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Are There Risks with Liposuction on the Pubic Mound?

I had a lower body lift done about 3 months ago and am not satisfied with the look of my mons area. It bulges and is much larger than I think is normal. What are the risks of liposuction to the mons area that I should consider before doing such a procedure?

Asked 37 months ago by lisa99 in florence, KY

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pubic risk

Liposuction of mons

The mons tends to remain swollen for a longer period of time than other areas. If your surgery was only 3 months ago, there is a good chance that significant swelling still exists. Every procedure has its risks, of course. Liposuction of the mons is a wonderful procedure if the problem is excess fat, not if there is excess skin or fibrous tissue, as is often the case in the mons area. Alternatives at the 6-month timepoint might include liposuction, direct excision of mons tissue with... more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Cosmetic Enhancement of the Female Mons Pubis

Women long to have a flat tummy -- and love the results of their new appearance -- whether after a tummy tuck or Body lift. If not recognized before the removal of the excess skin and fat of the abdomen, any "bulge" or laxity of the pubic region will become very evident after they have a beautiful, slender abdomen. One has to evaluate the region to determine if there is loose skin, extra fat, or both -- and treat the problem appropriately. Liposuction is very safe and can lead to... more

Richard Greco, MD

Savannah Plastic Surgeon

ASAPS ASPS

Mons Pubis Lipo

Odds are that you will need a combination of liposuction plus excision of excess skin to adequately lift and reduce the mons pubis. The risks of liposuction for the mons pubis really are no different than risks of liposuction anywhere else: scarring, infection, pain, asymmetry, unevenness, dimpling, seroma, and so on. You should discuss with your plastic surgeon how he/she plans on going about the procedure so that you understand where all potential scar may lie, and what the ideal... more

Nirav Savalia, MD

Orange County Plastic Surgeon

Liposuction risks

Great question Lisa - At my practice, we see many patients who have successfully lost significant amounts of weight. If you've already had a total body lift and are still unhappy with your contour, careful analysis needs to be made. The most central question is do you still have extra skin (and is the quality of that skin adequate in terms of elasticity) or do you have some fullness under the skin? This key distinction will determine whether liposuction or additional tissue excision will be... more

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Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Liposuction of Mons Pubis works well

The Mons Pubis is an area of the body that has long been ignored by plastic surgeons. Many PS do not address the Mons area during a TT and therefore it appears out of proportion after the procedure. You will probably need a surgical revision to restore the Mons to a more youthful appearance. This may or may not require skin/fat removal, consult your TT PS or a different BOARD CERTIFIED PLASTIC SURGEON if he/she is not comfortable in fixing the problem. more

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David Finkle, MD

Omaha Plastic Surgeon

ASPS

Liposuction of Mons Pubis

Lisa99 Liposuction of Mons Pubis is no more dangerous than anywhere else on your body. However, based on my experience, liposuction alone is not the ideal answer for this area. Mons Pubis is often protruding and large in patients such as you. I deal with it at the time of the tummy tuck or body lift. If I see patients who previously had a tummy tuck and are left with a large mons pubis, I treat it by a combination of liposuction AND removal of excess skin.... more

Martin Jugenburg, MD

Toronto Plastic Surgeon

ASPS

Liposuction of pubic mound can work.

Hi. The pubic mound has much lymphatic drainage, and liposuction of this area can lead to prolongued swelling. But we have seen a number of patients with good long term results.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Liposuction on the pubic mound

The swelling you describe can be due to unrecognized fat (unmasked by the Tummy Tuck part of your Lower Body Lift), by the scar just above it slowing lymphatic drainage from the Mons, by excess height and width of the Mons which were not addressed at the time of the operation OR by a combination of all of these. In the hands of a board-certified Plastic surgeon (check at www.PlasticSurgery.org) there are very few potential complications associated with liposuction of the pubic mound... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Risk of mons pubis liposuction

The main risk is that the bulge is most likely a combination of fat AND skin. Liposuction alone may result in a less bulky mons but may produce a sagging appearance to the area. In many cases, a pubic lift is a better choice and requires a combination of fat AND skin removal. General risks of liposuction in the area include, infection, bleeding, scarring, pain, numbness, tingling, fat necrosis, seroma formation, skin laxity, undercorrection or overcorrection, dimpling, irregularities, etc.... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Liposuction of the Mons Pubis

Risks involved with liposuction of the mons are really no different from liposuction of any other area. You have to be careful though about whether you need liposuction or a monsplasty, which involves actual excision of the skin and fat, rather than just removing the fat only. If you have good skin tone and no looseness of the overlying skin, then liposuction may be a good option, otherwise a formal monsplasty would be required. Consult with you plastic surgeon to determine which is best... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Liposuction to the mons

After weight loss surgery the mons is often ptotic. Sometimes performing a circumferential belt lipectomy does not treat the mons. Treating a full mons withl iposcution if possible, often an excision of tissue is also required. Liposuction usually has few complications.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Mons liposuction is safe

Mons liposuction is safe as long as it is done by an experienced surgeon in a safe environment like any liposuction. Like any surgical procedure there are risks, but they are minimal. In cases of a lower body lift I usually just excise excess skin and fat in this area. But as long as you do not have excess skin, you could have some touch up liposuction once healing is complete.

Gary Hall, MD

Kansas City Plastic Surgeon

ASAPS ASPS

Liposuction of the mons pubis is a safe procedure : Safety of liposuction

There are several theoretical risks with liposuction of any area, including swelling, bleeding, contour deformity, sensory loss, and scar formation. Although these are generally discussed with a patient, conservative liposuction, performed by an experienced plastic surgeon under appropriate anesthesia, is generally safe with a high satisfaction profile. Liposuction of the mons pubis is routinely performed during abdominoplasty or after abdominoplasty. Results are satisfying to patient and... more

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

The risks are the same as with any liposuction.

Liposuction is a procedure with minimal risks. In general, the greatest risk is removal of either too much fat or too little fat, so make sure your doctor is a Board Certified Plastic Surgeon with experience in liposuction.

William B. Rosenblatt, MD

New York Plastic Surgeon

ASAPS ASPS

Liposuction safe and effective- if the problem is fat

Hi there- I agree with my colleagues--the critical determinant of whether liposuction will achieve your goals here is whether the bulge is caused by fat, residual excess skin, or lymphedema (which can result after body contouring surgery based on incision combination and location, or just from the healing process itself). I would discuss the issue with your surgeon after he/she has examined you- if the issue is fat, liposuction should help and is quite safe. If skin needs tightening, you... more

Armando Soto, MD

Orlando Plastic Surgeon

ASAPS ASPS

If there is any skin laxity, excision would be better

Hello, I find in lower body lift or extended tummy tuck patients occasionally a removal of skin & fat tightens things up a bit. Lipo alone, which really only addresses fat, may not do it. This is particularly the case in extreme weight loss patients in whom skin "looseness" is usually the main problem. The choice depends upon your examination guiding us to determine what is really causing the problem - skin, fat or both. On the issue of risk, lipo or tissue removal near the... more

John P. Di Saia, MD

Orange Plastic Surgeon

Liposuction or actual excision would address this issue

Following a body lift .The pubic area can look much larger due to the following : 1-Pulling of the pubis upwards during the body lift. 2-Lymphatic interruption . This is very true especially if an inner thigh lift was performed in he same time. (A combination that is not recommended). Few techniques proved to be helpful: 1-Liposuction if a bulge is the main problem. Waiting for at least 3-6 month after liposuction is recommended. 2-In case there is a bulge and increased diameter of the pubis... more