Abdominoplasty with Pubic Lift.
This healthy mom of 3 had a tummy tuck and pubic lift.
Pubic lift or monsplasty is a procedure designed to reduce bulging of the mons by lifting and tightening the skin. The mons pubis can become enlarged from aging, pregnancy, or weight fluctuations. It is often combined with Tummy Tuck or with liposuction of the mons.
Some women struggle with a bulge of excess skin and fat in the mons, the upper part of the hair-bearing part of their vagina. The bulge can be noticeable in clothing or cause discomfort from rubbing and friction. A pubic lift removes, tightens, and lifts excess skin in the mons pubis area. It is often performed with abdominoplasty that tightens and removes excess skin of the abdomen resulting in a tight and uniform appearance of the entire front of the body. If there is excess fat in the mons pubis area, liposuction can be performed to remove the fat and thin the tissues in this area prior to tightening it.
Whenever I do a consultation for any body procedure – abdominoplasty or liposuction, it is important to assess and discuss this area. Too often I have seen a patient who had an abdominoplasty elsewhere and their stomach was tight and flat, but they forgot to address the mons which is hanging off their tight abdomen. As this area is connected to the lower abdomen, it is important to contour the mons when doing the abdomen if there is excess fat there too so there is a natural flow and contour to all areas of the body.
The pubic lift involves making an incision at the lower abdomen, lifting the tissues under the hair-bearing part of the mons, and removing any excess skin. Since this procedure is usually performed at the same time as an abdominoplasty, the abdominoplasty incision is used. It does not add any additional pain or recovery to that surgery. If I am doing a pubic lift on a patient who previously had a tummy tuck, I will often use their old incision or perform a scar revision and use the new incision.
If only a pubic lift is being performed, on rare occasions local anesthesia may be used. However, for your comfort and safety, the pubic lift is usually performed under general anesthesia especially when combined with a tummy tuck. The surgery usually takes about 1 hour depending on complexity and how much skin you need to be removed or if any additional procedures are done at the same time. If the pubic lift is combined with liposuction I will do the liposuction of the mons first. Then I will make a low curved incision that is where an abdominoplasty incision is made. If you are doing a pubic lift as part of a scar revision we will mark the new scar together in the pre-op area. I encourage my patients to bring underwear or a bikini bottom they like to wear so I can try to hide the incision under it.
The skin and fat are then lifted off the abdominal wall and then the mons tissues are pulled up and the deep tissues secured with sutures. I also have several other technical details that I perform to create a natural-looking contour and a thin, nearly invisible low scar. I believe it is important to create the best possible result and incision without any bunching, irregularities or step-offs. I take extreme pride in my attention to detail with every single step of this surgery.
I have developed a gentle technique that has minimal pain and a quick recovery. After your Pubic Lift in Beverly Hills, your mons will feel tight but should not be painful. If you do have discomfort, Tylenol is usually all that’s needed. I will give you a prescription for a few pain pills to have in case you need them but they are usually not necessary. I encourage patients to stick to Tylenol instead of the prescription pain medication since those pills often create constipation and bloating.
Because of gravity and the mons being the most gravity-dependent area, there is usually some swelling of the tissues for a few weeks after surgery. It will take a few months to see the final result. You will wear a compression garment to support your mons for 6-8 weeks after surgery. This is something we will measure and provide for you. Most of my patients feel almost back to normal at around 1 week after their pubic lift surgery. Recovery takes about a week, with physical activity restrictions for four to six weeks, depending on the extensiveness of the procedure. If skin is removed, a drain may be placed, with removal typically scheduled within the first few days.
This procedure results in a flatter and tighter mons pubis that projects less in clothing. For patients that felt a bulge in this area with clothing, this surgery makes a significant improvement in their quality of life.
This healthy mom of 3 had a tummy tuck and pubic lift.
This is an otherwise healthy woman. She has had a pregnancy and as a result, had excess skin of her abdomen and also loosening of her abdominal wall.
This woman lost a significant amount of weight and had a lot of excess skin and loosening of her abdominal wall. She had a tummy tuck and pubic lift
This healthy mom of 3 had a tummy tuck and pubic lift.
This is an otherwise healthy woman. She has had a pregnancy and as a result, had excess skin of her abdomen and also loosening of her abdominal wall.
This woman lost a significant amount of weight and had a lot of excess skin and loosening of her abdominal wall. She had a tummy tuck and pubic lift