Perineoplasty at Oshun is performed by Dr. Charles Rockhead — a surgical procedure that repairs and tightens the perineum (the area between the vaginal opening and the anus), typically after childbirth or for vaginal laxity. Often performed together with vaginoplasty.
No obligation · Every consultation is in-person with Dr. Rockhead.
Perineoplasty at a glance
Dr. Rockhead
Performs your procedure personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
Kingston
Clinic or accredited surgical centre
No obligation
You decide after the consultation
WhatsApp
Questions answered privately
Every visit, without exception
Four things that are true of every visit
Care by an OB/GYN
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
30 years caring for women
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Perineoplasty plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Written plan first
Every Perineoplasty patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Conservative, considered
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Treatment Details
Every fact about your first visit, in plain language.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Last clinically reviewed: · Medical reviewer: Dr. Charles Rockhead, Medical Director, Oshun Cosmetic Services
01Perineoplasty 101
The procedure itself.
Perineoplasty is a surgical procedure that repairs and reshapes the perineum (the area between the vaginal opening and the anus). It is performed to repair stretching, scarring, or laxity from childbirth and to restore comfortable function and appearance.
How long it's been around
Perineal repair is a standard part of postpartum gynaecology and has been adapted for elective cosmetic-functional restoration when initial healing leaves residual concerns.
What we treat with it
Perineal laxity, scarring from prior episiotomy or tear, gaping vaginal introitus, and discomfort during intercourse attributable to the perineum. Often combined with vaginoplasty.
The honest version
Why perineoplasty sometimes disappoints.
Perineoplasty disappoints when the underlying concern was vaginal-canal laxity (which perineoplasty alone doesn't address) or when patients still planning vaginal deliveries undergo it prematurely.
Perineoplasty addresses the perineal floor; vaginoplasty addresses the vaginal canal. Patients whose primary symptom is perceived vaginal looseness are usually better served by combined vaginoplasty-plus-perineoplasty than by perineoplasty alone. Diagnosing which structures are contributing is the main job of the consultation.
The other consideration is timing relative to future pregnancies. As with vaginoplasty, vaginal delivery after perineoplasty can undo the repair. The procedure is typically deferred until childbearing is complete.
At Oshun, we don't run that model. Perineoplasty here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
02Medical Leadership
The same physician, from first question to final follow-up.
Every perineoplasty at Oshun is performed by Dr. Rockhead personally. As a board-certified OB/GYN, he has performed perineal repair routinely throughout his career — the elective cosmetic-functional variant builds on that foundation.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Dr. Charles Rockhead
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Perineoplasty visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
i.
Consultation
Before any Perineoplasty is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
ii.
Preparation
Stop blood thinners 7–10 days before where medically safe. No sexual activity or douching for 1 week before. Pre-op labs and medical clearance.
iii.
The perineoplasty procedure
Under anaesthesia, Dr. Rockhead excises redundant perineal skin and approximates the underlying perineal body musculature. Closure is in layers with absorbable sutures. When combined with vaginoplasty, both procedures are performed in sequence in the same operative session. Takes 45–90 minutes.
iv.
Recovery & follow-up
Ice packs for 48 hours. Prescribed analgesics, antiseptic regimen, and stool softeners. Avoid sexual activity for 6 weeks. Wound check at 1 week, healing at 2–3 weeks, clearance at 6 weeks, final outcome at 3 months.
How much you'll need
Single surgical session. Often combined with vaginoplasty in the same operative day.
Will it hurt?
Performed under regional or general anaesthesia when combined with vaginoplasty, or local anaesthesia with sedation when standalone.
How long the visit takes
Plan for about 45–90 minutes for the procedure; total surgical day 3–5 hours.
Time off after
Plan for 5–7 days off work. Avoid sexual activity, tampons, swimming, and strenuous exercise for 6 weeks.
04Results & aftercare
Recovery and follow-up.
Initial shape visible immediately. Healing complete by 6 weeks; final result at 3 months.
The days before your visit
Stop blood thinners 7–10 days before where medically safe. No sexual activity or douching for 1 week before. Pre-op labs and medical clearance.
Right after your visit
Ice packs for 48 hours. Prescribed analgesics, antiseptic regimen, and stool softeners. Avoid sexual activity for 6 weeks.
Two-week follow-up
Wound check at 1 week, healing at 2–3 weeks, clearance at 6 weeks, final outcome at 3 months.
05Is Perineoplasty right for you
Who gets the most out of Perineoplasty at Oshun.
Who should not have Perineoplasty
Active genital infection, bleeding disorders, pregnancy, plans for further vaginal deliveries in the near term, body dysmorphic disorder.
Perineoplasty isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
Post-vaginal-delivery
Repair after one or more vaginal deliveries
The most common indication: women who finished childbearing and notice a gaping introitus, perineal scarring, or perineal laxity since vaginal delivery.
Episiotomy-scar repair
Discomfort from prior episiotomy scar
Patients with painful or tender prior episiotomy scars can have the scar revised as part of perineoplasty.
Combined cosmetic gynaecology
Combined with vaginoplasty
Vaginoplasty plus perineoplasty in the same operative session is the most comprehensive single-session intervention for post-childbirth changes.
Dyspareunia
Painful intercourse from perineal scarring
Patients with chronic painful intercourse attributable to perineal scarring sometimes find perineoplasty resolves the symptom when other approaches haven't.
06Logistics, cost & safety
Booking and pricing.
Consultation policy
Every Perineoplasty patient meets Dr. Rockhead in person at the 9 Devon Road clinic before any procedure is scheduled. (Virtual consultations are not currently offered.)
Where treatments happen
Perineoplasty is performed at an accredited ambulatory surgical centre when combined with vaginoplasty, or in the Oshun procedure room for standalone local-anaesthesia cases.
What it costs
Priced based on whether standalone or combined with vaginoplasty. Written quote at consultation lists all components.
How to pay
Cash, debit, credit card, or approved financing.
Insurance
Cosmetic perineoplasty is not covered. Documented functional indications may qualify for partial coverage.
If this sounds right
The next step is a conversation, not a commitment.
Every Perineoplasty patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
The honest answers
Nine questions every nervous first-timer asks.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
What's the difference between perineoplasty and vaginoplasty?
Perineoplasty repairs the perineum. Vaginoplasty tightens the vaginal canal itself. They are often combined.
Can perineoplasty be done right after childbirth?
Many women do not need perineoplasty after childbirth — the body heals adequately. Elective perineoplasty is reserved for those with residual concerns once initial healing is complete (usually 6–12 months postpartum).
Will perineoplasty affect future pregnancies?
Vaginal delivery after perineoplasty can undo the repair. Typically deferred until childbearing is complete; Caesarean is the usual recommendation if pregnancy occurs after.
How long is recovery after perineoplasty?
5–7 days off work, no sexual activity / tampons / swimming for 6 weeks, full healing by 3 months.
Is perineoplasty painful?
Painless under anaesthesia. Post-operative discomfort moderate for the first few days, managed with prescribed analgesics. Ice packs and stool softeners support comfortable healing.
Can perineoplasty fix episiotomy scarring?
Yes — painful or tender prior episiotomy scars can be revised as part of perineoplasty.
Cosmetic perineoplasty is not covered. Documented functional indications may qualify for partial coverage.
How do I book a perineoplasty consultation at Oshun?
Booking is a two-step process: a private consultation first with examination and discussion of combined options, then surgery scheduling. WhatsApp (876) 676-6297.
Patient Stories
Real stories, on the record. Coming soon.
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Perineoplasty is often part of a broader post-childbirth repair plan. The consultation is where the contributing structures get identified, the right combination of procedures gets chosen, and the recovery plan gets written.
