Mons pubis too high after tummy tuck - advice? (photos)

Question

Hello , Around 4-5 y ago I had a tummy tuck . The scar is too high I can’t cover with any type of underwear , unless its granny underwear… this bothers me a lot but i started to realised my private area seems to be also very high too ? I not sure what to do . Re-do the scar in another shape can be option in my case ? In order to lower my intimate area to right position? I also don’t really like my bellybutton but I don’t mind that much to me is also a bit high maybe due to scar .

Miguel Mota, MD · Answer

You are absolutely correct. The scar is too high and it’s pulling on your mons. Unfortunately there is no excess skin for us to pull down and lower the scar. This means that there is nothing we can do unless we use a tissue expander before doing something kind of like a mini tt. Tissue expanders are more commonly used for breast reconstruction, but I believe it would be useful in your case.

The tissue expander is placed beneath the skin and fat. It is expanded with saline ever so often so it forces the skin to grow. Eventually you should have enough skin above the scar. Once we have enough skin between the scar and the navel, it is pulled down towards the mons. Skin is then removed only from the mons area. So this would similar TA a mini tummy tuck but with the use of a tissue expander.

Hope this helps,
Dr. Miguel Mota

Gregory T. Lynam, MD · Answer

You may have had not enough skin for a traditional tummy tuck that keeps the scar about 7-8  cv above the top edge of the vulvar commissure. The two options then are to move the scar higher or to create a midline vertical scar which does have a higher healing problem but is what I prefer to do since then all the scar is hidden by a bathing suit except 1-2 inches coming straight up the middle which is not much of a cosmetic concern. It is unlikely that you have enough laxity to move your scar lower. Good Luck!

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having with your scar position and mons area.  An in person evaluation may bring about a different opinion, but based on the photos it doesn't appear you have much excess skin.  This would be needed in order to lower the scar and give relief to the mons area.

Ugur Horoz, MD · Answer

hello,

for you better to plan a revision tummy tuck ( also will be as scar revision with removal of old incision and will be again one lline) . In this operation you pointed also the navel but it will be well planned together before operation and /or on a video call more detailed to explain the choices. Finally to take the mons better and expected position with hiding scar under bikini line.

best regards

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Unfortunately nothing replaces an in-person examination but it does not appear that you have sufficient skin laxity to be able to revise your scar and have it placed lower on your abdomen.  Seek out in-person consultations to get the best advice.

Mons pubis too high after tummy tuck - advice? (photos)

Answers (7)

Answer: Revision tummy tuck

Answer: Revision tummy tuck

Answer: Mons pubis too high after tummy tuck - advice?

Answer: Mons pubis too high after tummy tuck - advice?

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Everything you need to know about Tummy Tuck

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Mons pubis too high after tummy tuck - advice? (photos)

Answers (7)

Answer: Revision tummy tuck

Answer: Revision tummy tuck

Answer: Mons pubis too high after tummy tuck - advice?

Answer: Mons pubis too high after tummy tuck - advice?

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.