Hello, and thank you for your question regarding whether a full tummy tuck can help remove fat from the pubic region and address the issue of a buried penis. First of all, congratulations on your weight loss — losing nearly 90 pounds is a tremendous achievement and a major step toward reclaiming your confidence and health. To answer your question: yes, a full tummy tuck (abdominoplasty) can absolutely help improve the appearance of the pubic area and, in many cases, can significantly reduce a buried penis caused by a large mons pubis fat pad. During a standard full tummy tuck, the following five key steps are performed: Excess abdominal skin is permanently removed Excess abdominal fat is removed (often combined with liposuction) The rectus abdominis muscles are plicated (tightened) The belly button is repositioned The mons pubis (fat pad above the penis) is lifted and often reduced This fifth step is especially important in male patients with a large suprapubic fat pad or a buried penis, which is a common concern after major weight gain or loss. During the tummy tuck, the mons region is usually elevated along with the lower abdominal skin, and your plastic surgeon may also perform direct excision of fat or liposuction in that area to further reduce fullness. For patients with a severe buried penis, your surgeon may recommend combining the tummy tuck with additional contouring of the mons pubis or even a pubic lift, depending on the degree of tissue overhang. This can reveal more of the penis and help restore both functional and aesthetic improvements. Your feelings are completely valid — body image issues, particularly involving intimate areas, can take a huge toll on your mental health. But you’re already on the right path. You’ve lost significant weight, and by seeking a board-certified plastic surgeon with experience in post-weight loss body contouring for men, you can achieve life-changing results. Please schedule a consultation with a board-certified plastic surgeon who regularly performs tummy tucks in male patients. Bring up your concerns about the mons and buried penis during your evaluation — a tailored surgical plan can address these specific goals. Wishing you continued strength and success in your journey. Sincerely, Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS