Body lift about 4 years ago. I now have a FUPA and loose skin. Is this because I didn't have them cut above?

Thank you for your question regarding how do you get rid of loose skin in the pubic or mons region. Also, specifically, how do you get rid of the FUPA.
To get rid of the FUPA or excess skin and fat in the mons region, you will require an incision. Usually, this can be done using your prior lower body lift incision. By going through this incision, dissection is done towards the pubic region. Excess fat in this area can be removed. Once the fat is removed, measurements can be made as to how much skin can be resected from the mons or FUPA. The incision is closed over drain. This procedure is performed under general anesthesia and takes approximately one hour to complete. Drain stays in place for about 7 to 10 days. In your case, because you specifically stated you have a loose FUPA skin, I do not advise FUPA liposuction. I do not suggest FUPA Liposuction in your case because it will not get rid of the loose FUPA skin. It will only get rid of the fat.
The vertical or the fleur-de-lis or FDL incision would not have fix the mons or FUPA region. The incision suggested years ago would not have your mons or FUPA issues.
I hope this answer helps to clarify what to do with the FUPA or mons region four years after a lower body lift.

Thank you for your inquiry! An abdominoplasty fleur de lis removes skin both horizontally and vertically. We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.

Please post standard before and after photos (frontal, front oblique, lateral back oblique, and back) so I can give you an accurate assessment.