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

I see alot of pictures online were women have tummy tucks after weight loss but they are left with all the fat/lose skin that bulges above and around the vagina, making it look alot like part of a mans privates. To change that, Is there a different surgery? or is it something that is supposed to be included in the TT? Thanks.

Doctor Answers 28

Addressing The Pubic Area Bulge With a Tummy Tuck

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The bulging in the pubic area (in medical terms referred to as the mons pubis) is easily addressed during a tummy tuck.  With all of my tummy tucks, I will treat the mons pubis area if necessary to ensure that it's appearance does not detract from the final result.  With the tummy tuck, the area in the mons will be lifted and therefore either liposcuction or direct removal of the excess fat in this area should flatten it out and give you a very nice, smooth result.  This is always included in my tummy tuck procedures.  Best Wishes!!!!!

Palm Beach Plastic Surgeon
4.9 out of 5 stars 58 reviews

Pubic area on a tummy tuck

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I like to remove the fat from that area directly and re-anchor the tissue to suspend it.  The incision is placed lower so when it is lifted the scar doesn't ride up.  This helps reduce the fullness and bulging.  Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advic

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Pubic area and tummy tuck

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The pubic area is addressed during tummy tuck. The treatment of the area depends on the problem. If it is swollen and looks overfilled, then liposuction is he answer, if it is droopy then it should be lifted. During your plastic surgery consultation, you surgeon should address all aspects of your tummy tuck and that includes the pubic area.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Mons sculpting with tummy tuck

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Thank you for your question.  During the course of a well-carried-out tummy tuck, excess fat can be directly excised from the upper pubic area and the remaining tissue fixed in place with sutures.  In experienced hands, this results in an attractive, low-profile contour of this area.

Skin or fat can contribute to this problem...

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It’s not unusual for women who are considering abdominoplasty to have a prominent mons pubis.This can occur for a variety of reasons.In some cases, a prominent pubic bone may be present.In other cases, loose skin or excess fat may contribute to the problem.The treatment of this condition is entirely dependent upon the cause of the problem.
In the vast majority of patients undergoing abdominoplasty.The mons pubis can be addressed during the same procedure.In most cases, this involves removal of excess fat and skin.The procedure is associated with excellent clinical results and high levels of patient satisfaction.
If you’re considering abdominoplasty and are concerned with your mons pubis, it’s important to consult a board certified plastic surgeon.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

The upper pubic area and tummy tuck

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The mons pubis is the area between the upper portion of the vagina and the lower abdomen. When performing an abdominoplasty it is very important to incorporate the recontouring of the mons area with the recontouring of the abdominal wall. Sometimes this requires defatting the area and taking extra care to tighten it up and suspend it to the lower edge of the abdominoplasty incision. If you are considering an abdominoplasty you should express your concerns about this to your surgeon preoperatively.

My simple and illustrated video may help you--learn more about tummy tucks and other body contouring procedures.

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 133 reviews

Mons Pubis Lift with TT

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Although a tummy tuck will often improve the pubic region, often a pubis lift done at the same time is required for the best result. The recovery period will not change in most cases

How to address the pubis in abdominoplasty.

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As in most body contouring procedures, the approach to the pubis depends upon the issues presented. For some women, a simple upward tightening is all that is necessary to improve the contour. In cases where the mons pubis is too fat, either direct excision or liposuction is a nice adjunct to improve the contour. Liposuction seems to lead to less postoperative swelling by theoretically leaving more lymphatic drainage intact. In certain cases of massive weight loss, the mons may be too wide. This can be corrected at the time of medial thigh lifting by extending the incision from the thigh upwards to join the abdominoplasty and in turn, remove the excessive skin. Be wary of pictures however, particularly if you don't have the postoperative date displayed. Many photos are very early in the recovery phase and depend swelling in the pubis is very common and resolves over 6-12 weeks in most cases.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

Pubic Contouring During Or After A Tummy tuck

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This is a very good question and is the one area in tummy tuck surgery that is often overlooked or will require a secondary procedure for optimal flattening. Because the pubic area lies below the lower tummy tuck incision, it can be hard to appreciate how it will be effected by the uplift from a tummy tuck procedure. Pubic contour issues are either loose sagging skin, a fullness or bulge due to fat, or a combination of both. The larger the abdominal pannus or overhang the more this pubic concern will exist. This must be assessed before surgery to determine if the lower tummy tuck incision should be modified to produce a pubic lift or whether pubic reduction by liposuction will be needed. If in doubt it can always be addressed as a secondary procedures through a small skin lift and/or liposuction.

Pubic lift with tummy tuck

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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

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.