Sagging mons pubis after weight loss. Is there a way to get it tightened without surgery?

Question

I am a mid 30s female who lost about 100 lbs. I have some saging and lose skin on my abdomen, thighs, breasts, and mons pubis. Most of this doesn’t bother me but the mons pubis does. Is there a way to get it tightened without surgery?

Andrew Ray, DO · Answer

Unfortunately to have something meaningful happen especially with the amount of weight loss you’ve had any of the non surgical options are unlikely to provide you with a results that is worth the several thousand dollars it costs. It is possible to do a mons lift without the tummy tuck, but if you ever consider the mons lift doing a tummy tuck as the same time will significantly improve all contours.

I use Renuvion and Bodytite, but neither technology will lift you skin enough. Same if you go to a medspa please don’t have anyone convince you that microneedling will fix your problem. It will not.

I use Renuvion and Bodytite, but neither technology will lift you skin enough. Same if you go to a medspa please don’t have anyone convince you that microneedling will fix your problem. It will not.

Falguni Patel, MD, FACOG · Answer

hi
a procedure called Morpheus8 could potentially help you. Morpheus8 helps to dissolve fat and tighten the skin with radiofrequency and also helps skin texture. The procedure is done with adequate numbing cream and does not require anesthesia. Another option for comfort is the use of pronox (laughing gas) which some practices like our tend to use. Additionally, you could take tylenol prior to your procedure or talk to your provider about other methods of pain management that would work for you. The procedure takes about 30 minutes or so with a downtime of roughly 3 days. The downtime includes redness, irritation, and itching which can all be treated with a good gentle lotion. It is important to book your procedure in the winter/fall months as avoiding sun exposure is crucial to this procedure.

Chet Mays, MD · Answer

Thank you for your inquiry! Any skin laxity or excess skin caused by weight loss would make you a great candidate for skin removal in order to tighten those areas. I recommend scheduling a consultation appointment with a board certified plastic surgeon like myself so we can assess those areas, listen to your goals, and create a surgical plan that is best for you and your goals!

Anna Chacon, MD, FAAD · Answer

There are non-surgical options available that may help tighten the mons pubis area after significant weight loss. These options typically involve non-invasive or minimally invasive treatments that can improve skin laxity and stimulate collagen production. Some of these treatments include:

Radiofrequency (RF) Therapy: This treatment uses radiofrequency energy to heat the deeper layers of the skin, promoting collagen production and resulting in tighter, firmer skin over time.

Ultrasound Therapy: Similar to RF, ultrasound energy can be used to target deeper tissue layers, encouraging collagen production and skin tightening.

Laser Treatments: Certain laser therapies can help improve skin texture and firmness by targeting the skin's surface and deeper layers.

Cryolipolysis (CoolSculpting): While primarily used for fat reduction, this method can sometimes help with mild skin tightening by reducing fat volume.

Topical Treatments and Skin Care: While not as effective as other methods, certain topical creams and treatments containing retinoids or peptides can improve skin texture and elasticity when used consistently over time.

It's important to have a consultation with a board-certified dermatologist or plastic surgeon who can assess your specific situation and recommend the most appropriate treatment options based on your skin type and desired results. Keep in mind that the effectiveness of non-surgical treatments can vary and may require multiple sessions to achieve optimal results.

Keera Kang, MD · Answer

Hi Caring857392. I am sorry to hear that. Some patients go through the same thing after extreme weight loss.There are many procedures you could try. 1. Filler to fill up the lost volume of the mons pubis 2. Microneedling + PRP , other collagen stimulating skin boosters3. Fractionated microneedle RF 4. Skin tightening with energy based devicesand so on. So I suggest you to go to a physician and get professional advice bc it is very important to find the right option for you - that fits your skin type, skin laxity, downtime, your expectation after the procedures and so on. Hope this helped. Good luck !

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  An exam is needed to know for sure but you may be a candidate for BodyTite.  This minimally invasive procedure uses RF technology to tighten skin and improve contours.  No general anesthesia is required.  I've included a video that I hope you find helpful.

Sagging mons pubis after weight loss. Is there a way to get it tightened without surgery?

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