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BEYOND TUMMY TUCK

health bodyThis is definitely a “below the belt” discussion. A small area of the body, is generating a great many questions.

The Mons Pubis, the section of tissue that rests on top of the pubic bone.

Most of you may never notice, or be troubled by this area. But many women are. (And, although there are basic differences, men too experience noticeable, and bothersome fat storage, and sagging skin in the same region, surrounding the genital area.)

MONS PUBIS – PROTRUDING AND SAGGING

Those are the main complaints. A patient will express concern about excess fat over the Mons, which causes the area to protrude. Women often complain that it affects the type of clothing they wear, because of a visible bulge in form-fitting garments, bathing suits, and even underwear.

It is also not the most responsive area to fat loss through diet and exercise.

CAUSES

  • Excess fat in the Mons Pubis area may be due to simple weight gain, hormonal factors, and even genetic disposition.
  • Weight Loss: Weight loss (extreme or otherwise), may contribute as well. The loss of fat may leave loose, and sagging skin.
  • Surgery: Many women who have had C-sections to deliver their children, note that following the surgery, the pubic area appears to “stick out” more. The remaining scar may accentuate the problem. [The C-section scar itself remains tight to the underlying fascia, while the skin and surrounding tissue below the scar line (over the pubic bone), do not.
  • Skin Laxity: Elasticity of the skin is also a factor. Looser skin may be part of your genetic makeup, a byproduct of pregnancy or weight loss, or, a natural result of aging.

The good news in this discussion, is that the problem is not normally a medical or health concern. That doesn’t mean it isn’t troubling, and real.

WHAT TO DO?

There are a couple of approaches, including Liposuction on its own, or a combination of Liposuction with another surgery, (Monsplasty, Mons Pubis Reduction).

WON’T A TUMMY TUCK JUST SOLVE THE PROBLEM?

Unfortunately, no. A Tummy Tuck (Abdominoplasty), tightens the skin and muscle of the abdomen, not necessarily the super-pubic region.

Very often, Liposuction is performed along with a Tummy Tuck. If you’re having a Tummy Tuck with Liposuction, you and your plastic surgeon will decide- prior to surgery- which areas will be liposuctioned (stomach, flanks, buttocks, etc.)

What often happens is- a patient will not note the excess fat in the pubic region, until seeing the results of the Tummy Tuck. Often, your doctor will tell you ahead of time, that this may become a concern. (The last thing your doctor wants is for you to come back after the beautiful results of your tummy tuck, and then say; “ but what’s This?”)

During your consultations, you should discuss your concerns about what lies beyond the bounds of the Tummy Tuck.

LIPOSUCTION

Liposuction alone, is frequently used to remove excess fat in the Mons Pubis, and often will produce the patient’s desired result. As we described above, liposuction of this additional area can be performed at the same time as a Tummy Tuck, as well as liposuction of other areas, if the patient wishes.

MONSPLASTY / MONS REDUCTION SURGERY

This is a surgery to reduce and remove loose, hanging skin in the Mons region. Depending on the individual case, there will be some scarring, either vertical, horizontal, or in some instances, both.

A mons reduction surgery can be, and often is performed along with liposuction of the area.

THINGS TO KNOW

Some plusses and minuses: As we said, liposuction alone can often solve the problem.

But, the Liposuction surgical procedure, while producing minimal scarring, may not resolve the issue. Remember, it’s fat removal, and some residual skin tightening. If your skin and tissue are loose and hanging, liposuction will not address those factors, and once the fat is removed, may even cause the loose, hanging skin to be more noticeable.

Monsplasty, or Mons Reduction Surgery, as described above, produces more scarring than liposuction. While it is possible to perform a mons reduction at the same time as a tummy tuck, and liposuction, it’s best to take your doctor’s advice on this before insisting on having all at once.  It might be better in some cases, in terms of healing time and risk of infection, to have these procedures in separate stages.

[A Board-Certified, Stanford-trained Plastic Surgeon, Dr. Vincent Lepore performs Vaginal Rejuvenation procedures, including Labiaplasty and Monsplasty in San Jose – in addition to a wide range of Cosmetic and Reconstructive Plastic Surgery. Please call our office with your questions, or to arrange a consultation with Dr. Lepore. 408-356-4241.]

 

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