I want to know if there are alternative options other than Liposuction to reduce fat in my pubic region. It has been over 3 months since I had liposuction done to my thighs and legs, one year since I had a Tummy Tuck, and my pubic region ended up getting bigger with each treatment. I have waited for the swelling to go down and do not really want to have to do another treatment, but it is noticable whenever I wear dresses or yoga pants. Other people have even made comments so I know it's not just me. I know sometimes people have to get lipo to that area but is there another option?
Liposuction Alternatives for the Pubic Region?
Doctor Answers (16)
Liposuction after tummy tuck
Liposuction is the answer...
Think about it...you removed fat from your stomach and your thighs, but not your pubic region. Once the tummy tuck was done, the pubic area was no longer covered by your lower stomach. Everything around it was flattened and tightened, so it can be expected to look prominent.
It is a highly personal and intimate area, and I am loathe to bring it up and embarrass patients. But in reality I think this is a very comon problem.
Options for Contouring the Pubic Region
Pubic Region Options for Loose Skin & Fat Accumulation
We occasionally see patients who’ve undergone abdominoplasty surgery and are unhappy with the appearance of their pubic region. This occurs for a variety of reasons including saggy skin, excess fat, and adverse abdominoplasty scarring. The treatment of aesthetic deformities of the pubic region is dependent upon the cause of the condition.
In the majority of postoperative patients with aesthetic deformities of the pubus, liposuction alone providers adequate treatment. When fat collections are accompanied by loose saggy skin, additional maneuvers may be necessary. In this case, the pubic skin may require an upward lift with simultaneous tightening of the skin. These options provide excellent aesthetic results and are associated with low complication rates.
If you’re concerned about the appearance of your pubic region following abdominoplasty, consultation with your plastic surgeon is appropriate. Your surgeon should be able to formulate an appropriate treatment plan.
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Usually a combination of liposuction and skin excision is the answer to fullness of the mons area.
Liposuction or other option for suprpubic fat
The suprapubic fat is the inferior portion of the "pooch." This area, below the incision of the tummy tuck, must be addressed at the time of tummy tuck. Often the skin flap in a tummy tuck is "defatted" during the procedure. That is, the fat below Scarpa's fascia (you don't need to know what that is) is removed. This results in a height discrepancy between the suprapubic skin and the abdominal skin flap. And in the end leads to a convexity of the suprapubic skin.
So if everything is okay otherwise than you need this area liposuctioned. As far as I'm concerned this evening of the abdominal contour is part of the abdominoplasty. I recommend going back to your surgeon and asking why he/she didn't complete the first surgery. They should cover the surgeons' s fee for this surgery and the OR/anesthesia is done in an outpatient surgical setting.
Pubis fat removal
From the manner in which you ask you question, I assume you are asking if there are any successful non-surgical methods of fat removal from the pubis.
Generally their are multiple claims including mesotherapy, radiofrequency devices, external ultrasound, etc. However, these rarely and consistently meet with satisfied patients. Therefore the only successful methods typicall involve surgery with liposuction or direct excision.
Liposuction of the pubic area under local aneshesia is simple and easy
After a tummy tuck there often is fat just above the scar and below the scar which needs liposuction to make it look smooth. This can be done in a very short time under local anesthesia with no downtime at all and is so easy for you to undergo. It is a quick in and out procedure that runs about $1500 and is sooo worth it. An alternative is Zerona laser which run about $2500 and may not get it all the way down but helps.
Liposuction of the pubis area is a fairly common procedure, specially when the pubis is full and patient is underoing an abdominoplasty procedure.
So, you may be a good candidate for liposuction alone. Some patients, especially the massive weight loss patients may require more than just liposuction. These patients at times require what is called a mons plasty, which is a procedure where the size of the entire mons is reduced with skin excision.
Hope that helps.
Liposuction With or Without Skin Removal May Help
The pubic fat pad can get quite large with obesity, and sag significantly after weight loss. My practice is to treat the area like any other, so skin and fat removal alone or in combination may be needed.
Cant say without seeing you, but pubic swelling after tummy tuck can come from placing the incision above the fat pad (where a C-section is often done). Prolonged swelling can result from this, and removal of skin to lift the area may be needed.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.