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Dr. Barry Eppley

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Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Posts Tagged ‘mons rejuvenation’

The Pubic Lift with or without a Tummy Tuck

Thursday, October 1st, 2009

Sagging and fullness of the pubic area, also known as the Mount of Venus, is a very common problem in mature woman. This condition is often observed in patients who have been suffering abrupt weight loss, pregnancies or simply because of aging. The falling down (known in plastic surgery as ptosis) of the pubic area happens due to flabbiness and looseness of the skin in the frontal pelvic area.

Even in the face of a lack of a lot of excess skin, a woman may have fat deposits in her pubic region which causes an unsightly bulge in her clothes. This deposit may have been present since birth or acquired with weight gain. It is also a common development after a tummy tuck where the scar line and  above is quite flat and the pubic fullness bulges out from below.

An isolated pubic bulge can be eliminated by liposuction, particularly when there is not a loose skin issue. When aging or weight gain has caused the pubic and vaginal regions to descend, rejuvenation can be done by excising excess skin above the pubic hair and removing excess fat in the pubic region. The pubic liposuction and pubic lift procedure are often a part of tummy tuck procedure. Even if not done as part of a tummy tuck, it can be done as a secondary procedure using the existing tummy tuck scar.

Improvement of the pubic region through lifting and/or liposuction is often referred to as genital rejuvenation or mons pubis rejuvenation. The mons pubis is the hair-bearing area of the pubis. Both women and men can have this problem, although most men acquire it through significant amounts of weight loss.

Whenever I do an abdominoplasty in my Indianapolis plastic surgery practice, an evaluation of the appearance of the pubis is done to determine whether or not the pubic area needs to be lifted. All tummy tucks will cause a certain amount of pubic lift. But the design of the tummy tuck can be done to cause a greater amount of pubic lift if needed. In all cases, the top of the pubic hairline will reach to the scar line which will also raise the level of the hairline as well. Patients often undergo laser hair removal later to create a ‘hair-free’ buffer between the scar and the pubic hair line. A few patients have also reported that the amount of pubic lift has resulted in the clitoris becomes more exposed, allowing for improved stimulation.

When a pure pubic lift is done, a caesarian type scar just above the pubic hair is used as the approach for lifting the pubis. This scar heals well as a horizontal scar just above the pubis. It is also combined with liposuction as well. Unlike a tummy tuck, this is a fairly simple procedure that does not require a drain and can be completed in less than an hour.

Barry L. Eppley, M.D., D.M.D.

Indianapolis, Indiana

Pubic Lifts and Liposuction for Mons Rejuvenation

Sunday, April 19th, 2009

Weight gain and loss, pregnancy, and aging  all contribute to a sagging abdominal area…and often the pubis as well. Even after a tummy tuck or abdominal panniculectomy, the pubic area can be left full and with some sag. The abdomen may be quite flat above the tummy tuck scar, but the pubis or mons region can be left bulging outward. Many patients are not aware that the pubic area can be flattened and/or lifted.

Pubic lifts or mons pubis rejuvenation is a tuck of a sagging pubic area.  The mons pubis is the hair-bearing area of the pubis. Fullness and sagging of this area affects both men and women. At the least, it can produce an unattractive bulge for women that is visible in clothes. At the worst, its overhang can obscure the female urethra and a portion of the male penis.

In my Indianapolis plastic surgery practice, whenever I do an abdominoplasty I evaluate the appearance of the pubis to determine whether or not the pubic area needs to be lifted. In some cases, the pubic area can be defatted at the time of tummy tuck closure. Or it can be liposuctioned after closure. If there is significant sag, I will extend the level of the tummy tuck incision lower into the pubic than beyond it to get a simultaneous pubic lift at the same time.

Many times, however, the bothersome appearance of a pubic bulge or sag may not be obvious until after a tummy tuck or body lift. This can be treated by Smartlipo (laser liposuction) if bulging is the issue or by an isolated public lift. For the pubic lift, this is a simple procedure that removes a strip of skin and fat and the pubic area is then lifted up so that it is closed within the tummy tuck scar. In rare cases, someone may have a pubic sag despite not having a lot of overhanging abdominal skin or not having had a tummy tuck. When a pure pubic lift is done, a caesarian type scar just above the pubic hair is used as the approach for lifting the pubis. This scar heals well as a horizontal scar just above the pubis.

Pubic rejuvenation, through either lifts or liposuction, results in a less obvious and more streamlined pubic area. It can make for a better appearance in clothes and help with urogenital health and function as well.

 Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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