Fatty, sagging pubic area?

Question

I had lower body lift after losing over 100 lbs. with gastric by-pass. In doing so, my surgeon failed to do anything with my pubic area, which resulted in it being very fatty and sagging.

Richard J. Bruneteau, MD · Answer

We occasionally see patients who have residual deformities of the mons pubis following lower body lift procedures. When this situation arises, a variety of treatment options are available depending upon the anatomic deformity.Unfortunately, without pictures or a physical examination , it's impossible to make a specific recommendation. In some cases, liposuction may be adequate, while in other cases, re-excision with thinning and re-elevation of the mons pubis will be necessary.If you're concerned about this problem, you should re-visit the issue with your plastic surgeon. Your surgeon should be able to evaluate your condition and formulate an appropriate treatment plan.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding your fatty, sagging pubic area after your lower body lift. It is not uncommon for patients to experience this issue after a significant weight loss, and unfortunately, it seems that your surgeon neglected to address this area during your body lift.
The pubic area can be a difficult area to address, but there are surgical options available to address the excess skin and fat in this area. The most common procedure to address this issue is a pubic lift, which involves removing the excess skin and fat in the pubic area and tightening the remaining skin.
I am sorry that your previous surgeon did not address this issue during your body lift procedure. I would recommend consulting with a board-certified plastic surgeon who can assess your specific situation and recommend the best course of action to achieve your desired results.
Thank you again for your question, and I wish you the best of luck moving forward.
Sincerely,
Dr. Katzen

Alejandro J. Quiroz, MD · Answer

Than you for your question. Is not unusual to have a lose pubic area after a weight loss. If this condition was not corrected with your original surgery you can corrected not and it can be with liposuction if only fat is involved or removing fat and skin if there is loss skin.

Carmina Cardenas, MD · Answer

Feel encouraged, the pubic area, is definitely a very important part of the body that can be enhanced by the body lift. If you ended with saggy skin, then your doctor may do a revision and do the mons lift.  The mons lift can be done through the same incision of the Tummy tuck. This procedure is very common as part of the body transformation after weight loss, so you will end with a very nice and rejuvenated pubic area.Have a wonderful journey.Dr. Cardenas

Steven S. Carp, MD · Answer

Even after a tummy tuck/body lift when the mons has been addressed (lifted) it may night last.  As the skin and scar tissue relax during healing, the mons can drop again.

Kenneth Hughes, MD · Answer

Liposuction of this area with removal of additional skin will likely yield a significant improvement.Kenneth Hughes, MDLos Angeles, CA

David L. Cangello, MD, FACS · Answer

Hello and thank you for
your question.Congratulations on the
weight loss! Unfortunately like many who lose a tremendous amount of weight,
you are left with excess skin. The Mons area can be defatted and lifted. I
recommend that you see a board certified plastic surgeon in consultation to get
more specific answers to your questions which can best be addressed after a
thorough history and examination is performed.Best of luck to you

Curtis Wong, MD · Answer

should always be discussed with your surgeon and his/her revision policy explored further as most people do help tighten (may not be perfect) and elevate the mons at the same time as a lift.  Your surgeon should be as motivated as you to achieve the best result possible due to social media sites that allow unhappy patients to vent their frustrations.  In my experience, my massive weight loss patients all understand they will require revisions if they wish to have the bset result

Steven Wallach, MD · Answer

Quite commonly I will shorten the mons pubis in at least a transverse fashion and sometimes a vertical to narrow it when I perform a tummy tuck or circumferential abdominoplasty.

Samir Shureih, MD · Answer

A pubis lift can be done to improve on the appearance of the saggy pubis. In your case one need to examine you and see where the scar from previous surgery is and how best to improve on the pubic area.Samir Shureih MD. FACSsshureih@msn.com