how do you reduce the size of a large mons pubis without surgery?

There are not great solutions to this without surgery.  Liposuction of this area is very effective and well tolerated.

You can consider Coolscupting or Vanquish. These technologies are non-surgical methods for fat reduction. Liposuction also works extremely well in this area. See a board certified plastic surgeon.Best wishes, Dr. ALDO

Liposuction will be your best option.  Given the small area, it can safely be done in the office which is minimally invasive.

Liposuction vs. direct excision (in conjunction with abdominoplasty) remain the standards for management of fullness of the mons pubis. However, there are a number of non-invasive fat reduction technologies currently available including Sculpsure and Coolsculpt. While these are technically off label uses of the devices, they are non-invasive modalities used to treat excess subcutaneous fat in a relatively pain free manner with minimal to no downtime.The one draw back to either technology is the delayed effect and the likely need for multiple treatment. These treatments do not directly remove or destroy fat but rather initiate the process of lipolysis (destruction of fat cells). Ultimately, it is the patient's own internal systems which will over time remove these fat cells resulting in a slow progressive loss over the weeks following the procedure. One treatment has about 1/3 the impact of liposuction, which is why most patient will need 2 or more treatments (and several weeks) in order to achieve a final result.As always, consult with a board certified plastic surgeon and discuss what treatment is right for you.

Hi. Liposuction is the best answer to your problem. There is another product called kybella which is coming to australia soon. It is an injection which dissolves the fat anx may be an option however we have had no experience yet. RegardsDamien

The gold standard to treat fullness in the area of the Mons is liposuction.  It sounds like yours is small and could be safely performed under local anesthesia in the office.Direct excision can also be done during a tummy tuck in patients undergoing that procedure.Some of the newer non-invasive techniques like Sculpsure could be used but would be "off label" as they are approved for treatment of excess fat in the abdomen and flanks.