Mons pubis too high after tummy tuck - advice? (photos)

You are absolutely correct. The scar is too high and it’s pulling on your mons. Unfortunately there is no excess skin for us to pull down and lower the scar. This means that there is nothing we can do unless we use a tissue expander before doing something kind of like a mini tt. Tissue expanders are more commonly used for breast reconstruction, but I believe it would be useful in your case.

The tissue expander is placed beneath the skin and fat. It is expanded with saline ever so often so it forces the skin to grow. Eventually you should have enough skin above the scar. Once we have enough skin between the scar and the navel, it is pulled down towards the mons. Skin is then removed only from the mons area. So this would similar TA a mini tummy tuck but with the use of a tissue expander.

Hope this helps,
Dr. Miguel Mota

You may have had not enough skin for a traditional tummy tuck that keeps the scar about 7-8 cv above the top edge of the vulvar commissure. The two options then are to move the scar higher or to create a midline vertical scar which does have a higher healing problem but is what I prefer to do since then all the scar is hidden by a bathing suit except 1-2 inches coming straight up the middle which is not much of a cosmetic concern. It is unlikely that you have enough laxity to move your scar lower. Good Luck!

Your scar could be lowered and help lower your mons pubis as well, but it would involve two surgeries. A tissue expander could be placed above your scar to stretch out your skin. Once stretched, the excess skin could be used to lower your scar in the center. This would not be fun.