Pubic Lift Surgery (Monsplasty) Sydney

What Is the Mons Pubis, and Why Does It Change?

The mons pubis is the region immediately above the genitals and overlying the pubic bone. It can become prominent for a variety of reasons, and certain life events can cause it to become enlarged and/or ptotic (saggy):

• Pregnancy: Hormonal changes, skin stretching, and weakened connective tissues can lead to fullness or drooping in the mons area.
• Caeserean scars: These scars can something developing tethering and tightness, which will lead to the tissue below it, the mons, to become more pronounced.
• Massive Weight Loss (MWL): Following MWL, patients are often left with sagging or redundant skin  in all regions of the body, and the mons is often affected.
• Aging: Like other areas of the body, the mons loses elasticity and begins to sag  with age.
• Genetics: Some people are simply genetically predisposed to having more adipose tissue (fat) in this region.

Changes to the mons region, especially severe ptosis (which is very common following MWL), can have serious impacts on quality of life, including self-hygiene issue, intimacy concerns, discomfort and clothing issues.

Monsplasty & Tummy Tucks

When Dr Dona performs an abdominoplasty, regardless of what, then a monsplasty is a routine part of this surgery. With few exceptions, Dr Dona believes that every patient that is undergoing an abdominoplasty requires a monsplasty. This is especially the case in those who have experienced MWL. As such, it is a routine part of practically every abdominoplasty he performs.

Of course, there exists a small group of patients who require a monsplasty but do not need an abdominoplasty. This is typically the younger patients who for whatever reason have developed with a very full mons region. Often genetics play a large role in the development of a larger mons in thos individuals.

Is Monsplasty right for you?

You may consider Monsplasty surgery if:

• You’ve undergone MWL and now suffer from loose, sagging skin in the pubic area.
• Following pregnancy, and especially is you’ve had a caesarean section, you’ve got significant contour concerns to your lower abdominal wall and pubic regions.
• The mons region is  full or is very noticeable  in tight fitting clothing.
• You are self-conscious about the excessive fullness you have in the mons region.
• You experience physical concerns such as  chafing, rash, or hygiene issues  in the area.
• You would like to see a smoother contour from your lower abdomen to your pubic area as part of a total BCS plan..

Preparation for Monsplasty

As per any BCS procedure, some key issues that you need to maximise your chance of excellent results:

• You need to be in good general health, and any medical conditions you may have need to be stable and well managed.
• You need to be at a stable sustainable weight.
• You need to be a non-smoker and not be consuming any nicotine – including patches, gums and vapes.

Being realistic about outcomes is vital. During your consultation, Dr Dona will assess your general health, your key concerns and surgical goals,  and determine whether monsplasty alone – or in combination with other procedures -is appropriate for you.  A detailed surgical plan will be tailored to address your unique needs, and the surgery, recovery, potential complications and issues will be covered in depth to ensure you are well-informed before deciding whats right for you.

The Surgery

When performed in isolation, a monsplasty is typically performed under general anesthesia and takes between 1–2 hours, depending on the complexity. When combined with an abdominoplasty, then it will of ocourse take as long as that primary procedure – anywhere from 2-5 hours. Dr Dona will:

1. Mark out the area that needs to be reduced and lifted.
2. Remove all excess skin and/or fat.
3. Lift the ptotic mons regions to create a flatter, tighter and elevated contour.
4. Close the incision in multiple layers,  ensuring the scar is placed low enough so it can be comfortably hidden in regular unerwear.

For a monsplasty performed in isolation, most patients return to light activities within 2 weeks. There will be swelling, bruising, and some numbness in the area. You will be prescribed pain medication to address any discomfort that you will experience.  You are typically cleared to return to normal activities after 4 weeks.

Full results will take 3-6 months.

Given that a monsplasty is typically part of an abdominoplasty, then the recovery timeline for these patients is as per tummy tuck surgery recovery.