Penis buried by mons - what treatment options exist to permanently address this without major surgery? (Photo)

Question

Issue: My mons buries 1.5 to 2 inches of my flacid or erect penis. Treatment history: Inflatable Penile Prosthesis done April 2024. Smart Lipo 360 abdomen + mons pubis done December 2023. Fully recovered. No swelling. What treatment options exist to permanently address this without major surgery? Heard anchoring of the penopubic skin to the prepubic deep fascia can be done with just sutures under local in 30 minutes?

Victor Loria, DO · Answer

Hello, we offer 2 procedures than can help you with your issue, both are with local anesthesia, and you can go home in hours. The SLEVEE procedure will help you to avoid that retraction, so your penis will hang longer all the time. Please, let me know if you are interested. You can use this way to communicate or send me an email to ariam.rodriguez@loriamedical.com

Thanks.

Thanks.

Tory P. Sullivan, MD · Answer

Hi,
Given your history, one very effective option to address the appearance of a buried penis without further surgery is medical weight reduction using GLP-1 receptor agonists, such as Ozempic (semaglutide) or ZepBound (tirzepatide).
These medications are highly effective in reducing total body fat&mdash;including fat over the mons pubis. As the mons fat pad decreases, the penis becomes more externally visible, improving both the apparent length and contour without any incision or recovery period.GLP-1 agonists are typically administered once weekly by injection and have an excellent safety profile. Common side effects, such as mild nausea or decreased appetite, usually resolve after the first few weeks. Beyond aesthetic improvement, they offer substantial health benefits: improved metabolic function, reduced cardiovascular risk, and sustainable long-term fat reduction.
For men whose mons fat pad contributes significantly to penile burial, GLP-1 therapy can provide a non-surgical, medically sound, and lasting solution, either as a stand-alone approach or as preparation for any future contouring procedures if desired.

Ryan Welter, MD · Answer

For a lasting solution without major surgery, focusing on reducing any residual weight around the mons pubis (and in your body in general) can help alleviate the pressure that causes retraction. Even small weight changes can reduce gravitational pull, providing a bit more natural length over time. If there’s minimal fat left after your Smart Lipo, exploring non-invasive treatments like skin tightening procedures could assist with the area’s tone. Anchoring with sutures, as you mentioned, is an option some providers offer to stabilize the skin under local anesthesia, potentially giving a more defined, permanent result without major surgical intervention. It’s worth consulting a specialist to understand what procedure best suits your anatomy and goals.

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