Mons Pubis Reduction (Monsplasty)

Mons pubis reduction (monsplasty) is a procedure performed to reduce or lift the mons pubis, the area of the groin just above the genitals, also known as the mons. It can be performed in women and men.

Fat build-up and sagging can occur in this area due to weight gain, loose skin after weight loss, pregnancy or age. This can cause a noticeable bulge in tight clothing, discomfort and, in some people, difficulty with hygiene. Results vary from person to person.

How Is Mons Pubis Reduction Performed?

The method to be used is determined at the examination according to the amount of fat in the area and the degree of skin sagging:

• Liposuction: If sagging is not marked and the problem is mainly excess fat, fat is removed with thin cannulas through small incisions.
• Surgical monsplasty: If there is skin sagging, excess skin and fat are removed through a horizontal incision above the pubic crease and the area is lifted upward. Liposuction is added if needed.

Depending on its extent, the operation is performed under local anaesthesia with sedation or under general anaesthesia. Mons pubis reduction can be planned in the same session as a tummy tuck or genital procedures such as labiaplasty.

Who Is Mons Pubis Reduction Suitable For?

It may be considered for people with excess fat or skin sagging in the pubic area that does not improve with diet and exercise, whose weight has been stable for some time, and who are in suitable general health with realistic expectations, if they are found suitable at the examination.

Who Is Mons Pubis Reduction Not Suitable For?

The procedure is not performed, or is postponed, in the following situations:

• People who are still losing weight or whose weight is not stable
• Pregnancy and the early period after childbirth
• Active infection in the genital area or the groin
• Uncontrolled chronic diseases or bleeding or clotting disorders
• People who cannot stop smoking (because of the risk of wound-healing problems)
• Unrealistic expectations

Preparation Before Mons Pubis Reduction

Before the operation, excess fat, skin sagging and the condition of the abdomen are assessed at the examination; marking is done with the person standing. The necessary tests are carried out. Medicines being used should be reported to the doctor; the doctor decides whether blood-thinning medicines should be stopped.

The Recovery Process After Mons Pubis Reduction

After the operation there may be swelling and bruising in the area and in the external genital area; the swelling may move downward and decreases within a few weeks. Pain is controlled with the painkillers recommended by the doctor.

• A corset or compression garment should be worn for the period recommended by the doctor.
• Care should be taken with genital hygiene, and dressings should be changed at the times set by the doctor.
• Heavy lifting and strenuous sports should be avoided for the period set by the doctor.
• The doctor decides when sexual activity can be resumed; a break of a few weeks is usually recommended.

The time to return to work depends on the procedure performed; it is shorter after liposuction and longer after surgical monsplasty.

Risks of Mons Pubis Reduction

Like any surgical procedure, mons pubis reduction has risks. The most common are swelling, bruising, pain and temporarily reduced sensation.

Less commonly, bleeding or a collection of blood (haematoma), fluid collection (seroma), infection, delayed wound healing, a visible scar, asymmetry, contour irregularity and permanent changes in sensation may occur. Surgical monsplasty leaves a permanent scar at the pubic crease. In some cases a corrective procedure may be needed.

If increasing pain, swelling, fever or discharge from the wound is noticed, the doctor should be contacted immediately.

Are the Results of Mons Pubis Reduction Permanent?

The results can be long-lasting; however, significant weight gain or pregnancy can lead to renewed fat build-up and sagging in the area. Maintaining a stable weight is important to preserve the result.