Monsplasty: Can Monsplasty Lift The Pubic Area?

Yes, monsplasty can lift and tighten the pubic area.

We all know it’s the “forgotten” area in body contouring. People go for tummy tuck, liposuction, and thigh lift and still they aren’t satisfied with their lower belly. They see the mirror, yet the persistent bulge or sagging skin above the genitals stands out to them. This condition has a couple of names, the most popular one being “FUPA” (Fatty Upper Pubic Area) and the medical term is mons pubis ptosis. That area could show up through tight clothes, give a “camel toe” look, or hang so heavily that the vulva looks old or hidden.

Asking “Can Monsplasty lift the pubic area?” is not only a matter of beauty; it is also a matter of comfort and proportion. The answer is positive. A monsplasty (pubic lift) refers to a surgical operation done to reduce the size and uplift the mons pubis. At Lin Health Europe Clinic, we consider this part of the body as the aesthetic center of the torso. We think that a flat, firm lower belly is what makes the whole figure look balanced, as it smoothly goes from the stomach to the thighs.

The Anatomy of the Droop: Fat vs. Gravity

What we know for sure, if there is a problem then it has to be solved. The mons pubis is a layer of fat that covers the pubic bone. When we are young, the mons pubis is firm and located high. However, two opponents that may change this are: lipodystrophy (fat overgrowth) and ptosis (skin sagging).

In fact, the volume of fat cells in the mons is increased by weight gain, making the mons a heavy, protruding mound. Then, gravity pulls the heavy tissue downward. Eventually, or after a large weight loss, the skin loses its elasticity less and less. The mons pubis is the place that is most affected and it may even extend over the labia or the upper thighs. This is not only a problem that happens to the skin, it is also a functional problem as well—there is chafing, problems with hygiene, difficulty in wearing correctly-sized underwear, along with a cosmetic one. Figuring out if you have “excess fat” or “excess skin” is key, as they call for different treatment options.

The Procedure: The Horizontal Wedge Excision

A genuine Monsplasty involves much more than liposuction; it is a lift. The aim is to get rid of the “shelf” of the hanging tissue. Normally, the procedure is done under general anesthesia or heavy sedation.

A horizontal cut is made by the surgeon at the top of the pubic mound—typically it is low enough for the bikini bottoms or the underwear to hide it. This is where the wedge excision takes place and a significant strip of excess skin and fat under the skin is removed by surgery. After the removal of the excess tissue, the remaining skin of the mons pubis is stretched upwards and tightly sewn to the strong fascia of the lower abdominal muscles. This technique is, in fact, a suspension bridge that lifts the whole pubic area back to a young and flat state against the bone.

The “C-Section Shelf”: Fixing the Overhang

We have found that most of the girls who come to us for monsplasty are moms who had a Cesarean section. The C-section scar is only a leading factor for the so-called “shelf.” Deformity caused by a shelf is unique.

After a C-section is closed, the scar tissue can become so tightly attached to the abdominal wall that it creates a deep depression. At the same time, the loose skin and the fat of the mons pubis above the scar still bulge and hang over the tight line. You get a distinct “flap” or overhang that neither dieting nor exercising can get rid of because this is a problem caused by the scar that is being tethered. A monsplasty is the answer to this problem. We cut out the old C-section scar that was tethered, freed it from the adhesions, and removed the overhanging flap, resulting in a smooth and concave contour running from the belly button to the vulva.

Lipo vs. Lift: Which Do You Need?

Not everyone has to go through the incision procedure. Under the assumption that you have a very good skin elasticity (generally younger folks) and that your main issue is just the “pudgy” mons pubis without sagging skin, then VASER Liposuction might be enough.

Liposuction is a technique that is able to effectively reduce the fatty pad and thus slenderize the mound. Here is the thing though. It is possible that if you take the fat out of a mons which already has loose skin, that skin will then deflate and sag even more, looking like an empty sack. Hence, it is so important to be physically examined. At Lin Health Europe Clinic we carry out a “pinch test.” If the loose and pinchable skin is more than 2 centimeters, or the mons moves a lot when you jump, then the outcome after liposuction only will be negative. You will have to do a monsplasty in order to get rid of the skin and to support the tissue.

Lin Health Europe Clinic: The “Pubic Anchor”

We most frequently witness the recurrence of sagging after the standard Monsplasty, resulting in failure. The mons pubis is a heavy region that often suffers from the effects of gravity and friction of walking. The skin-only lift will not strengthen the skin, and it is inevitable that it will stretch out again.

At Lin Health Europe Clinic in Turkey, we make use of a method named Fascial Anchoring. Dropping skin sutures only from skin to skin is not what we do. Permanent or long-lasting deep sutures are used by us to anchor the dermis of the mons pubis directly to the rectus abdominis fascia (muscle wall). That is a non-elastic, structural supportive system. It will therefore be the muscle that carries the lift and not the skin, and also the result that you get will always be very high, tight, and flat irrespective of the natural forces of gravity and clothing pressure for decades to ​‍​‌‍​‍‌​‍​‌‍​‍‌come.

Frequently Asked Questions About Monsplasty