The pubic area, or mons pubis, corresponds to the fat pad located in front of the pubic bone. When there is laxity, this area drops and protrudes, giving a sagging appearance not only to the mons pubis but to the entire intimate area. With a 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
A 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 area. Excess tissue can cause aesthetic discomfort, difficulty wearing intimate clothing, and even interfere with sexual activity.
During the consultation, I evaluate 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 visualize 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 localized liposuction.
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Pre-operative
The consultation
During the consultation for a mons pubis lift, I evaluate the position of the pubic area, its volume, skin laxity, tissue distensibility, and the presence of previous scars. I perform the maneuver of lifting the pubic area with my hands to estimate whether the surgery will have a satisfactory result. I explain all the details of the procedure and we discuss additional treatments you may want to undergo, such as labiaplasty or liposuction of the pubic area.
Exams
For a mons pubis lift surgery, I usually request the following tests:
Complete blood count (CBC);
PT with INR + aPTT;
Blood urea nitrogen (BUN);
Creatinine;
Fasting blood glucose;
Total protein and fractions
Vitamin D
Vitamin C
Urinalysis;
Electrocardiogram (EKG);
Surgical risk assessment, consisting of an evaluation by a cardiologist.
Anesthesia
Due to the need for skin removal and elevation of deep tissues, I perform the mons pubis lift under total intravenous general anesthesia (TIVA), which allows for quick recovery and great comfort for the patient. After surgery, the patient wakes up within minutes once the medications are discontinued. The nearly immediate recovery makes TIVA one of the safest and most modern anesthetic techniques available.
The surgery
I begin the mons pubis lift by marking and resecting the excess skin and fat in the upper portion of the pubic mound. The pattern of skin removal varies according to each patient's needs -- 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 tension on the skin is minimized. When indicated, I combine liposuction of the pubic area to refine the contour. The procedure takes an average of 1 to 2 hours.
Combining with abdominoplasty
I frequently perform a mons pubis lift in conjunction with abdominoplasty (tummy tuck), especially in patients who have undergone significant weight loss. Abdominoplasty alone can, in some cases, accentuate the pubic protrusion -- therefore, combining the two procedures provides a more harmonious and natural result.
Post-operative
Recovery from a mons pubis lift is very smooth and practically painless. I recommend sleeping on your back for one month and avoiding physical exercise during that time. Additionally, the patient should abstain from sexual intercourse for six weeks, until the tissues have fully healed. Sun exposure to the scar should be avoided 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 swelling to subside and for the scar to lighten and become thinner. However, right after surgery, the patient can already appreciate the lifting effect and notice the elevation of the tissues in the intimate area. Initially, the tissues will sit slightly higher than the final result, as there is a natural settling during recovery. I consider the final result to be between six months and one year, although the scar continues to fade for up to eighteen months to two years. The results are long-lasting, especially when maintaining a stable weight.
Schedule your mons pubis lift with me!
Get in touch with my clinic in Londrina, Brazil and schedule your consultation for a mons pubis lift. I am a plastic surgeon specializing in pubic lifting and other forms of intimate surgery, with excellent results and over 20 years of experience.
A mons pubis lift, or monsplasty, is a surgery I perform to elevate and reshape the pubic area when there is sagging, excess skin, or fat. In my experience, the best candidates are women who have undergone significant weight loss, bariatric surgery, or pregnancies that have left the pubic area droopy and bulky.
What causes sagging of the mons pubis?
In my clinical practice, I observe that the most common causes are natural aging, significant weight loss (including post-bariatric), multiple pregnancies, and genetic predisposition. These factors lead to 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 a maneuver to lift the area with my hands so the patient can visualize the expected result. This way, I operate safely and with the certainty that the procedure will produce 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 cyanoacrylate surgical glue on the skin, which eliminates the need for external sutures and provides a thinner scar without stitch marks.
What type of anesthesia is used for the mons pubis lift?
I perform the mons pubis lift under total intravenous anesthesia (TIVA), which provides a quick recovery and excellent comfort for the patient. Within minutes of discontinuing the medications, the patient is fully awake. I consider this one of the safest and most modern anesthetic techniques available.
Can a mons pubis lift be combined with a tummy tuck?
Yes, I often perform both procedures together, especially in patients who have undergone significant weight loss. In my experience, a tummy tuck alone can accentuate the pubic protrusion, so the combination provides a more harmonious and natural result.
How long does the surgery take?
The procedure takes an average of 1 to 2 hours, depending on the amount of skin and fat to be removed and the need for additional liposuction. When combined with abdominoplasty, the total time increases proportionally.
What is recovery like after a mons pubis lift?
Recovery is very smooth and practically painless. I recommend that my patients sleep on their backs for one month and avoid physical exercise during that period. Sexual intercourse should be avoided for six weeks, until the tissues have fully healed. Sun exposure to the scar should be avoided for three months.
When will I see the final result?
Right after 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 fully resolves. The scar continues to fade 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 as long as the patient maintains a stable weight. Significant weight fluctuations can compromise the outcome over time. I recommend that my patients maintain healthy habits to preserve the improvement achieved.
