Hello, and thank you for your question.I am seeing more and more women asking for this procedure.Essentially, when the mons area sags and appears bulgy, it can be improved with liposuction and/or surgery to lift it. Vaginoplasty is a separate procedure, which, in theory, can be done at the same time.As with most Plastic Surgery, these procedures require skill and expertise to be done appropriately.A consult with your Plastic Surgeon is a good idea. That way you give him a chance to listen to what concerns you and do a detailed assessment. The he can discuss with you what options are practical and appropriate for you.That is the best way to arm yourself with the knowledge. Without that kind of detailed knowledge, I don't believe you are fully equipped to make a decision.I wish you well.