The mons pubis, the fatty area located above the pubic bone, can become more pronounced due to weight gain, pregnancy-related changes, or the natural aging process. An enlarged mons pubis can cause physical discomfort, especially in fitted clothing, swimwear, or during exercise and intimacy. Many women also struggle with self-consciousness about the way the area looks. Mons pubis reduction, sometimes casually referred to as addressing a “FUPA,” is a cosmetic procedure designed to create a slimmer, smoother, and more proportionate appearance of the pubic region.
Understanding the Mons Pubis
The mons pubis is a naturally semi-fatty region located just above the pubic bone. It is composed mainly of fat and, in some cases, lax skin. The mons pubis protects the delicate female anatomy during intercourse. With normal aging, this upper vaginal region enlarges and can change the way clothing fits and appears on the body. Weight gain and pregnancy also can cause the mons pubis to excessively sag, affecting functionality and self-confidence during intimacy.
Reasons for Considering Mons Pubis Reduction
An overly prominent mons pubis can lead to physical discomfort and self-consciousness, especially when wearing slim-fitting clothing such as yoga pants. Women commonly report that the mons area appears especially fuller and more pronounced following a C-section or tummy tuck procedure. This may be aggravated by weight gain. In some instances, the mons may even sag, obscuring the vaginal area.
If you’ve always felt self-conscious about the size or shape of your pubic mound, you’re unhappy with changes in your mons following pregnancy or a fluctuation in weight, or your mons seems more noticeable after getting other body contouring procedures, you may be a candidate for mons pubis surgery.
Goals of Mons Pubis Reduction
The primary goal of mons pubis reduction is to reduce excess fat and, when needed, tighten loose skin and supportive tissue. The procedure aims to slim down a prominent mons pubis for a smoother, more discreet appearance. Mons pubis surgery helps reduce the mons, often though the use of liposuction alone. It’s important to realize that mons pubis surgery will only improve the cosmetic appearance of your pubic area and will not have any impact on sexual function.
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Types of Mons Pubis Reduction Procedures
Liposuction
Liposuction of the mons pubis is a minimally invasive procedure in which the fat is suctioned from the mons pubis area, making it flatter and less prominent. Liposuction removes excess fullness to reduce projection and size. At The Centre for Cosmetic Surgery, Dr. Abdollah Malek uses tumescent liposuction, SmartLipo, Bodytite, or Vaser Liposuction to reduce the mons pubis through tiny incisions. Sometimes with liposuction alone, the mons area can improve drastically.
During the lipo procedure, a plastic surgeon makes small incisions in and around the pubic hair area and uses a small cannula (thin tube) to suction out mons pubis fat. Either SmartLipo or tumescent lipo are used. Incisions are frequently made in the same area as tummy tuck lift incisions - right at the top of the pubic hair or where the top elastic of the underwear usually sits.
Usually, liposuction is sufficient to contour the mons in those women who have good skin tone and elasticity.
Monsplasty (Mons Lift)
Besides the development of excess fat, the skin and supportive structure of the mons may take on a lax, saggy look, often as part of the natural aging process. A mons lift, or Monsplasty with reduction and suspension, can restore a tighter, more youthful appearance to the mons. A full monsplasty takes this correction one step further by including the surgical removal of excess skin and tissue in addition to eliminating fatty deposits via lipo. Skin removal with a small horizontal incision in the bikini area lifts the sagging mons pubis. Combining liposuction and skin tightening corrects a deformity involving both fat and skin.
In those patients with skin laxity or visible sagging through the mons, Dr. Placik may recommend a monsplasty or mons lift for better results.
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Aviva by Inmode
Aviva by Inmode can also be used to improve the mons area. Aviva is a state-of-the-art small contraction device delivering functional and cosmetic benefits to external delicate tissues. Depending on the grade of laxity and excess tissue, The Centre for Cosmetic Surgery has many minimally invasive options to help reduce the appearance of heavy a mons pubis area.
The Monsplasty Procedure
This surgical procedure depends on the patient’s anatomy. In some cases, liposuction alone can treat FUPA. Some patients may need skin removal in combination with liposuction if there is excess skin.
During most monsplasties, you’re sedated (put under) with general anesthesia so you aren’t awake and won’t feel any pain. In some cases, your healthcare provider uses local anesthesia and an oral sedative. Local anesthesia numbs only your mons pubis and the surrounding areas. An oral sedative helps you relax to the point where you’re asleep but can be easily aroused or awakened.
Once you’re asleep or sedated, your surgeon will use a sharp, thin knife (scalpel) to make a horizontal incision across your mons pubis. Your surgeon will then use a scalpel or surgical scissors to cut off excess fatty tissue and skin. They’ll then use internal sutures to tighten and shape your muscles and other tissues.
Finally, your surgeon may place small silicone tubes in your mons pubis to drain any blood or fluid. They’ll stitch the tubes into place and stitch the incision closed.
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What to Expect During Surgery and Recovery
Typically, mons pubis surgery is performed on an outpatient basis, so you can plan to head home the same day as your appointment. The choice of local or general anesthesia will depend on whether additional surgeries are performed at the same time as well as Dr. Placik’s recommendation.
Mons pubis surgery is not difficult in the technical sense, so the surgery should only take about an hour unless performed in combination with additional procedures. After your surgery, you can expect to feel a little sore and will notice some swelling and bruising at first, but most patients can return back to work within the first week. You should have a good idea of how your final results will look in about 4 to 6 weeks.
Most patients notice only minimal soreness and swelling following surgery and can return to work and their normal daily routine in less than a week.
Recovery After Monsplasty
After a monsplasty is complete, your healthcare provider will cover your incisions with bandages. They may also wrap the area with an elastic bandage or compression garment to help minimize swelling and support your mons pubis as it heals.
After receiving monsplasty Chesterfield patients can drive, work, and walk as much as they want the next day but refrain from aggressive activities for several weeks until the healing process is further along.
We recommend compression to help control the swelling and keep the area comfortable. The swelling is gone within a few weeks. No drains are needed, and any stitches placed would be dissolvable.
Potential Risks and Complications
The risks associated with mons pubis surgery are very minimal and are similar to the side effects that are associated with liposuction in general, like bleeding, swelling, and bruising. More serious issues such as skin laxity and contour irregularities are possible, but rare.
Alternatives to Monsplasty
Alternatives to monsplasty include Coolsculpting or Lipodissolve. Coolsculpting is a freezing device that treats fat. However, it is imprecise, costly, has minimal results (many patients are unsatisfied), and some patients experience a rebound swelling of the treated areas. With non-surgical devices, the fat is destroyed and left where it is with the hope that the body will dispel the discharge. Lipodissolve does not guarantee significant improvement, and there would be minimal to no results.
Finding a Qualified Surgeon
It is essential to choose a board-certified plastic surgeon who specializes in mons pubis surgery and has experience with a full range of additional female genital rejuvenation procedures.
Cost of Mons Pubis Surgery
Since there are a few different approaches Dr. Placik can take during your surgery, the costs will vary from patient to patient. The total will depend on several factors, like whether a full monsplasty or simply liposuction will be performed, and includes not only Dr. Placik’s surgical fee but also the cost of the surgical facility and payment for the anesthesiologist.
The cost for FUPA reduction surgery usually falls within this range, however you will receive an exact cost when you meet with Dr. Gurley.$11,000 +
Consultation and Candidacy
Candidates for mons pubis surgery include those who have always felt self-conscious about the size or shape of their pubic mound, are unhappy with changes in their mons following pregnancy or a fluctuation in weight, or whose mons seems more noticeable after getting other body contouring procedures. It’s important to realize that mons pubis surgery will only improve the cosmetic appearance of your pubic area and will not have any impact on sexual function.
At your initial consultation, Dr. Placik will give you a full examination before sitting down to discuss your options. Usually, liposuction is sufficient to contour the mons in those women who have good skin tone and elasticity. In those patients with skin laxity or visible sagging through the mons, Dr. Placik may recommend a monsplasty or mons lift for better results.
Before your monsplasty, you’ll meet with your healthcare provider. They’ll evaluate your general health, including any pre-existing health conditions or risk factors, and discuss your expectations with the procedure. Tell them about any previous surgeries you’ve had, as well as any prescription or over-the-counter (OTC) medications that you’re taking, including herbal supplements. Aspirin, anti-inflammatory drugs and certain herbal supplements can increase your risk of bleeding.
Your healthcare provider will then examine your mons pubis while you’re standing. They can see how your skin and fatty tissue look on your body and how gravity affects the area from a standing position. They’ll use a marker to mark the area. The marks help your healthcare provider plan the procedure, including guiding cuts (incisions), creating an even shape (symmetry) and concealing or minimizing scars.
Your healthcare provider may take photographs of your body from the front and the side (profile) for your medical record.
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