Mons surgery, also known as monsplasty or pubic lift, is a cosmetic procedure to improve the
appearance of the mons pubis. The mons pubis refers to the inverted triangular area of fatty
tissue that covers the pubic bone. Both men and women have a mons pubis, though the rounded mass
is more prominent in women.
Mons surgery is commonly recommended for patients who’ve undergone massive weight loss. With weight gain, fats are stored in the mons pubis, and the skin overlying it becomes stretched. After massive weight loss, the loose skin sags and overhangs the pubis.
Aside from being unsightly, a loose or fatty mons pubis is uncomfortable, especially when the skin constantly rubs against clothing. It can also affect the patient’s hygiene and impair sexual function and satisfaction.
Dr Leo utilizes different techniques to perform mons surgery.
For most patients, liposuction is needed to remove excess fat from the pubis. Thereafter, a vertical or horizontal mons reduction surgery is carried out. In a mons reduction, all the excess skin, fat and subcutaneous tissue is excised.
In a nutshell, vertical reduction is more suitable for those with a central excess of skin and fat, while horizontal reduction is ideal for those with overhanging skin above the pubis.
Risk of this procedure includes risks of bleeding, infection and scarring.
Mons surgery is a day procedure performed under IV sedation. It can be done as a standalone operation or in conjunction with a lower abdominoplasty or belt lipectomy. Sometimes, drains are inserted post-procedure and these are removed after 2-4 days.
Recovery of the wound takes around 1 week. No suture removal is necessary as absorbable sutures are used. Patients are advised to refrain from physical activities for 2-6 weeks depending on the extent of dissection.