Prominent mons pubis 6-1/2 months after Abdominoplasty. It's the same as it was at 6 weeks. Can it still be swelling? (photos)

Question

Abdominoplasty with MR and lipo performed 5/6/16. Great results and easy recovery. Swelling of mons went down a bit over the first 6 weeks, but then no improvement. I wore Spanx every day and my compression wrap every night for 3 months, then gave up. Some days I swear it's getting worse. Swimsuits, tight skirts and leggings look terrible--like I have a penis. My weight has remained stable. PS says he did "some" liposuction of mons during surgery. Could he do more? I am 55 yo, 5'2", 125#.

Thomas Fiala, MD, FACS, FRCSC · Answer

At this point, it is probably not related to swelling.  More likely, it is some fat that will respond to a little bit of liposuction in the area, which will help to recontour it to match the tummy area.

Speak to your surgeon about this option.

Tom J. Pousti, MD · Answer

At this point, the majority of swelling has certainly resolved but ongoing improvement in the size/shape of the pubic area is certainly possible over the course of the next several months.  Therefore, I would suggest ongoing patience. Having said that, given your concerns, it is likely that additional liposuction surgery and/or skin excision will be helpful when it comes to improving your outcome. Best to communicate your concern/question directly with your plastic surgeon, preferably in front of a full length mirror.  Working together you will come up with a good plan to proceed with. Best wishes.

Karol A. Gutowski, MD, FACS · Answer

If not a fluid collection, then a little lipo by your surgeon may be appropriate. It can be done awake with just a local anesthetic.

Prominent mons pubis 6-1/2 months after Abdominoplasty. It's the same as it was at 6 weeks. Can it still be swelling? (photos)

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Prominent mons pubis 6-1/2 months after Abdominoplasty. It's the same as it was at 6 weeks. Can it still be swelling? (photos)

Answers (3)

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