How Do Surgeons Address The Upper Pubic Area With A Tummy Tuck

a typical tummy tuck doesnt include treatment of the pubic area as this varies from patient to patient.

treatment can include   suctioning, excision, both..   talk with your surgeon about your concerns

You are absolutely correct with your observation that the pubic area is sometimes ignored in abdominoplasty.

I nearly always do liposuction of this area during the course of tummy tuck surgery.

If the pubic area is enlarged or sagging as is usually the case following massive weight loss, then I dip down with my abdominoplasty skin excision to remove the upper pubic skin and lift the remainder of the pubis.

Good luck!