Tummy Tuck: Q&A
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How Do Surgeons Address The Upper Pubic Area With A Tummy Tuck
I see alot of pictures online were women have tummy tucks after weight loss but they are left with all the fat/lose skin that bulges above and around the vagina, making it look alot like part of a mans privates. To change that, Is there a different surgery? or is it something that is supposed to be included in the TT? Thanks.
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22 Doctor Answers |
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Tabby22
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Pubic area fullnes and tummy tuck
Any abdominoplasty or lower body lift should address the supra pubic area, especially in loss patients. This can be directly incisioned, liposuctioned or lifted as part of the abdominoplasty procedure.
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How to address the pubis in abdominoplasty.
As in most body contouring procedures, the approach to the pubis depends upon the issues presented. For some women, a simple upward tightening is all that is necessary to improve the contour. In cases where the mons pubis is too fat, either direct excision or liposuction is a nice adjunct to improve the contour. Liposuction seems to lead to less postoperative swelling by theoretically leaving more lymphatic drainage intact. In certain cases of massive weight loss, the mons may be too wide....
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Pubic Contouring During Or After A Tummy tuck
This is a very good question and is the one area in tummy tuck surgery that is often overlooked or will require a secondary procedure for optimal flattening. Because the pubic area lies below the lower tummy tuck incision, it can be hard to appreciate how it will be effected by the uplift from a tummy tuck procedure. Pubic contour issues are either loose sagging skin, a fullness or bulge due to fat, or a combination of both. The larger the abdominal pannus or overhang the more this pubic...
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Please note that this post is Pre-Op..I am having a complete tummy tuck done w/ more thigh...
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Pubic lift with tummy tuck
A typical tummy tuck doesnt include treatment of the pubic area as this varies from patient to patient.
treatment can include suctioning, excision, both.. talk with your surgeon about your concerns
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Addressing the mons with a tummy tuck
The pubic area should be addressed when needed as part of a tummy tuck procedure. Most women requiring a tummy tuck do have some lax skin with some relative drooping. This can be addressed by tightening and repositioning of the mons. If there is an excessive amount of fat, this can be countoured either by direct removal of fat or with liposuction. Ultimately, there should be harmony between the appearance of the abdomen and the mons.
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How Do Surgeons Address The Upper Pubic Area With A Tummy Tuck
You are absolutely correct with your observation that the pubic area is sometimes ignored in abdominoplasty.
I nearly always do liposuction of this area during the course of tummy tuck surgery.
If the pubic area is enlarged or sagging as is usually the case following massive weight loss, then I dip down with my abdominoplasty skin excision to remove the upper pubic skin and lift the remainder of the pubis.
Good luck!
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Tummy tuck, pubis
You should discuss this concern thoroughly with your surgeon prior to the surgery day. As the other doctors have mentiioned, we try and get all the correction done on the day of surgery within the bounds of safety. I do find in massive weight loss patients that the elasticity of the skin is so badly damaged, that no matter how tightly we get the initial result, it still can be beneficial after 6-12 months to go back and do a small revision in the pubic area to get a further improvement.
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Addressing The Pubic Area Bulge With a Tummy Tuck
The bulging in the pubic area (in medical terms referred to as the mons pubis) is easily addressed during a tummy tuck. With all of my tummy tucks, I will treat the mons pubis area if necessary to ensure that it's appearance does not detract from the final result. With the tummy tuck, the area in the mons will be lifted and therefore either liposcuction or direct removal of the excess fat in this area should flatten it out and give you a very nice, smooth result. This...
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Pubic area and tummy tuck
The pubic area is addressed during tummy tuck. The treatment of the area depends on the problem. If it is swollen and looks overfilled, then liposuction is he answer, if it is droopy then it should be lifted. During your plastic surgery consultation, you surgeon should address all aspects of your tummy tuck and that includes the pubic area.
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Mons lift with tummy tuck standard
I find that by placing the incision low, with the tension that normally occurs with a tummy tuck, the mons is lifted and drooping is corrected. Occasionally the patient will also need some liposuction. I find this is more common after large weight loss, because for some reason the mons fat is more persistent. This area tends to stay swollen for a long time, so you have to be patient, but the results are usually very gratifying.
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In the modern Abdominoplasty, it has become increasingly important to address the issue
Of excess tissue in the mons area. Particularly in our patients following large weight loss, excess skin below the abdominal incision, in the area of the mons, is a problem that has to be corrected to improve the results of the surgery. We have developed a technique of sculpting excess fat away under direct vision, followed by elevating a flap of skin and removing the excess before closing the Abdominoplasty incision. Patients need to be awarw that there will be swelling in...
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A pubic fix
The pubic area should certainly be evaluated at the time of a tummy tuck. Some are easier to improve than others. Liposuction at the very minimum can be done in the majority of cases though the pubic skin does not shrink as much as in other areas. Pubic skin reduction can be done but it will add scars which many women do not really want. Even when not any surgery is done directly to it, it swells and remains swollen for months. It should definitely be discussed at the time of the consult.
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Mons Pubis reduction can be very uplifting
Our current technique of tummy tucks will include the mons reduction routinely. The enhancement of contours here involves a low incision with upward traction that raises the ptotic (drooping) mons pubis and anterior labia majora. Be sure to ask about before and after pictures from your surgeon. More than just a visual change, I have had patients comment favorably on improved intimate satisfaction with the anterior position of the clitoral...
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The mons and pubic area post tummy tuck
This is a great question. Over my 20 years as a plastic surgeon, treatment of this area has radically changed in practice. The reason is twofold:
Firstly, the complete eradication of pubic hair (which is disappearing faster from the planet than the Amazonian rain forest) exposes the mons area to view - it used to be invisible - and secondly, learning more about the form and appearance of the area from the development of surgery after massive weight loss, which...
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Addressing Pubic Area During Tummy Tuck
I (and most plastic surgeons) do attempt to improve the pubic area during a tummy tuck by thinning out the excess fat in this area and removing some of the excess skin. This must be approached cautiously, however, as it is always easier to fix an undercorrection than an overcorrection of the pubic area.
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Pubic Area fullness
The pubic area is an area that was often overlooked in the past, but plastic surgeons have heard complaints about post-operative (male- like) fullness often enough that it is now addressed during abdominoplastes. You can't pull down on the abdominal tissue without pulling up with equal force on the pubic tissues so there is a lifting of the pubic area inherent in doing an abdominoplasty. The low incisions used currently will also excise extra pubic skin, too....
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Pubic area after tummy tuck
Patients who have lost a great deal of weight and present with sagging skin are difficult to surgically sculpt. Our very crude approach is to remove extra sagging skin here and there, pull the edges together, and close. The skin itself is abnormal after massive weight loss. What remains often fails to shrink back and reflect the underlying beautiful and sexy musculoskeletal contours beneath. Each patient is unique. You do not like some results you see...
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Treatment of the pubic area during a tummy tuck
When performing a tummy tuck, in our clinic the pubic area is always addressed in some way. Liposuction to reduce the bulk, removal and tightening of the extra skin if necessary. Just like all surgical procedures, the treatment of this area has to be based on the individual's needs. The goal is to keep the scar as low as possible and to create a smooth contour to the tummy after a tummy tuck
Sincerely,
Martin Jugenburg, MD
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Addressing pubic area fullness with tummy tuck
Many women are concerned with pubic area fullness, excess fat and redunant skin, especially after massive weight loss, weight gain, or after multiple pregnancies. This problem becomes even more embaracing with a standard tummy tuck, because it makes the mons pubis bunch-up and looks full in a bikini!
High tension abdominoplasty, lifts, tightens, and debulks the mons pubis to make it flat, so it will look nromal in a bikini.
see video
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Treatment of Mons Pubis (Upper Pubic Area) During Tummy Tuck
Good Question. The Mons has to be address based on the individual patient's needs. Some patients benefit from liposuction to the area at the time of the tummy tuck. However, if the area has excess skin, then tightening of the area can be performed. Addressing the Upper Pubic area is an important consideration for many tummy tuck patients.
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How Do Surgeons Address The Upper Pubic Area (Mons Pubis) after a Large Weight Loss?
Correcting the pubic area (Mons pubis) is an important consideration when performing a Tummy Tuck and other procedures in people after a great weight loss. What we do would depend on what PARTICULAR deformity exists, what bothers our patient and what he/she wants us to do.
Sagging in the area is extremely common giving the privates an aged look. At the time of a Tummy Tuck a MEASURED lifting of the sagging Mons pubis is commonly done.
If the area is large and filled with fat,...
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Tummy tuck and the pubic area?
Thank you for the question.
For many patients undergoing tummy tuck surgery the pubic area may be an area of concern. This area may be large ( prominent) , ptotic (low), or deflated. Therefore, I think it is important to address the pubic area when performing the tummy tuck surgery.
When planning the tummy tuck incision it is possible to keep the incision low enough that it serves to “raise” the pubic area to some degree. I like to plan this...
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