Congratulations on your successful weight loss. For some weight loss patients, the mons, or pubic, region can remain enlarged with residual fat deposits and can also have significant sagging. Although most patients are frustrated with their overly enlarged or sagging mons pubis region and may not like to talk about it because they could be embarrassed about the problem, this concern is more common than you might think.

The mons pubis, or pubic region, is the region in front of the pubic bone and generally refers to the hair-bearing region around the external genitalia. Similar to other areas where you may have gained weight, this area is not immune to excess fat deposits. Unfortunately, once these localized deposits of stubborn fat develop in the region, it may be difficult, if not impossible, to eliminate it through diet and exercise alone.

In addition, major weight loss and the natural aging process can cause the skin to lose its elasticity. When this happens, the skin can no longer “bounce back” after it has been stretched out. This can lead to sagging skin throughout the mons pubis, which may eventually hang off the body in rolls or folds. This excess skin can conceal the external genitalia and also potentially make hygiene maintenance problematic.

A Real Concern

Individuals with an overly pronounced or drooping mons pubis may feel self-conscious about this area of their body. They may have low self-esteem or suffer from a lack of libido as a direct result of the appearance of their mons region. Often, plastic or cosmetic surgeons that are not experienced with treating after-weight loss plastic surgery patients fail to address this concern adequately during a body contouring plastic surgery consultation. This inadequate acknowledgement simply compounds the problem and the individual’s concern about the issue. Furthermore, failure of the surgeon to acknowledge and treat this area adequately will lead to a sub-optimal result leaving the patient unhappy.

A Solution

You will experience the warmth and compassion of Dr. Michaels and you will feel treated as if you were one of his family members.

Thankfully, Dr. Michaels performs mons rejuvenation cosmetic surgery to correct this aesthetic concern. As a fellowship-trained specialist in post weight loss plastic surgery, the Maryland / Northern Virginia body lift surgeon has extensive experience in contouring this area of the body. Dr. Michaels understands that this region is critical to giving you the optimal contour as well as helping you feel better about yourself. During your consultation, Dr. Michaels will listen to your aesthetic concerns and evaluate your anatomical needs before developing a tailored body contouring treatment plan that will help you achieve your surgical objectives.

Mons Rejuvenation

If you have good skin elasticity and your mons pubis is overly pronounced solely due to the excess fat that has accumulated in the region, liposuction alone may be a suitable option to treat the problem. However, if you suffer from poor skin elasticity and are suffering from loose, sagging skin throughout the mons pubis, you may require pubic lift body contouring plastic surgery to rejuvenate the area.

During your consultation, Dr. Michaels will discuss which procedures will allow you to achieve your optimal aesthetic result throughout this region.

Dr. Michaels includes a mons lift, or pubic lift, as a standard component of his tummy tuck (abdominoplasty) and body lift procedures. This procedure can also be performed by itself, and this is most common in patients that saw another physician that failed to correct this region during a previous surgery. In addition, some female patients complain about the width of their mons region (labia majora) or the size and appearance of their labia minora. The width of the mons pubis, or, more specifically, the labia majora, can be corrected by performing a labia majora reduction. Elongated labia minora can cause discomfort during exercise and / or intercourse and can be a source of embarrassment for some patients. A labiaplasty can correct this protrusion by removing this extra tissue.

Before & After Photos

The Procedure

The specifics of mons rejuvenation surgery, including the duration of surgery and the incision pattern, differ by person, and depend on the anatomic cause of the aesthetic concern and whether other cosmetic surgery procedures, such as abdominoplasty or vaginal rejuvenation, are being performed at the same time. If performed as a standalone procedure, mons rejuvenation is performed on an outpatient basis under general anesthesia.

If liposuction is needed to correct the enlarged mons pubis, Dr. Michaels performs this procedure by injecting a tumescent fluid (a saline-based local anesthesia that minimizes bleeding and swelling in the treatment area) into the area. He then creates a very small incision through which he introduces a cannula (a thin, hollow tube), which he uses to suction out the unwanted fat.

If there is too much excess skin or sagging of the tissue, then formal pubic lift contouring surgery is required. The Maryland body lift surgeon creates an incision in the area before eliminating the excess skin. He tightens the underlying structures as needed and will suspend the mons tissue using internal stitches to hold the newly contoured tissues in place. Dr. Michaels then pulls the remaining skin taut, excising any excess tissue, closes the incision with dissolvable sutures and then dresses the treated area with bandages.

Quick Facts

Length

1-3 hours (depending on the extent of the procedure)

Anesthesia

General

In/outpatient

Usually outpatient

Side effects

Temporary swelling, bruising, tightness, and some pain

Risks

Pain, bleeding, infection, asymmetry, incomplete improvement, decreased sensation, painful intercourse

Recovery

1 week back at work. 2 weeks light exercise. 3 weeks more strenuous activity. 8-12 weeks for swelling to resolve.

Duration of results

Proper diet and exercise can prolong results

If you would like to learn more about mons rejuvenation, click here or call (301) 468-5991 in Bethesda, Maryland or (703) 957-8610 in Fairfax, Virginia to schedule a consultation.