Hi Top67,Thanks for the question and the photographs. They certainly help with your question. It would be possible to remove the majority of the fat in that area, but remember that some fat must be left behind for contouring and to allow the tissue(skin) to glide on the muscle/bone in that region. I think however, that it would give you a result that you would be unhappy with as it would result in excess skin despite that the fat would be gone. It would however increase the show of the remaining body parts which could be considered a bonus. A surgery to remove the extra skin could be done alone or in conjunction with an abdominalplasty or alone. Cost would certainly vary. I know that the cost would go up if you decided to do a removal of the skin with the liposuction of the mons area. It usually runs about 2-5k for lipo and a monsplasty plus anesthesia and facility fees here in the phoenix area. Remember that it should be about your expectations and not cost. Pick a surgeon who you feel comfortable with and that seems fair in what they are promising and cost. Good luck.Sincerely,Carlos Mata M.D., M.B.A., FACS