Can My Puffy Mons Be Reduced After My Belt Lipectomy?
Q: Dr. Eppley, I had a belt lipectomy six months ago. The tummy tuck portion in the front did lift my pubic area a bit but it is still puffs out below the scar line compared to the tight abdomen above it. When I lay on my side, my abdomen is tight but the pubic area is puffy and sags like old wrinkled skin. While standing it just looks a bit puffy but no wrinkles. What pubic reduction method would work the best and can it be done under local anesthesia?
A: It is not uncommon that pubic or mons fullness becomes evident after a tummy tuck or curcumferential lower body lift. While this fullness was always there, it becomes apparent when the tightness of the scar above it is more narrow than the original projection of the pubic tissue. Every tummy tuck does create some degree of a pubic lift but it may not be enough to obscure the larger pubic mounds that exist in those that need a circumferential body lift. If this is diagnosed in advance, it can be incorporated into the frontal tummy tuck design or undergo liposuction for reduction. On a secondary basis, pubic reduction can be done liposuction alone or combined with a pubic lift skin excision pattern. Since it appears by your description that you need more than just liposuction, I would recommend a general anesthesia approach.
Dr. Barry Eppley