Perineal Aesthetics

Anal Skin Tag Removal &
Perineal Smoothing

Focused perianal excision performed in Charlotte, NC by a double board-certified urogynecologist — supporting a refined, natural perineal contour.

A Common Concern,
Rarely Discussed

Anal skin tag removal in Charlotte, NC is performed by Dr. Kevin Stepp, MD, FACOG, URPS at Advanced Pelvic Surgery and Urogynecology of Charlotte.

Anal skin tags — also called perianal skin tags, hemorrhoid tags, or fibroepithelial polyps — are benign, soft protrusions of redundant skin at the perianal margin. They are common sequelae of prior hemorrhoidal disease, childbirth trauma, or chronic inflammation. They are typically non-pathological, but can cause hygiene difficulty, friction irritation, or aesthetic irregularity at the perineum.

Many women who present for consultation have already been told by an OB/GYN that these tags are normal remnants from childbirth or prior hemorrhoids, and that they are not a medical problem. That assessment is often clinically accurate — but it does not mean removal is unavailable or inadvisable for patients who wish to address them.

The "Smooth Bridge" Concept

Dr. Stepp approaches perineal anatomy structurally. The skin connecting the vaginal opening to the anus — the perineum — ideally forms a smooth, uninterrupted bridge. When tags or redundant folds disrupt this contour, the result can be hygiene difficulty, friction, and aesthetic irregularity. Removal targets the specific area of disruption, supporting a smoother transition between these structures.

Patient Motivations

Why Choose Removal?

The Hygiene Factor

Tags and extra folds can trap moisture and make thorough cleaning difficult. Removal can support a smoother anatomical contour, making daily hygiene easier and reducing persistent irritation.

Friction-Free Comfort

Tags can snag on undergarments or become irritated during exercise, cycling, or intimacy. Smoothing the area can help alleviate this physical distraction.

Completing the Restoration

If you are undergoing a labiaplasty or vaginoplasty to refine your anatomy, addressing the adjacent perineal area provides a more cohesive aesthetic result.

The Procedure:
Direct & Controlled

The actual removal is efficient, typically taking less than 30 minutes. Using precise energy modalities (Laser or Radiofrequency), Dr. Stepp excises the redundant tissue, carefully smoothing the skin's surface.

This procedure does not require general anesthesia. It can be performed in the office under local anesthesia. When combined with other aesthetic cases — such as a Perineoplasty — it allows for a single, consolidated recovery period.

Managing Recovery

The area is naturally sensitive. For the first few days, you can expect a sharp stinging sensation (similar to a paper cut) when cleaning the area.

Recovery focuses on keeping the area clean using a gentle spray bottle or bidet, utilizing soothing sitz baths, and strictly avoiding straining with constipation. This regimen supports the healing process for a smoother contour.

Why Choose a Urogynecologist?

This area requires a surgeon with detailed knowledge of perineal and perianal anatomy.

Safety is Paramount. The perineum and the front of the anus are rich with sensitive nerve endings and sit immediately adjacent to the sphincter muscles. Excision in this region requires clear knowledge of where the safe surgical boundaries are — knowledge that comes from subspecialty training.

Dr. Kevin Stepp, MD, FACOG, URPS is double board-certified in Urogynecology and OB/GYN, with dual-fellowship training from Cleveland Clinic in both Urogynecologic Reconstructive Surgery and Minimally Invasive Gynecologic Surgery. He is one of fewer than 10 surgeons in the United States who holds dual-fellowship training in both subspecialties. That depth of training gives him detailed familiarity with the anatomy involved in perineal and perianal procedures.

This procedure is frequently performed in combination with Perineoplasty, Labiaplasty, or Vaginoplasty, allowing a single, consolidated recovery period and a cohesive aesthetic result across the full perineal anatomy.

Perineal Refinement

A Correctable Anatomical Detail.

Discuss this during your private consultation at Advanced Pelvic Surgery and Urogynecology of Charlotte. Consider whether anatomically grounded perineal refinement fits your goals.

Schedule a Consultation