I've had an embarrassing FUPA since I was 13 y/o. I have very fair skin. Is it possible to remove with minimal or no scarring?

There's likely a satisfying result in your future once you've attended a few consults and chosen the correct plastic surgeon.  This region of the body is commonly treated with the following options: lipo sculpting, skin excision, muscle tightening, and non-invasive skin tightening. You might just need one or you might benefit from all. Hope to see you soon

Thanks for the question and I know this can be a sensitive and troubling area for both men and woman. My approach is to try and always use liposuction unless I am performing a tummy tuck at the same time unless there is a lot of extra skin. If there is a lot of extra skin and the patient does not want a tummy tuck I do a little mini reverse tummy tuck (pull up not down). I have to say the swelling in this area lasts a while but after a few months patients are incredibly happy!

Recommend that you set up a virtual or in-office consultation with a Board Certified Plastic Surgeon to obtain a specific rather than general response to your question.  Providing photos for the virtual consultation would likely allow the surgeon to determine if the pouch is due to fat deposits or skin laxity.  If fat deposits, liposuction would correct the problem; if laxity, a small incision below the bikini line may be required.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA 

Without photos it is hard to give you specific opinions about what is best for you.  However, for sure the treatment will be either liposuction, a tummy tuck (or mini-tummy tuck), or a combination of both.  You will need to make a consultation with a reputable plastic surgeon to get more specific ideas.  The fact that you have light and fair skin is a bonus to you as that skin type generally heals better and faster than other skin types.  I hope this information is helpful to you.Thomas Taylor, MD, FACS

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Photographs would be very helpful.  If there is excess skin laxity, then a low incision surgical excision would be best rather than liposuction.  This can be designed to have a low and short incision, all below the bikini line.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your questions. Without pictures or an exam, it can be hard to give you specific advice. There may be options out there with minimal incisions such as liposuction. But the concern there is if the problem is actually excess skin rather than fat, then liposuction may make the problem worse. In that case, you need removal of the excess skin which will require a scar. Best to make a consultation with some local board certified plastic surgeons for an exam and a discussion of your goals and surgical options. Best of luck!

Dear romannumer,it is really hard to tell without any photo or an in-person examination. Generally speaking, if there is skin excess, then a tummy tuck might be an option. In case it is only a fat tissue, then a liposuction can be helpful. I would suggest you to consult with a board-certified plastic surgeon. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

It is very common for people to hold a stubborn pouch of skin and fat at the their lower abdomen no matter how much weight they lose. It is best to have an in-office examination to evaluate the amount and quality of your skin, fat, and abdominal muscles to come up with the best treatment plan to meet your goals. Liposuction is usually one option with very tiny well-hidden incisions to help remove excess fat. If you have significant excess skin or loose abdominal muscles, you may need more of a tummy tuck which will result in a longer scar hidden in your bikini line. The best procedure will depend on your history and physical examination. Hope this helps!!Johnson C. Lee, MD Plastic Surgery

Treatment options are liposuction, excess skin resection or both.
The length of the scar depends on how much skin needs to be removed.
Many people think they area it's mostly fat butt off then there is the skin laxity problem that contribute significantly.
Best,
Mats Hagstrom M.D.

The simple answer is YES so go on some complimentary consultations and find out how Dr Corbin