Mons pubis, pubic mound or "VW bonnet"
The little fat below the abdomen and above the intimate area is called the mons pubis, or pubic mound. Commonly known as "VW bonnet", excess fat in this area can be bothersome in various situations: in a bikini, in gym trousers or in any tight clothing. Factors such as genetics, ageing, hormonal fluctuations, and significant weight loss -- including post-bariatric -- can contribute to this fat accumulation.
As an intimate surgery specialist in Brazil with over 20 years of experience and more than 8,000 surgeries, I treat this excess fat with a simple and effective pubic liposuction. I use the tumescent technique with fine cannulas, specially adapted for precise mons pubis contouring, allowing aspiration with minimal bleeding. The procedure is quick, smooth, and has a short recovery -- my patients are discharged on the same day and can return to work the next day. As a board-certified plastic surgeon, I welcome international patients from the United Kingdom and worldwide seeking medical tourism in Brazil for cosmetic surgery abroad, with dedicated support throughout their journey.
Indication
I recommend pubic liposuction for patients with excess localized fat in the mons pubis. Both men and women can benefit from the procedure. In men, the accumulation of pubic fat can "bury" the penis, affecting appearance and sexual function. In women, it causes visible protrusion under clothing and aesthetic discomfort. Typically, I see patients from the age of fifteen to sixteen, when bodily development is practically complete.
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Pre-operative
The consultation
In the consultation, I assess the pubic region to identify excess fat on the mons pubis. If there is accompanying skin laxity, I may recommend a mons pubis lift (pubopexy). If the patient wishes to evaluate the intimate areas more broadly, pubic liposuction can be performed in conjunction with other female intimate surgery procedures, such as labiaplasty, labia majora reduction, or even abdominoplasty -- a combination I frequently perform to balance the entire lower abdominal region.
Examinations
For pubic liposuction, I request some examinations, such as:
- Complete blood count;
- PT with INR + APTT;
- Urea;
- Creatinine;
- Fasting blood glucose;
- Total proteins and fractions
- Vitamin D
- Vitamin C
- Urinalysis;
- ECG;
- Pre-operative cardiac assessment.
The anaesthesia
For pubic liposuction, I use total intravenous general anaesthesia, the same that I employ in all my procedures. This way, the patient undergoes a safe, painless procedure with rapid anaesthetic recovery, being discharged on the same day.
The surgery
I perform pubic liposuction through two small openings of about 1 cm, through which I introduce a tumescent solution containing saline and adrenaline, to minimise bleeding. Then, I use a thin liposuction cannula and remove the fat from its two layers: the superficial and the deep. It is essential to aspirate both layers to achieve the best possible mons pubis contouring result. The two openings are closed with an absorbable internal suture and cyanoacrylate glue, eliminating the need for suture removal afterwards. The scars become practically imperceptible after complete healing.
Post-operative
The recovery from pubic liposuction is quite smooth. Being discharged on the same day as the surgery, I advise the patient to wear a compression garment for two months and to start lymphatic drainage on the fifth day and endermology on the tenth day. I recommend a month without physical activity and without sexual activity for the same period. In the first three days, it is important to drink plenty of fluids to maintain adequate hydration. I also prescribe antibiotics, anti-inflammatories, and analgesics for the post-operative period.
Final result
Like all liposuctions, the results begin to become quite apparent around the third week, but it is at two months that the area significantly reduces in swelling, coinciding with the first post-operative photos. The final result can be appreciated around the sixth month. The results are long-lasting, provided the patient maintains a stable weight — the removed fat cells do not return.
Frequently asked questions about pubic liposuction
What is the "VW bonnet"?
"VW bonnet" is the popular Brazilian term for the excess fat on the mons pubis, the pubic region just above the intimate area. In my practice, I receive many patients who have concerns about this prominent volume, visible under tight clothing, bikinis, and gym trousers.
How do you perform pubic liposuction?
I perform the procedure through two small openings of about 1 cm in the region. First, I infiltrate a tumescent solution with saline and adrenaline to minimise bleeding. Then, I use thin cannulas to aspirate the fat from the superficial and deep layers, ensuring the best possible result.
Is pubic liposuction definitive?
Yes, in my experience, the results are long-lasting. The fat cells that I remove do not return. However, I advise my patients to maintain a stable weight, as the remaining cells may increase in volume with significant weight gain.
Is the scar from pubic liposuction visible?
In the vast majority of cases, no. I close the openings with an absorbable internal suture and cyanoacrylate glue, eliminating the need for suture removal. The scars become practically imperceptible after complete healing.
Can pubic liposuction be combined with other surgeries?
Yes, and this is a combination I frequently perform. Depending on the case, I combine pubic liposuction with a pubic lift (pubopexy), labiaplasty, labia majora reduction, labia majora fat grafting, or abdominoplasty -- especially to balance the entire lower abdominal region.
Can men also have pubic liposuction?
Yes. In men, the accumulation of pubic fat can "bury" the penis, impairing both appearance and sexual function. In my experience, male pubic liposuction yields very satisfactory results, significantly improving the contour of the area.
What anaesthesia is used?
I use total intravenous general anaesthesia, the same that I employ in all my procedures. This way, the patient undergoes a safe, painless surgery with rapid anaesthetic recovery, being discharged on the same day.
What is the recovery like after pubic liposuction?
The recovery is quite smooth. I recommend that my patients wear a compression garment for two months, start lymphatic drainage on the fifth day, and endermology on the tenth day. I advise a month without physical activity and without sexual activity. Most return to work the following day.
When do the final results appear?
In my experience, the results begin to become apparent around the third week. At two months, the area significantly reduces in swelling — this is when I take the first post-operative photos. The final result can be appreciated around the sixth month.
From what age can I have pubic liposuction?
Normally, I see patients from the age of fifteen to sixteen, when bodily development is practically complete. Each case is evaluated individually in the consultation so that I can recommend the best time and approach.
Book your pubic liposuction consultation
Get in touch and book a consultation with me in Brazil. As an intimate surgery specialist trained at the Ivo Pitanguy Institute (SBCP, ASPS), I use the most modern techniques to perform your pubic liposuction and mons pubis contouring with total safety. I welcome international patients from the United Kingdom and worldwide seeking cosmetic surgery abroad through medical tourism.
Pubic liposuction is often combined with mons pubis lift for complete results. Also learn about labiaplasty, labia majora reduction, fat grafting to the labia majora, perineoplasty, and vaginoplasty. See information about pricing and online consultation.
Dr. Walter Zamarian Jr.
Plastic Surgeon in Brazil
Rua Engenheiro Omar Rupp, 186
Londrina, Brazil
ZIP 86015-360
Brazil
YouTube Channel: Dr. Walter Zamarian Jr.
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