The Female "Package"

Cosmetic surgery for the nether regions

woman consulting with male doctor
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Men are not the only ones walking around with a "package"; women can have them, too. Talk about female genitalia, grooming habits, "down there" body image and other related issues have become much less taboo topics in American culture over recent years. One other thing has also become less taboo: cosmetic surgery in the nether regions. In fact, more women are opting for surgery on their genitalia.

More specifically, to remove the fatty tissue of the mons pubis.

What Is the Mons Pubis?

The mons pubis, also known as the pubic area or mons, is one area of the body many people do not realize can be changed in shape and size with surgery. The mons pubis is the fatty tissue located above the pubic bone. The fat in this area can reach a size that makes some women quite self-conscious and uncomfortable while wearing more tightly fitting clothing such as leggings, skinny jeans, swimsuits, underwear and tight dresses.

While there is a known procedure that can successfully improve the contour and appearance of this area, embarrassment about surgery of or near genitalia prevents some people from exploring this completely viable option.

What Causes Fat Accumulation in the Mons Pubis?

Fat in this area can be congenital, meaning that a person is born with it. These individuals can be of normal weight, or even underweight, and have a prominent mons pubis due to a genetic disposition for targeted fat collection in this area.

A larger mons pubis can also come with weight gain. It is rare to find an obese woman (or man, for that matter) who does not store excess fat in the pubic area. In this case, not only is there excess fat, but the skin in the pubic area has become lax and started to sag.

Additionally, the fat in this area can appear to be more prominent after surgical procedures on the abdomen, such as an abdominoplasty (tummy tuck) or liposuction, even though there has been no physical change to the pubic area.

How is this so? Flattening the abdomen can make the pubic area appear to stick out more. After a tummy tuck or liposuction, some women believe that the surgery caused them to have a prominent or protuberant mons.

The pubic area may temporarily appear larger after liposuction because gravity pulls swelling downward from the abdomen toward the mons pubis, but in most cases, cosmetic surgery on the abdomen ends up revealing the fatty tissue of the mons. In cases like these, the size of the mons pubis had been hidden by the stomach's sagging skin, or the individual who got surgery was so focused on the protuberance of their abdomen that they didn’t pay much attention to the mons pubis area until their abdomen was flat.

What's the takeaway point? When it comes to cosmetic surgery of the abdomen, it is important to consider the pubic area as well.

Cosmetic Surgeries for the Mons Pubis

Liposuction of the mons pubis is a straightforward procedure that can be done under local anesthesia to achieve dramatic results, especially if the skin has good elasticity.

However, for people with loose skin, liposuction of the mons pubis can appear to make already-loose skin in the pubic area even more loose. This is due to the deflation effect that occurs when the fat is removed. When the fatty deposit in the pubic area is large enough to stretch the skin, its removal can cause the skin to droop.

In these circumstances, liposuction is not enough. A procedure known as a monsplasty, or a pubic lift, is the best option. In a monsplasty, both extra skin and excess fat are surgically removed, reducing the bulge and giving the area a lift as well. A monsplasty involves an incision and subsequent scar similar to that of a C-section. A pubic lift or monsplasty can also be done in those whose pubic area has been stretched out due to pregnancy or from aging changes.

Regardless of the type of surgery performed, there will undoubtedly be a great deal of swelling afterward. This swelling can even extend down to the labia in women and the scrotum in men. Bruising is also not uncommon. Bruising usually resolves after 2 to 3 weeks. Swelling can take longer to resolve. The majority of swelling will subside by 6 weeks. However, continued improvement in swelling can continue for up to 3 to 4 months after surgery.

As is the case with any surgery, complications are possible after a monsplasty. Hematoma, seroma, deep vein thrombosis, pulmonary embolism, delayed wound healing, wound separation, skin necrosis and wound infection are some of the possible complications that can occur after surgery to contour the pubic area.

Mons Surgery for Men

Even though interest in this type of surgery is more common amongst women, men can have excess fat in the mons pubis, too. The amount of fat can be so great that it makes the penis appear much smaller than it actually is, which can be a problem for some men. The same treatment of liposuction with or without monsplasty can successfully be done in men as well.

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