Hi, Thanks for your question. Without any medical assessment is not possible to give you a specific answer because it is important a detailed assessment of the area to be treated. However pubic area can be treated with Liposuction. In some cases, if there is an excess of skin, surgical removal may also be necessary. In my clinical practice, I use the combination of Tickle Lipo with Vaser for an effective and safer procedure for remove fat in this area. Tickle lipo (Nutational Infrasonic Liposculpture) is an FDA-approved fat removal procedure using infrasonic technology. This procedure can be performed on local anesthesia and can be done also in other parts of the body including abdomen, flanks, back, thighs arms etc. in my opinion the combination of Vaser lipo + Tickle lipo and possible Renuvion can improve the probability of skin tightening in the area treated. I would advice to make an appointment with a with a surgeon expert in body contouring and skin tightening procedures for a medical/surgical assessment in order to make a bespoke surgical or medical treatment. Hope this help, Dr Fiore