Can My Large Hanging Pubic Mound Be Reduced?

Q:  Dr. Eppley, The picture used on the December 28, 2008 article written by Dr. Eppley looks like my body.  I have lost some weight but am still a large women.  I am very curious about this procedure.  Do I have to be at normal weight to have a pubic lift done?  Does insurance ever cover this type of procedure.  My Gyn says that she thinks I may have some sort of a “prolapse” and suggested I go see a plastic surgeon.  I am so embarassed by how I look I haven’t done so.  Your website gives me hope that I am not the only person who has this problem.  I look forward to hearing from you.  Thank you.

A: A large overhanging suprapubic mound is a common problem for men and women that either have a large abdominal pannus or who have lost a lot of weight. The difference between the two is in the amount of fat that either contains. Either way, this overhanging mound can interfere with urinary outflow, sexual function as well as pose hygiene issues. Its removal can be done through a procedure known as a suprapubic reduction/lift (mons reduction) which consists of liposuction debulking of its fat volume if needed and reduction and lifting of the excess skin that it contains. Based on the above or overlying abdominal anatomy, it may be necessary in some cases to remove any overhanging abdominal pannus or extra skin first before proceeding with a pubic lift procedure. (e.g., abdominal panniculectomy or extended tummy tuck) This is usually not a procedure that medical insurance will cover.

Dr. Barry Eppley

Indianapolis, Indiana