Steve S. Kim, MD, PhD

The mons pubis appearing enlarged after a tummy tuck can be due to a variety of reasons. Swelling at the mons may take longer than the rest of the abdomen to resolve as this is the most dependent (bottom-most) part of the surgical field. Gravity pulls fluid downwards. If it does not resolve with time (3-4 months), then one must consider excess persistent excess fat. 

Prior to the tummy tuck procedure, one may not have noticed the amount of fat present at the mons pubis, as the amount of fat and skin just above the mons may have obscured this or it blended in well with the excess fat and skin present above the mons.

As the excess skin and fat is removed, the thinner upper abdominal skin (from above the umbilicus) is brought down, there may be a step-off deformity at the new abdominal skin-mons junction. This is usually addressed during the tummy tuck surgery by either by removing the excess fat present at the mons pubis by either direct excision or liposuction.

If the problem persists beyond 3-4 months, you may want to consider reduction of the the mons pubis by liposuction. If there is excess skin at the mons pubis then reduction by direct excision is recommended.