Liposuction Alternatives for the Pubic Region?

I want to know if there are alternative options other than Liposuction to reduce fat in my pubic region. It has been over 3 months since I had liposuction done to my thighs and legs, one year since I had a Tummy Tuck, and my pubic region ended up getting bigger with each treatment. I have waited for the swelling to go down and do not really want to have to do another treatment, but it is noticable whenever I wear dresses or yoga pants. Other people have even made comments so I know it's not just me. I know sometimes people have to get lipo to that area but is there another option?

Doctor Answers 19

Liposuction Alternatives for the Pubic Region?

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Thank you for the question.

It is not unusual for the pubic area to be an area of concern. This area may be large (prominent) , ptotic (low), or deflated. How to best address your specific concerns will depend on your physical examination and goals. Generally, treatment will involve excision of excess/ ptotic skin plus or minus liposuctioning.

I would suggest that you discuss your concerns/goals directly with your plastic surgeon, in front of the full-length mirror. Working together you will come up with the best course of action.

Best wishes.

Options for Contouring the Pubic Region

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The two main options for reducing excess fat and excess lax skin in the mons pubis are liposuction and a mons pubis lift (monsplasty). Sometimes both may be required. If you have had liposuction of the abdomen and gain significant weight, areas that were not treated may get larger. If no weight has been gained, you're probably just seeing the relative contrast between areas that were treated and areas that were not treated.

Usually a combination of liposuction and skin excision is the answer to fullness of the mons area.

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Just performing liposuction in the area can leave you with loose skin.  Since you've already had a tummy tuck you would not be adding any further scars.  I can understand how frustrating this must be for you and correction is definitely possible.  You  should wait at least 1 year after your tummy tuck before deciding on surgical correction.

Liposuction after tummy tuck

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Liposuction is the answer...

Think about removed fat from your stomach and your thighs, but not your pubic region. Once the tummy tuck was done, the pubic area was no longer covered by your lower stomach. Everything around it was flattened and tightened, so it can be expected to look prominent.

It is a highly personal and intimate area, and I am loathe to bring it up and embarrass patients. But in reality I think this is a very comon problem.

Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

Liposuction of the mons

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Thank you for your question.  I do think that liposuction would provide you with the best result. You've done contouring of other parts of the body, and removing some volume from the Mons will provide the best aesthetic outcome. If you really want to avoid surgery, you can try Kybella.  It has recently been approved for submental fullness. However it can be used in other areas to dissolve fat. 

Pubic area not to be ignored

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When performing body contouring procedures, the pubic area should not be ignored.  Fat and/or skin should be removed during the procedure.  However, it is not unusual to need "touch up" procedures to improve the results of the initial procedure.  Please discuss this matter with your plastic surgeon to formulate a game plan.

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 82 reviews

Pubic Region Options for Loose Skin & Fat Accumulation

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We occasionally see patients who’ve undergone abdominoplasty surgery and are unhappy with the appearance of their pubic region. This occurs for a variety of reasons including saggy skin, excess fat, and adverse abdominoplasty scarring. The treatment of aesthetic deformities of the pubic region is dependent upon the cause of the condition.

In the majority of postoperative patients with aesthetic deformities of the pubus, liposuction alone providers adequate treatment. When fat collections are accompanied by loose saggy skin, additional maneuvers may be necessary. In this case, the pubic skin may require an upward lift with simultaneous tightening of the skin. These options provide excellent aesthetic results and are associated with low complication rates.

If you’re concerned about the appearance of your pubic region following abdominoplasty, consultation with your plastic surgeon is appropriate. Your surgeon should be able to formulate an appropriate treatment plan.

Liposuction or other option for suprpubic fat

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The suprapubic fat is the inferior portion of the "pooch." This area, below the incision of the tummy tuck, must be addressed at the time of tummy tuck. Often the skin flap in a tummy tuck is "defatted" during the procedure. That is, the fat below Scarpa's fascia (you don't need to know what that is) is removed. This results in a height discrepancy between the suprapubic skin and the abdominal skin flap. And in the end leads to a convexity of the suprapubic skin.

So if everything is okay otherwise than you need this area liposuctioned. As far as I'm concerned this evening of the abdominal contour is part of the abdominoplasty. I recommend going back to your surgeon and asking why he/she didn't complete the first surgery. They should cover the surgeons' s fee for this surgery and the OR/anesthesia is done in an outpatient surgical setting.

Pubis fat removal

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From the manner in which you ask you question, I assume you are asking if there are any successful non-surgical methods of fat removal from the pubis.

Generally their are multiple claims including mesotherapy, radiofrequency devices, external ultrasound, etc. However, these rarely and consistently meet with satisfied patients. Therefore the only successful methods typicall involve surgery with liposuction or direct excision.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Liposuction of the pubic area under local aneshesia is simple and easy

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After a tummy tuck there often is fat just above the scar and below the scar which needs liposuction to make it look smooth. This can be done in a very short time under local anesthesia with no downtime at all and is so easy for you to undergo. It is a quick in and out procedure that runs about $1500 and is sooo worth it. An alternative is Zerona laser which run about $2500 and may not get it all the way down but helps.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.