance of the intimate zone. Causes of problematic conditions in the perineal tissues may include:

• Stretching and weakening of tissues after natural childbirth.
• The aging process leads to a loss of elasticity and firmness in the tissues.
• Sexual dysfunction: discomfort or decreased sensitivity during sexual activity.
• Aesthetic considerations: the desire to restore a more youthful and firm appearance.

Indications and Contraindications for Thread Lifting:

Indications:

• Weakening or sagging of the perineal tissues after childbirth;
• Mild to moderate prolapse of the pelvic organs;
• Stretching of the vaginal walls;
• Reduced sensitivity of the perineum or vagina, widening of the vaginal opening, and other factors that may affect the quality of intimate life;
• Correction of cosmetic issues, such as wrinkles or sagging skin;
• Mild urinary incontinence that may improve with perineal lift.

Contraindications:

• Severe prolapse of the pelvic organs, which usually requires more extensive surgical intervention;
• Acute infections in the perineal area;
• Serious chronic diseases such as diabetes, cardiovascular conditions, and other states that may worsen healing;
• Blood clotting disorders;
• Pregnancy.

Preparation for Thread Lifting:

As part of preoperative preparation, a comprehensive assessment of the patient's health is conducted, including medical history, presence of chronic conditions, examination, pelvic floor muscle diagnostics, and additional studies.

During the consultation, the doctor and patient discuss expected results, the method of intervention, and the recovery period following perineoplasty, potential narrowing of the vagina, and other effects.

How the Perineoplasty Procedure Is Conducted:

The procedure is typically performed under local anesthesia or sedation and includes the following stages:

1. Anesthesia and preparation of the surgical area.
2. Marking the areas where the threads will be inserted for precision.
3. Thread insertion: Special medical threads (often PDO or other absorbable threads) are inserted into the perineal tissues using a needle or cannula. These threads provide a surgical lift and help tighten, support, and stimulate collagen production in the treated area.
4. Adjustment and fixation: The threads are adjusted to achieve the desired tension and lifting effect and then secured in place.
5. Outcome evaluation: Checking for symmetry and achieving the desired result before completing the procedure.

Rehabilitation Period:

Recovery after thread lifting of the perineum usually proceeds quickly and is accompanied by minimal discomfort. 

The patient needs to follow hygiene recommendations, refrain from intense physical activities, and use pain relief medications if necessary. It is important to monitor for signs of possible complications (bleeding, swelling, infection symptoms).

A follow-up visit to the doctor for examination and correction is mandatory.

Complications:

Perineoplasty is generally a safe procedure. Possible complications include:

• Infection at the thread insertion sites;
• Visibility of threads — they may become noticeable or protrude from the skin;
• Asymmetry — uneven lifting effects;
• Temporary bruising and swelling in the intervention area;
• Allergic reactions to thread materials.

Thread lift of the perineum is a minimally invasive procedure with aesthetic and functional benefits for patients experiencing tissue weakness, discomfort, or dissatisfaction with the appearance of this area. Proper patient selection, thorough preparation, and the surgeon's professional skills are crucial for achieving optimal results and minimizing the risk of complications.