An area of ​​loose skin in the abdominal region that is often not treated is in the pubic or mons pubis area. Although a tummy tuck or body lift removes a lot of loose abdominal skin, it can still leave excess pubic skin behind and cause a drooping mons pubis. This is often upsetting to patients as they did not anticipate this residual problem. In some, this loose pubic skin is significant enough to interfere with intimacy or urinary flow in some patients. Mainly, though, it’s just a cosmetic issue with a mismatched drooping pubic mound below the horizontal abdominal scar from her tummy tuck surgery.

A pubic lift (monsplasty) can be incorporated as part of a body lift or a tummy tuck. I use a lower center lower abdominal incision location when doing a body lift or tummy tuck so that the sagging pubic area (if present) is lifted more than the surrounding areas. This is a simple modification of the frontal abdominal excision that may avoid the need or desire for a secondary pubic procedure. It is like dropping a shallow “U” shaped extension of the planned lower abdominal incision. However, one of the cosmetic “issues” this modification will create is that the buffer zone between the final incision/scar and the pubic hairline is lost. The pubic hairline will be brought up to the scar line. This can be easily remedied later by laser hair removal.

If a flaccid mons area exists after an abdominal procedure, it can be lifted with a fairly minor operation later on. An inverted U-shaped cut pattern is made from the existing lower abdominal incision. Extra loose skin is removed so that the sagging part of the pubic area is closer to the scar. The same problem will also occur with the connection of the upper part of the pubic hairline with the posterior horizontal abdomen.