What is my best course of action for the result I want? Explained more below

I suggest going for consultation and seeing if liposuction would work well for you. Other men have been treated in that area with liposuction and did well.

Thank you for your question about addressing excess skin and fat in the pubic region, particularly regarding a hidden penis condition. Your choice of treatment will depend on various factors, including whether you have a history of significant weight loss.
For excess fat in the pubic area, liposuction is a common option. VASER liposuction, in particular, can be effective for this purpose. It involves making one or two small incisions, injecting a tumescent solution to help break up the fat, and then using cannulas (thin tubes) to suction out the fat. VASER liposuction is known for its ability to more effectively target fat while preserving surrounding tissues, and it also aids in better skin retraction post-procedure.
If you have a history of massive weight loss, the skin's elasticity and ability to recoil might be compromised. In such cases, simply removing fat may not yield the desired skin tightening. Surgical excision of excess skin, also known as a pubic lift, might be necessary. This involves making an incision in the pubic hair area or slightly above it and removing an ellipse of excess skin and fat, effectively reducing and lifting the pubic area.

In cases where there is no significant history of weight loss, and the skin's elasticity is presumed to be intact, VASER liposuction alone might be sufficient. To enhance skin contraction after VASER liposuction, you might consider adjunctive treatments like J-Plasma, which can help tighten the skin further.
Each person's situation is unique, so it's important to consult with a board-certified plastic surgeon who can evaluate your specific needs and recommend the best approach for your condition. They can assess factors like skin quality, the amount of excess fat, and your overall health to determine the most suitable treatment plan.
I hope this information provides a clear understanding of the options available for addressing excess skin and fat in the pubic region and helps guide you in making an informed decision.
Good luck with your journey to achieving the results you desire.

Dear Diligent53905,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery