Are my expectations of pubic fat pad reduction realistic?

Question

I am 5'10" and 175 lb currently, 35 years, Male. Over the past year and a half that is down from 240 lb, a total of 65 lb weight loss. I have lost fat in most areas of my body and am pleasantly surprised that my skin doesn't seem lax and has tightened with the weight loss. However, I still have a pubic fat pad problem. It is currently between 1.5-1.75 inches thick. Would it be a reasonable expectation with liposuction to get that down to between 0.5-0.75 inches thick? Thank you for your advice.

Eduardo Gongora, MD · Answer

Hi there, congratulations on your weight loss. Persons who have experienced a massive weight loss, like yourself, are the best candidates for a body lift. But an assessment will be necessary in order to determination the best procedure for you.Remember that selecting a Plastic Surgeon takes time and effort. The key is to choose a reputable, qualified and reliable surgeon.

Jason Emer, MD · Answer

This is one of my most favrite areas to treat and most gratifying.  Patients get a signficant improvement when they are good candidates.  I suggest posting pictures and/or making a cosmetic consultation with a body contouring expert who does a lot of this, treats males, and has a practice dedicated to lipocontouring.  Best, Dr. Emer.

Thomas Fiala, MD, FACS, FRCSC · Answer

Yes - this can typically be reduced in thickness by about 50%.  However, if there is skin laxity in that area as well, some sort of excisional skin tightening will be necessary for the best result.

Joshua D. Zuckerman, MD, FACS · Answer

Thank you for your question, and congratulations on your weight loss.  In the absence of a great deal of excess skin, liposuction is a quick, easy, and effective method of reducing suprapubic fat.  If, however, there is a significant amount of extra skin following losing the weight, direct excision of skin and fat may be necessary.

Vincent N. Zubowicz, MD · Answer

It sounds as though you have a treatable amount of fat in the pubic area. If so this is a fairly easy area to treat with liposuction using local anesthesia only.

Jaime Campos Leon, MD · Answer

Hi, thanks for your inquiry, this is more common than you think, liposuction helps in a high percentage, Please have an in person or a virtual consultation so you can discuss your concerns, options and expectations thoroughly. Good luck in your PS Journey!Respectfully,Dr. Jaime Campos-Leon

Victor M. Perez, MD, FACS · Answer

The only way to determine which procedure is best for you is with a consultation.if your skin is elastic and not loose liposuction most likely will be indicated, if your skin is loose then you will probably need an excision procedure. Be sure you seek the advise of a board certified plastic surgeon, preferably a member of the American Society For Aesthetic Plastic Surgery, that will assure you of their training and commitment to cosmetic procedures.

Barry L. Eppley, MD, DMD · Answer

Liposuction will be able to reduce the pubic mound by some amount but I doubt very highly that it will become much less thinner than an inch. There is a lot of fibrous tissue in a pubic mound that is not removeable by liposuction.There is also the issue of loose skin which may be making a contribution as well.

Patrick Briggs, FRCS, FRCSI (Plast Surg) (retired) · Answer

more and more frequently I am doing pubic fat-pad reduction. If liposuction doesn't remove enough fat then you could always go on to direct excision.

Are my expectations of pubic fat pad reduction realistic?

Answers (9)

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