A larger mons pubis can also be related to being overweight. If the extra volume over the pubis is related mainly to a fat excess, the treatment indicated will be liposuction. In this case, the scars will be minimal, 2 or 3 mm, which is the size diameter of the cannulas used to aspirate the extra fat.
In other cases, the enlarged pubic area is caused by an excess of fat and skin, or skin only, like happens after important weight loss or pregnancy. Women who developed extra skin on their abdomen will often show extra skin over the pubic area, and therefore when having a tummy tuck your surgeon might also recommend a reduction (or a lift) of the pubic area.
In some cases, cosmetic surgery on the abdomen reveals the fatty tissue of the mons that was already there but ignored by the person’s focus on their stomach size. Mons Reduction Surgery or a Pubic Lift is the operation that removes fatty tissue and loose overhanging skin from the pubis, to flatten and lift pubic area.
The surgery is usually done in 2 ways, depending on the amount of skin to remove and the lifting effect to achieve.
The first option will be a crescent excision above the pubis, leaving a scar similar in shape and position to the Caesarean section scar. If the pubis reduction is done at the same time as a tummy tuck, you will only have the scar of the tummy tuck.
The second option, when more skin needs to be removed, will be a fleur de Lys-shaped excision, which will leave an inverted T scar over the pubis.
