A monsplasty is a surgical procedure that removes hanging skin and fatty tissue from your mons pubis. It may take up to eight weeks for your body to heal. The incision will leave a scar, but your healthcare provider will try to minimize its appearance.
What is a monsplasty?
A monsplasty is a surgical procedure that removes extra skin and fatty tissue from your mons pubis. Your mons pubis is the mound of tissue in front of your pubic bones, usually covered in pubic hair. A monsplasty is a cosmetic procedure. It lifts, tightens and reshapes the structure of your mons pubis to change its appearance. It may also improve function and comfort.
Who is a good candidate for a monsplasty?
- Have extra tissue or skin that hangs from your mons pubis over your genitals, making it difficult to clean the areas or causing rashes or infections.
- Have difficulty peeing (urinating) or having sex because of a large mons pubis.
- Don’t have a medical condition that affects your body’s healing ability.
- Don’t have heart disease, diabetes or lung disease.
- Don’t smoke or are able to quit smoking for at least four weeks (two weeks before the procedure and two weeks after the procedure).
- Have realistic expectations.
Why do people get monsplasty?
You may develop excess skin and fatty tissue in your mons pubis as a result of:
- Age.
- Pregnancy.
- Significant weight loss.
What happens before a monsplasty?
Before undergoing a monsplasty, you’ll consult with your healthcare provider to discuss your expectations and evaluate your overall health, including any pre-existing conditions or risk factors. Be sure to disclose any previous surgeries, medications, and supplements you’re taking, as some may increase bleeding risks. Your provider will then examine your mons pubis while you’re standing, marking the area with a marker to guide incisions, achieve symmetry, and minimize scarring. Photographs may also be taken for your medical record.
What happens during a monsplasty?
During a monsplasty, you’ll typically receive general anesthesia to ensure you’re comfortable and pain-free throughout the procedure. Alternatively, your healthcare provider may use local anesthesia and an oral sedative to numb the area and induce relaxation. Once you’re sedated, the surgeon will make a horizontal incision across the mons pubis, followed by the removal of excess fatty tissue and skin using a scalpel or surgical scissors. Internal sutures are then used to tighten and shape the muscles and tissues. Finally, small silicone tubes may be inserted to drain excess fluid, and the incision is stitched closed.
What happens after a monsplasty?
Following a monsplasty, your healthcare provider will dress the incisions with bandages and may apply an elastic bandage or compression garment to reduce swelling and support the healing process. After anesthesia is discontinued, you’ll be transferred to a recovery room for monitoring. Most monsplasties are outpatient procedures, allowing you to return home the same day, unless combined with other procedures like a tummy tuck or liposuction. Once cleared, you’ll be discharged, but you’ll need a companion to drive you home and provide care for at least 24 hours.
Risks / Benefits
There are many advantages to a monsplasty, including:
- Self-esteem boost
- Improved comfort
- Improved hygiene
- Permanence
- Safety
What are the risks of a monsplasty?
All surgical procedures carry some risk. Some risks of a monsplasty include:
- Anesthesia risks.
- Healing problems.
- Infection.
- Mass of clotted blood (hematoma) or an accumulation of fluid (seroma).
- Numbness.
- Skin discoloration.
- Swelling (edema).
What is the recovery time after a monsplasty?
The initial days following a pubic lift can be the most painful, with swelling, bruising, and soreness being common. Mild bleeding from the incisions may also occur. Pain and discomfort typically subside after 5-7 days. To manage pain, some individuals use prescribed medication or over-the-counter acetaminophen, but it’s essential to discuss allergies and medical history with your provider. Swelling should decrease after 1-2 weeks, although bruising and pain may persist. You can usually resume light daily activities, such as desk work, within 1-2 weeks, but strenuous physical activity should be avoided for 4-6 weeks. Complete healing of the incision may take around 8 weeks, and it’s crucial to follow your healthcare provider’s instructions for managing pain and discomfort throughout your recovery.
Reduction procedures
- Trim procedure. With this approach, your surgeon removes excess tissue from the outer edge of one or both sides of your labia minora so that they’re even with or inside the edges of your labia majora.
- Wedge procedure. With this approach, your surgeon removes a wedge or pie-shaped piece of tissue from the inner areas of one or both sides of your labia minora. They leave the submucosa intact so that the wrinkled edge of your labia remains intact after they stitch (suture) it. This retains a more natural look for your labia minora. Similarly, if you’re having surgery to reduce your labia majora, your surgeon removes an inner portion of each labium of your labia majora.
Enlarging procedure
To enlarge your labia majora, your surgeon takes a small amount of fat from another body area, like your abdomen or thigh (in a liposuction procedure) and injects it into your labia majora. Injecting hyaluronic acid into your labia majora is an alternative option.
When will results be at their very best?
The initial swelling, soreness and temporary discoloration decrease over the first couple of weeks after surgery. Most swelling is gone after six weeks. But it may take up to four to six months of healing time for swelling to completely go away before seeing the final results of your labiaplasty. There’s usually little to no scarring.
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