Fat above Pubic Area. (photos)

The area above your penis or mons pubis is very fatty and would respond to liposuction.  However, your abdominal pannus or apron of fat is very large with stretched out skin and may need more than liposuction to make it look better. In other words your liposuction may need an abdominoplasty later to remove excess skin in the abdomen.  This is all said assuming that you are healthy and can heal such a large open wound.

It appears that you would benefit most from a tummy tuck.  Tummy tuck addresses the skin excess of the abdomen, the skin excess of the mons, the muscle weakness of the abdominal wall and the fat between the umbilicus and the pubic hairline. The excess skin of the abdomen is removed, the muscular wall is reconstructed, and the skin is rewrapped over the tightened muscles. It is a very powerful procedure and is the only solution to skin excess, muscle weakness and the fat you are bothered by.

The fat above the pubic region, often involving the mons pubis and lower abdomen, can be treated with liposuction, which is effective for removing localized fat, particularly when it is not accompanied by excessive loose skin. If the fat is primarily superficial and the skin remains relatively firm, liposuction alone can provide a satisfactory result, contouring the area and potentially improving the projection of the genitalia. However, if there is significant skin laxity or sagging—common after weight loss or with aging—liposuction may not be sufficient, and procedures like a tummy tuck, panniculectomy, or mons pubis lift may be necessary to address both fat and excess skin. Liposuction cannot remove deep visceral fat, which is located under the abdominal muscles, and this can only be reduced through diet, exercise, or weight-loss surgeries. Additionally, while nerves and other vital structures in the area are typically not affected by liposuction or these procedures, it's essential to evaluate skin elasticity and overall health before proceeding. A consultation with an experienced plastic surgeon is recommended to determine the most appropriate treatment, ideally after reaching a stable, healthy weight to optimize results.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Hi! For your guidance, obesity, cellulite, stretch marks, a history of “yo-yo” weight gain/loss, or loose, sagging, inelastic skin, are problems which would tend toward poor results. In fact, these problems may be worsened by liposuction and may be best addressed by other procedures such as a leg or body lift (e.g. tummy tuck) to improve the patient’s appearance. 
Patients should be aware that liposuction is NOT a method of weight loss and muscle toning, or an alternative to diet and exercise. It does not affect one's metabolism. Regular exercise and diet is still recommended in maintaining good and lasting liposuction results. Find a board-certified plastic surgeon and discuss realistic goals and expectations. Best of luck! #RealSelf100

It is common to have fat in this area.  Liposuction could definitely help.  You may need removal of skin in this area as well to get the best results.

Hello,Thank you for your question, the best procedure for you is a Lap band to lose all the excess fat. Search for a Board Certified Plastic Surgeon. 

Liposuction in the area that you have shown in the pictures will certainly reduce the extra fat in the area.  That being said, I believe that you have a fair amount of extra skin as well.  That extra skin will likely respond better to a tummy tuck than just liposuction if that is something that you are open to.  I recommend discussing both options with your surgeon before deciding what to do.

It’s not unusual for patients to be concerned about
the appearance of their abdomen. When this situation arises, the problem may be
secondary to loose skin, excess fat, or weakened muscles. In your case,
pictures confirm the presence of a large amount of excess skin and fat. Under
these circumstances an abdominal wall panniculectomy is almost always
indicated. Although liposuction is an excellent procedure for removing localized
collections of excess fat, it’s not indicated when excess skin is present.

If you’re considering surgical correction of this
problem, consultation with a board-certified plastic surgeon is appropriate.
This surgeon will be able to perform an appropriate evaluation including a
physical examination and determine the most appropriate course of action. In
some cases it might be appropriate to lose additional weight before proceeding
with surgical intervention. This approach will hopefully optimize the results of abdominal wall panniculectomy.  

Mons pubis reduction with liposuction is a good option if there are no significant stretch marks on the skin. Another option would be a tummy tuck. Raffy Karamanoukian Los Angeles

You can benefit from a liposuction but if an exam determines that there is laxity of thelower abdominal wall, you could benefit from a tummy tuck as well, and this would significantly improve your appearance.