Pubic Lift (Monsplasty) Sydney

Why Does The Mons Pubis Enlarge?

The mons pubis is the area that sits directly above the genitals, on top of the pubic bone. For some, it is more noticeable than for others. The mons region can become enlarged and/or droopy (ptotic) for a variety of reasons, such as:

• Massive Weight Loss (MWL): Following MWL, individuals are often left with sagging or redundant skin throughout the body, with the mons frequently affected.
• Pregnancy: Stretched skin, hormonal changes and weakened connective tissue all may lead to drooping or fullness in the mons area.
• Cesarean scars: A cesarean scar can sometimes develop tightness and tethering, making the tissue below (the mons) more pronounced.
• Ageing: As we age, all our tissues lose elasticity. Therefore, the mons begins to sag.
• Genetics: Some individuals are simply more genetically predisposed to having more fatty tissue in this area.

Regardless of the reason, if the mons pubis enlarges, it can negatively impact an individual’s quality of life, causing problems such as hygiene issues, rashes, discomfort, intimacy concerns and issues wearing certain clothing.

What Does A Pubic Lift (Monsplasty) Involve?

Monsplasty surgery procedures vary, depending on the patient’s pathology, with their issues being any of the following:

1: Excess fatty tissue – with good skin quality and no ptosis (droop)

2: Excess fatty tissue – with ptosis (droop). This is typically associated with poor skin quality, which is often the case following MWL.

A droop in the mons area can be categorised as mild, moderate or severe. When severe, the mons region completely detaches from the abdominal wall, resulting in displacement of the vulva. (In males, this can result in a buried penis.)

Monsplasty surgery aims to create a smoother, firmer contour from the pubic region to the abdominal wall. Depending on the patient’s requirements, the surgery may involve:

• Removing excess skin
• Removing excess fat
• Lifting and tightening the mons region to help flatten and tighten the area. (In females, this lifts and repositions the vulva. In males, this helps expose a buried penis.)

The Surgical Procedure

If a Monsplasty is being performed in isolation, it takes approximately one to two hours and is typically performed under general anaesthesia. When combined with an Abdominoplasty, it will take the same time as the usual procedure, which is anywhere from two to five hours.

During surgery, the area requiring lifting and/or reducing is first marked. Then, all excess skin and/or fatty tissue is removed. If the mons area was ptotic (saggy), it is lifted to create a flatter, tighter and elevated contour. Finally, the incisions are closed in multiple layers. The incision mark (scar) is placed low enough to comfortably hide under regular underwear.

Your Initial Consultation with Dr Dona

Your consultation is the first step in determining whether Monsplasty surgery is right for you. It’s also a chance to talk through the details and have all your questions answered.

During your appointment, you’ll discuss:

• Your goals and areas of concern
• Your medical history and any previous procedures
• The best surgical options for you (after Dr Dona examines your breasts)

If Dr Dona determines that you are a suitable candidate, he will explain what the surgery involves, including costs, insurance, recovery and all possible risks or complications.

Dr Dona is approachable and thorough. He’ll take the time to listen and ensure you feel comfortable, informed and confident before making any decisions.

Weight Loss Medications & Surgery

If you’re taking prescription weight loss medication like a GLP-1 receptor agonist or a dual GLP-1/GIP agonist, there’s no need to stop your medication. However, you must follow a few simple precautions before surgery. These steps help keep you safe and minimise any risks during anaesthesia

Travelling From Out Of Town?

At Bella Plastic Surgery, we regularly see patients who travel from interstate and overseas to see Dr Dona.

To help make your trip as smooth and stress-free as possible, we’ve created a dedicated information page for our travelling patients. There, you’ll find helpful details about referrals, pre-surgery consultations, nearby accommodation, nursing support, transport options and more.

If you’re having a Pubic Lift in isolation, you must stay in Sydney for several days to a week post-surgery and be seen in our clinic daily for post-operative monitoring, light therapy sessions and other recommended in-clinic treatments.

Monplasty Costs

The cost of a Monsplasty varies, depending on factors such as the time required in theatre, your anatomy, the amount of skin to be removed, and the complexity of the procedure. These factors will be discussed with you during your initial consultation with Dr Dona.

Will I receive a Medicare rebate?

When patients have functional issues such as excess skin causing hygiene problems, rashes or discomfort, a Monsplasty may be considered reconstructive rather than cosmetic. In these cases, patients may attract an item number from Medicare, which will qualify them for a small rebate towards Dr Dona’s fee, reducing their out-of-pocket expenses. Procedures performed for cosmetic reasons only are not eligible for a Medicare rebate.

Will I receive a Private Health Insurance rebate?

Provided a Medicare item number is approved, and you hold an appropriate level of hospital cover, you may also receive a contribution from your health insurance fund.

Recovery & Your Post-operative Care Plan

Supporting your healing every step of the way…

Your recovery is supported by our HeaLED Post-surgery Care Program, a comprehensive plan designed to optimise healing and improve surgical outcomes. This program combines advanced treatments and therapies that work together to accelerate repair, reduce swelling and minimise scarring.

Key elements of the HeaLED Program include:

• LED Light Therapy – Helps reduce swelling, inflammation, and discomfort while promoting faster healing.
• Rejuran Therapy – Stimulates collagen, strengthens the skin, and enhances overall skin quality.
• Medical-grade Skincare – Restores and protects your skin, supporting scar healing throughout recovery.

Microneedling may also be recommended as an additional treatment to assist with scar management. Together, these treatments may form part of your postoperative care, depending on individual clinical assessment.

Potential Risks & Complications

Every surgical procedure carries potential risks and complications. Therefore, we thoroughly encourage you to be aware of all potential risks and complications before committing to surgery.

Potential Complications From a Tummy Tuck (Abdominoplasty)

All surgery carries the potential for risks and complications. This is why no surgery should be considered minor, and all individuals considering surgery should be made aware of all such risks.

Additionally, Monsplasty risks and complications include:

• significant scarring
• poor circulation
• asymmetry
• skin irregularity such as uneven skin tone or bumps
• prolonged swelling or pain
• fatty tissue damage or necrosis
• seromas
• requirements for further surgery
• temporary or permanent changes in skin sensation

FAQs

Is a Monsplasty performed during a Tummy Tuck (Abdominoplasty)?

When Dr Dona performs any Abdominoplasty procedure, Monsplasty surgery is always included.

How long does it take to recover from a Pubic Lift (Monsplasty) surgery?

After your procedure, there will be some swelling, bruising and numbness in the area. However, you’ll be prescribed pain medication to help alleviate any discomfort. If you’ve had the procedure in isolation, you can usually return to light activities within two weeks.

Am I a suitable candidate for Pubic Lift (Monsplasty) surgery?

Your suitability for Monsplasty surgery can only be determined after an initial consultation with Dr Dona. However, suitable candidates may be experiencing the following:

• You’ve experienced massive weight loss and are now negatively impacted by loose, sagging skin in the pubic area.
• Your mons region is extremely noticeable in tight-fitting clothes.
• Your mons region is excessively full and causes you emotional distress.
• Following pregnancy (particularly after a cesarean section), you are experiencing significant contour concerns to your pubic area and lower abdominal wall.
• You are negatively impacted by physical issues such as hygiene issues, chafing and rashes in the area.
• You are undergoing a series of Body Contouring surgeries and would like to see a smoother contour from your lower abdomen to pubic area as part of your surgical plan.

What does FUPA stand for?

FUPA stands for ‘Fatty Upper Pubic Area’.