I have a thick pubic fat pad, and would like to get rid of the loose skin. What are the side effects of a surgery like this?

Liposuction
of your mons pubis can help reduce the fat pad you describe. Liposuction is
usually performed as an outpatient procedure, so you will be able to go home
shortly after your procedure. You can also include liposuction of the mons
pubis in a tummy tuck, which will help contour your midsection. Side effects
are similar to most body contouring surgeries, and normally include swelling,
bruising and soreness of the treated area. Following your surgeon’s
post-operative care instructions can help ensure the quickest path to recovery,
while any discomfort can be managed with over-the-counter medications.

Without more information it's impossible to comment on your particular situation. In general, however, skin removal associated with liposuction is almost never required when dealing with the Mons.

Thank you for your question.  Photographs are helpful to give better recommendations, but depending on what an in-person physical exam shows, liposuction of the mons can reduce the overall thickness of the fat pad.  As there is a lot of connective tissue in this area, it usually responds well to liposuction.  If you have loose skin despite the thick pubic fat pad, you may be more of a candidate for a mons lift, whereby the extra skin is removed in surgery, tightening the remaining skin. See a local board certified plastic surgeon for an evaluation.  

Liposuction is the suction removal of subcutaneous fat. Subcutaneous fat is located just below the surface of the skin and above the muscles and bones. It doesn't remove all of the fat, but it does remove the majority of the fat. The perfect candidate is at or near their ideal body weight and has localized areas of fat that are out of proportion to the rest of the body. It is not a weight reduction technique. It can be used on any area of the body, but it relies on the skin redraping after the fat is removed. So, if you have loose skin, you may end up with wrinkles or folds after the surgery. Some areas respond better to liposuction than others, the lateral thighs always look nice, the inner thighs and arms, not so much. The tummy depends on how loose the skin was to begin with. It does not remove or improve stretch marks. There are many different terms used for liposuction:Tumescent liposuctionPower liposuctionLaser liposuctionVaser liposuctionSmart liposuctionUltrasonic liposuctionAnd many, many more. All these techniques vary a little, but the bottom line is that the fat is removed by high powered suction. A small tube or cannula with multiple holes at the end is hooked to a suction device. The cannula is moved rapidly back and forth to remove the fat through very small incisions in the skin. All blood vessels, nerves, muscle, bone and skin is left alone, just the fat is removed. Large amounts of fluid are placed in the subcutaneous fat before the suction begins to reduce bleeding and to numb the skin, this fluid is referred to as tumescent fluid and consists of a balanced salt solution mixed with adrenalin and a local anesthetic. There are 3 choices of anesthesia:Local anesthesia (the patient is awake)Local with sedation (the patient is given a mild sedation)General anesthetic (the patient is asleep)The choice is based upon an agreement between the patient and the surgeon. Make sure you consult with a Board Certified Plastic Surgeon who operates in a nationally accredited surgery center and offers board certified anesthesia. If the price you are quoted seems abnormally low, please do your research and find out why, you do not want to be surprised the day of your surgery!Liposuction can be combined with many other procedures; tummy tuck, breast reduction, thigh lift, arm lift, neck lift and is an essential part of a Brazilian Butt lift (this is where the fat comes from!) All of my patients are treated post operatively with a compression garment that is worn for 2 weeks and 5 Endermologie sessions that start 3-4 weeks after the procedure. Endermologie is a non surgical massage technique that helps to smooth out the results of the surgery to help prevent wrinkling and rippling of the skin.Liposuction is not a very painful procedure and recovery is usually quick. Most people are back to work in 3-5 days and back to vigorous exercise in 2 weeks. Of course, if more areas are treated, there will be more pain post operatively and a longer recovery. I was back to work 3 days after my abdominal liposuction and no one knew any better!The cost varies not only from city to city, but from patient to patient. The more areas that are treated, the higher the cost. In the midwest, typical liposuction prices varies from $3,000-6,000 total.Based on the information presented I would recommend the following:Skin excision and liposuction of the mons pubis.Good Luck!

The pubic fat pad can safely be trimmed down with liposuction. Usually, skin excision is not needed, unless there is a tremendous amount of fat.  Liposuction can be done under local or general anesthesia. The procedure is very safe with minimal risks. You will have some bruising and swelling and will wear a compression garment after surgery to minimize the swelling. I would suggest meeting with a board certified plastic surgeon in your are to discuss all your concerns.

Hi sglovesy24,

At
our practice, we incorporate liposuction to the mons pubis (pubic fat pat) into
almost all of our tummy tuck surgeries. We do this because the pubic area is
elevated when the surgery is performed, so a ‘fatty’ mons pubis would be more
evident if we didn’t reduce the localized fat in that area. It is a very
straight-forward procedure to reduce the mons pubis and liposuction to the area
can be performed as a stand alone procedure. Ask your plastic surgeon about
your options, if you have loose skin between the tummy and pubic region, you
may require a mini tummy tuck to smooth the area. The only associated risk is scarring, which we resolve with complimentary Fraxel laser sessions for our patients.All the best,Craig

Contouring of the pubic fat pad is done by 3 techniques: simple liposuction, liposuction with skin removal, or skin and fat removal. The optimal technique for you will be decided by the consultation that you have with a plastic surgeon. When this procedure is properly performed, there are no side effects other than the scar that heals from the surgery. If it is not properly performed there can be long term side effects such as deformity of the labia, alterations in sensation of the pubic skin, or disturbances with urination or sexual function.I hope this helps.