Mons pubis or labia majora reduction - which is best for me? (photos)

Hello, thanks for posting your question. As my colleagues have mentioned, an examination is best to determine what will give the outcome that you are looking for. From the picture you posted, I suspect you may benefit from either one of the following: Bodytite/AVIVA alone (fat destruction with skin tightening), lipo with surgical mons pubis lift, or mons pubis lift without lipo. The look may be different with each and that is what may drive you towards one procedure verses another. The most common in my practice has been lipo with surgical mons pubis lift. I hope that helps! Good luck.

To be able to have a reliable answer to your question you will need an exam by a qualified cosmetic gynecologist or urogynecologist. You do not have to choose one procedure or the other and it all depends on what you exam reveals. Schedule a consultation and express to your surgeon your concerns and desired results.

Your photos are not adequate for full evaluation. However, you do have enlarged mons pubic and excess labia majora skin. You probably need treatment for both.

The treatment depends on the your anatomy. I have published extensively on mons pubis reduction and labia majora reduction and invented some of the techniques.

If you have a fat deposit with no excess skin, then you can just have pubic liposuction. However, liposuction will only reduce 50% of the bulge. If you have skin excess or you want a more dramatic reduction of the bulge, then you need a pubic lift with fat removal and stabilization of the pubic skin to the abdominal muscles. The incision is usually like a caesarean incision. The potential complications are over lifting the pubic area, concavities, and unnatural scars,
so be careful of your choice of surgeon,

Many women with a large mons also complain of labia majora enlargement, so this can be done
at the same time. Many women with sagging or wrinkling of the majora have stretching of skin and normal fat. In that case, the skin only can be removed. If the skin only is saggy due to fat loss, then only fat can be injected. However, over-injection can cause a large bulge in the genitalia, which can be unsightly. If skin is excessive and fat is diminished, then skin can be excised and fat injected at the same time. If you only have slight wrinkling, then a laser can tighten the skin. ​If your labia majora skin and fat are excessive, then skin and fat can be excised to make them smaller and less protruding. The skin excision technique I pioneered leaves a scar on the inside of the majora in the concavity between the majora and the minor and clitoral hood. I have published and lectured extensively on this procedure in textbooks and throughout the world. Many physicians are not comfortable or trained in this procedure resulting in poorly placed scars, asymmetry, and poor results. You need to have the surgeon show photos of his past patients.

Dr. Gary Alter

Beverly Hills, CA - Manhattan, NY