A pubic lift (mons veneris) can be an interesting option for people presenting excess tissue in the pubis.
Age, pregnancy and significant weight loss can all contribute to an excess of saggy tissue in the pubic area.
The objective of a pubic lift is to give the pubis a more aesthetically pleasing shape by removing excess fat and skin. For a more even result, skin bearing stretch marks, cellulite and imperfections can also be targeted during the procedure. Not only will this procedure give your pubis better definition, it will help with hygiene in difficult to reach areas.
A pubic lift can be performed alone or, in the case of significant fat deposits in several areas of the body, be combined with an abdominoplasty.
What does a pubic lift entail?
The incision, which is similar to that of a C-section, is designed to be completely hidden by a bikini bottom.
When the targeted skin and adipose tissue are removed, the skin of your pubis is lifted in order to ensure that the surgical wound can close properly. As a result, your pubis will have better definition. Your surgical wounds will be closed with melting stitches.
Frequently asked questions
The ideal patient for this procedure is in good general health, physically fit and at a healthy body weight (or has reached a stable weight after significant weight loss). The patient’s pubis is perceived as too prominent in comparison with his or her silhouette. Certain people may also be embarrassed by their physical appearance.
In the case of healthy patients who have little excess weight, a pubic lift is very safe and leads to few complications. The following is a list of possible complications immediately following the procedure and over the long term.
After any surgical procedure, there is normally some bleeding at the site of the wound. Such bleeding should slow over time and stop altogether after a few days. If, however, there is extensive bleeding that cannot be stopped by applying pressure, another surgical procedure would be required.
An infection can sometimes occur despite using sterile methods and taking antibiotics before surgery. Depending on the severity of the infection, oral or intravenous antibiotics would be required. If an abscess (an accumulation of pus) develops, it will need to be drained by opening the affected area of the skin or by using a drainage tube.
Wound dehiscence refers to a complete or partial opening of the wound that is not healing well. This can be caused by an infection, a pocket of blood or seroma, or by insufficient blood flow. Dehiscence is usually treated conservatively, that is, either by applying dressings and wound management, or through surgery to close the wound again.
Necrosis of the skin
Necrosis of the skin is a rare complication where a portion of the skin does not receive enough blood to heal properly. Skin that is affected by necrosis can be treated by applying dressings and wound management or may require surgery to close the wound again. Patients who smoke are at greater risk.
Necrosis of the adipose tissue
Fat necrosis is characterized by a flow of liquified fat which can last several weeks. This condition is caused by insufficient blood flow to the adipose tissue and is more frequent in patients who smoke or are obese.
Phlebitis, which is very rare, is an inflammation that can occur in the deep veins of the legs. Blood-thinning medication and compression stockings may be prescribed to treat this condition. The best form of prevention is moving around as soon as possible after the surgery, because contracting the calf muscles greatly improves blood flow in the legs.
The scar will change gradually for up to two years before reaching its final appearance. It may become pigmented, raised, painful or less sensitive to touch. As the scar evolves, your surgeon can suggest treatment with cortisone injections or a minor surgery to correct the scar’s appearance.
A pubic lift is usually performed under local anesthesia with sedation. However, if combined with other surgical procedures (abdominoplasty, body contouring, etc.), it will be performed under general anesthesia.
Postoperative dressings must remain intact and dry for approximately one week. You may shower once the dressings and drainage tubes have been removed. You must avoid any intense physical exercise and stretching the areas affected by the operation during the first six weeks following your surgery in order to give your body a chance to heal comfortably. However, it is important to get out of bed and walk regularly in order to contract your calves and avoid thrombophlebitis in your lower limbs.
You can resume your normal physical activities two to four weeks after your surgery. It is important for you to listen to your body. It will tell you if you are ready to exercise and how much exercise you can handle. Pain or discomfort when exercising is a sign that your body is not quite healed and that it would be better to wait a few more days before trying again.
The pubic lift in itself lasts approximately 90 minutes.
Generally, the cost of a pubic lift is approximately $5,850. The cost may vary if the procedure is combined with an abdominoplasty and/or body contouring surgery. Additional charges may apply if the patient has a particular condition or if different surgeries are combined.
PLASTIC AND AESTHETIC SURGEON
Dr. Mario Luc
PLASTIC AND AESTHETIC SURGEON
Dr. Marie-Pascale Tremblay-Champagne
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We would be glad to help you through the process by answering all your questions and allaying your concerns.