The pubic region, or mons pubis, corresponds to the fat pad situated in front of the pubic bone. When there is laxity, this area descends and protrudes, giving a sagging appearance not only to the mons pubis but to the entire intimate area. With the mons pubis lift -- also called monsplasty or puboplasty -- I elevate and reshape the pubic mound, restoring a firmer and more harmonious contour. If you feel that your intimate area is low, bulky, or hidden by excess skin and fat, this surgery may be the ideal solution.
Indications
The mons pubis lift particularly benefits patients who have undergone significant weight loss (bariatric surgery or weight loss through diet), women after pregnancies, or individuals who naturally present laxity and lipodystrophy in the pubic region. Excess tissue can cause aesthetic discomfort, difficulty wearing intimate clothing, and even interfere with one's sexual life.
During the consultation, I assess the position of your mons pubis, the volume of fat, the quality of the skin, and the extensibility of the tissues. I simulate the elevation with my hands so that you can visualise the expected result. This way, I operate safely and with the certainty of an improvement that justifies the procedure. If the laxity is mild, I recommend other treatments that can improve your intimate area, such as labiaplasty or localised liposuction.
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Pre-operative
The consultation
During the consultation for a mons pubis lift, I assess the position of the pubic area, its volume, skin laxity, tissue distensibility, and the presence of previous scars. I perform the manoeuvre of lifting the pubic area with my hands to estimate whether the surgery will yield a satisfactory result. I explain all the details of the procedure and we discuss any concomitant treatments you may wish to undergo, such as labiaplasty or liposuction of the pubic area.
Examinations
For a mons pubis lift, I usually request the following examinations:
Complete blood count;
PAT with INR + APTT;
Urea;
Creatinine;
Fasting blood glucose;
Total proteins and fractions
Vitamin D
Vitamin C
Urine I;
Electrocardiogram;
Surgical risk assessment, which consists of evaluation with the cardiologist.
The anaesthesia
Due to the need for skin removal and elevation of deep tissues, I perform the mons pubis lift under total intravenous general anaesthesia, which allows for quick recovery and excellent comfort for the patient. Once the surgery is completed, the patient wakes up just a few minutes after the administration of the medications has ceased. The almost immediate recovery makes total intravenous anaesthesia one of the safest and most modern forms of anaesthesia available.
The surgery
I begin the mons pubis lift by marking and excising the excess skin and fat in the upper part of the pubic mound. The design of the skin removal varies according to the needs of each patient -- in many cases, the incision is positioned along the bikini line or at the transition with the abdomen, remaining hidden by underwear. Next, I secure the deep tissues in a higher position with internal sutures, so that the tension on the skin is as minimal as possible. When indicated, I combine liposuction of the pubic area to refine the contour. The procedure lasts on average 1 to 2 hours.
Combination with abdominoplasty
I frequently perform the mons pubis lift in conjunction with abdominoplasty, especially in patients who have undergone significant weight loss. Isolated abdominoplasty can, in some cases, accentuate the pubic protrusion -- therefore, the combination of the two procedures provides a more harmonious and natural result.
Post-operative
The recovery from a mons pubis lift is quite smooth and virtually painless. I recommend one month of sleeping on your back and avoiding physical exercise. Additionally, the patient should wait six weeks without sexual intercourse, until the complete healing of the tissues. Sun restriction on the scar applies for three months, to prevent darkening.
Surgical glue
I use cyanoacrylate surgical glue on the skin, resulting in a scar without suture marks and as thin as possible. The glue eliminates the need for suture removal, making the post-operative period even more comfortable.
Final result
It takes a few months for the operated area to reduce in swelling and for the scar to lighten and become thinner. However, straight after surgery, the patient can already admire the lifting effect and notice the elevation of the tissues in the intimate area. Initially, the tissues will sit slightly higher than in the final result, as there is a natural settling during recovery. I consider the final result to be between six months and one year, but the scar continues to lighten until it reaches eighteen months to two years. The results are long-lasting, especially when maintaining a stable weight.
Book your mons pubis lift with me!
Get in touch with my clinic in Londrina, Brazil and book your consultation for a mons pubis lift. I am a Consultant Plastic Surgeon specialising in pubic lifting and other forms of intimate surgery, with excellent results and over 20 years of experience.
What is a mons pubis lift and who is it indicated for?
A mons pubis lift, or monsplasty, is a surgical procedure I perform to elevate and reshape the pubic area when there is sagging, excess skin, or fat. In my experience, the principal candidates are women who have undergone significant weight loss, bariatric surgery, or pregnancies that have left the pubic area drooping and bulky.
What causes drooping of the mons pubis?
In my clinical practice, I observe that the most common causes are natural ageing, significant weight loss (including post-bariatric), multiple pregnancies, and genetic predisposition. These factors cause skin laxity and loss of support in the deep tissues of the pubic area.
What is the consultation like for a mons pubis lift?
During the consultation, I assess the position of the mons pubis, the volume of fat, the quality of the skin, and the extensibility of the tissues. I perform the manoeuvre of lifting the area with my hands so that the patient can visualise the expected result. This way, I operate safely and with the certainty that the procedure will bring a significant improvement.
Is the scar from a mons pubis lift visible?
I position the incision along the bikini line or at the transition with the abdomen, so that it remains hidden by underwear. Additionally, I use surgical glue made of cyanoacrylate on the skin, which eliminates the need for external sutures and provides a thinner scar without suture marks.
What anaesthesia is used for a mons pubis lift?
I perform the mons pubis lift under total intravenous general anaesthesia, which offers quick recovery and excellent comfort to the patient. A few minutes after stopping the administration of medications, the patient is already waking up. I consider this one of the safest and most modern anaesthetic techniques available.
Can a mons pubis lift be combined with abdominoplasty?
Yes, I frequently perform both procedures together, especially in patients who have undergone significant weight loss. In my experience, isolated abdominoplasty can accentuate the pubic protrusion, so the combination provides a more harmonious and natural result.
How long does the surgery take?
The procedure takes on average 1 to 2 hours, depending on the amount of skin and fat to be removed and the need for additional liposuction. When I combine it with abdominoplasty, the total time increases proportionally.
What is the recovery like after a mons pubis lift?
The recovery is quite smooth and practically painless. I recommend that my patients sleep on their backs for one month and avoid physical exercise during this period. Sexual intercourse should be avoided for six weeks, until the complete healing of the tissues. Sun exposure on the scar is restricted for three months.
When can I see the final result?
Straight after the surgery, the patient can already notice the lifting effect. I consider the final result to be between six months and one year, when the swelling resolves completely. The scar continues to lighten for up to eighteen months to two years after the procedure.
Is the result of a mons pubis lift permanent?
The results are long-lasting and I consider them permanent provided the patient maintains a stable weight. Significant weight fluctuations can compromise the result over time. I recommend that my patients maintain healthy habits to preserve the improvement achieved.
