No Difference in Pubic Mound After Tummy Tuck

Thank you for your question regarding what to do about your pubic region not reducing in size after your tummy tuck surgery. I'm sorry to hear that you have not noticed much difference in the size of your pubic mound area after your procedure. It's understandable to feel upset, especially after achieving significant weight loss and having specific aesthetic goals.

To address this concern, it would be helpful to compare your before and after photos to assess the changes accurately. Additionally, did your surgeon mention if they removed or reduced the fat of the mons pubis during your tummy tuck? Not every surgeon includes the pubic lift and reduction as part of the standard tummy tuck procedure.

However, moving forward, there are options to consider. A revision of the pubic area can be performed depending on the specifics of your case. If there is excess skin or residual fat in the pubic region, you may be a good candidate for targeted procedures such as liposuction or a monsplasty, which specifically addresses the mons pubis area to achieve a more desired contour and reduction.

I recommend discussing these possibilities with your plastic surgeon or seeking a second opinion from a board-certified plastic surgeon who has experience in post-weight loss body contouring.

Sincerely,
Dr. Katzen

The swelling effecting the pubic mound after tummy tuck surgery can last a very long time and it is the last area to decrease in size.
Having said that, if the area remains large after 6-9 months, you can contemplate a pubic lift and reduction. This may involve removal of fat and or skin. Occasionally labia majora reductions are also required and will necessitatte additional incisions.
In the meantime, light compression garments as manual lymphatic drainage may help to expedite elimination of the swelling.

The mons pubis can often be improved with a tummy tuck even after massive weight loss. If you are not unhappy with this area it most likely can be revised.