I have a huge bulge after my tummy tuck. What are my options? (Photo)

Thank you for your question regarding what to do after your tummy tuck, specifically concerning the bulge in the pubic region. I appreciate your sharing your history and the photos you provided. I'm sorry to hear that you're distressed about the protuberant bulge of skin and fat in the mons region. This is not uncommon after inadequate resection of the pubic area during a tummy tuck.

From your description and the photos, it appears that your rectus abdominis muscle is intact, and the primary issue is excess skin and fat in the lower central abdomen and pubic region. Opting for liposuction of the mons might leave you with loose hanging pubic skin and suboptimal results. Therefore, I would suggest considering a pubic reduction or a monsplasty.

During a monsplasty, an incision is made in the pre-existing tummy tuck scar. Tissue dissection is carried down to the pubic region, and a crescent area of skin and fat in the pubic region is removed. Additionally, there is typically a ball of fat in the pubic region just underneath the skin and anterior to the pelvic bone that needs to be addressed.

The monsplasty or pubic reduction procedure typically takes approximately two hours under IV or general anesthesia. A drain will remain in place for approximately 7 to 14 days to help manage swelling and fluid accumulation.

A pubic reduction or monsplasty is an excellent surgery for addressing skin and fat in the pubic or mons region, especially for residual skin and fat left over from a tummy tuck. This procedure should help improve the contour of your lower abdomen and make you feel more comfortable in your clothing.

I hope I’ve answered your question regarding your options for the bulge you're experiencing after your tummy tuck. Good luck, and I hope you achieve the results you are looking for to feel more confident in your appearance.

Sincerely,
Dr. Katzen

Your mons pubis area was not addressed with your tuck, (some surgeon's do this) and can be easily treated with liposuction. Go back to your surgeon or find another to help.

Dear Diaoli,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery