Thanks for your question. Some photos would help in your assessment. It can be done at the same time but the mons area can be fatty or loose or both. If just full of fat, then liposuction can be done to remove the excess. If it is loose then you will need a scar like a C-section scar to remove the extra skin. If both full of fat and skin then liposuction with a C-section scar to remove the excess. Seek A good plastic surgeon to help with this. Good Luck!
All the best,
Carlos Mata MD, MBA, FACS
Board Certified Plastic Surgeon
Excess fullness of the Pubic mound, or Mons Pubis, can be caused by weight gain, pregnancy or genetics. Excess weight or weight loss can lead to drooping or ptosis. These can be treated by one or a combination of liposuction, excision and lifting. This will provide a flatter more youthful appearance with less excess bulge and drooping in this area. The region will look much better both in and out of clothing. These pubic treatments are frequently performed with abdominoplasty. The best thing to do from here would be to schedule a consultation with a local board certified plastic surgeon and look into the best procedure to meet your desired results. Best of luck to you!
A fatty mons pubis can be reduced with Liposculpture of the Mons Pubis. The fat accumulation usually extends into the labia majora and this fat is removed also. We make a small incision in the belly button and the micro cannula is placed through this incision to aesthetically remove the fat. It will provide an aesthetically pleasing result that will give you a natural appearance one desires especially when nude, in a bathing suit, underwear, shear clothing or tight clothing.
Excess fat in the mons pubis can usually be removed with liposuction. If you have drooping mons skin and fat, then you will need a mons pubis lift. I have published extensively on this procedure which requires suturing of the skin and tissue to the underlying muscle. It can be done at the same time as vaginal rejuvenation, but the surgeon must have these skills.Gary J. Alter, M.D.Beverly Hills, CA - Manhattan, NUY
Thank you for your question. It is possible to minimize the appearance of the Mons by providing either a lift or volume reduction. This can be included as part of a vaginal rejuvenation procedure. See an ASPS board certified plastic surgeon in consultation to maximize your results.
This a common and quite effective makeover for the entire vaginal region. You can go further if you wish and combine it with abdominoplasty. Just make sure your surgeon is skilled in all of the planned procedures or is working as part of a team.
Excess bulk, or fat of the mons pubis can very easily be removed by a cosmetic surgeon during the time of a vaginal rejuvenation. A regular OB-GYN physician probably can't do this, but a Cosmetic Surgeon with such training can. Good Luck