The upper pubic region just below the lower abdomen — clinically called the mons pubis — is one of the most overlooked areas of body contouring after pregnancy and weight loss. Patients focus on the breasts, the flanks, the abdominal skin, the thighs. What many do not realize until their tummy tuck result comes into focus is that a fuller, laxer mons pubis can visually undermine the flat, contoured abdomen the surgery worked so hard to create — and can also cause functional issues: interference with how clothing fits, discomfort during urination, and changes affecting sexual function. Monsplasty, also called pubic lift, is the procedure designed specifically to address this region: removing excess skin and fat from the mons pubis to restore a smoother, firmer pubic contour that complements the abdominal work around it.

Dr. John Anastasatos performs monsplasty at his Beverly Hills practice with focused expertise in postpartum cosmetic surgery. Dr. Anastasatos delivered an invited lecture on “Postpartum Cosmetic Plastic Surgery” at Nanjing University Medical School and has published a book chapter on full abdominoplasty in Aesthetic Surgery of the Abdominal Wall — directly relevant to the abdominoplasty often combined with monsplasty. Board certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons (FACS), and named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World.

Benefits of Mons Pubis Rejuvenation

Pubic lift surgery offers several meaningful benefits for patients with excess skin and tissue in the lower pelvic region. When completed alongside abdominoplasty, monsplasty completes the finished appearance of a flatter, firmer front after pregnancy or weight loss — ensuring that the mons pubis contour harmonizes with the newly tightened abdomen rather than visually competing with it.

Beyond appearance, monsplasty resolves real functional issues that women often endure quietly. Excess skin and fat on the mons pubis can interfere with clothing fit, contribute to discomfort during urination, and affect sexual function. For women who have been quietly dealing with these issues for years after pregnancy or weight loss, the functional improvement is often as meaningful as the aesthetic one — sometimes more so. Many patients who were initially considering monsplasty for appearance reasons later describe the functional improvement as the most significant benefit.

“Monsplasty is one of those procedures that patients often don’t realize they need until they see their tummy tuck result and notice that the mons pubis hasn’t changed in proportion. Addressing the pubic region as part of the overall plan produces a much more balanced, complete result. And for many patients, the functional relief — clothing fitting properly, comfort returning to activities they had quietly been avoiding — is what they end up most grateful for.” — Dr. John Anastasatos

Understanding the Mons Pubis

The mons pubis is the fatty pad of tissue that sits over the pubic bone, just below the lower abdomen. Anatomically, it is a separate region from the abdominal wall above it — which is why a tummy tuck alone does not address it. During pregnancy, weight gain, or the normal changes of aging, the mons pubis can accumulate extra fat, stretch with the abdominal skin, and become lax. After weight loss, the overlying skin often cannot retract fully, leaving excess tissue that diet and exercise cannot reduce.

Because the mons pubis is anatomically distinct from the abdomen above it, addressing stretched abdominal skin during a tummy tuck does not automatically tighten the mons pubis. A separate procedure — monsplasty — is required to remove excess skin and fat from this specific area and create a smoother, more youthful pubic contour.

Who Is a Good Candidate for Monsplasty

Monsplasty is particularly well-suited to patients whose pubic region has changed after pregnancy or weight changes. Common candidates include:

• Post-Pregnancy Patients: Women who have carried one or more pregnancies and have noticed lasting fullness, laxity, or a hanging appearance of the mons pubis.
• Post-Weight-Loss Patients: Men and women whose significant weight loss has left excess skin specifically in the pubic region even after lifestyle stabilization.
• Tummy Tuck or Fleur-De-Lis Patients: Patients undergoing abdominoplasty who want to address the pubic region at the same time for a balanced, complete result.
• Mommy Makeover Patients: Women addressing multiple post-pregnancy areas together — monsplasty is often part of this plan alongside breast surgery, tummy tuck, and vaginal rejuvenation.
• Functional Concerns: Patients whose excess mons pubis tissue causes real day-to-day issues with clothing fit, urination, or intimate function.
• Stable Weight: Patients whose weight has stabilized, ensuring the surgical result will not be distorted by subsequent changes.

Monsplasty Combined With Other Procedures

Monsplasty is rarely performed in isolation. The most common combinations include:

Monsplasty With Tummy Tuck

The most frequent pairing. A standard abdominoplasty addresses stretched skin and muscles of the abdomen above; monsplasty addresses the mons pubis below. Together, they produce a continuous, balanced contour from the ribs to the pubis.

Monsplasty With Fleur-De-Lis Abdominoplasty

For post-weight-loss patients undergoing the more extensive FDL procedure, adding monsplasty completes the front-of-body contour in ways that FDL alone cannot.

Monsplasty With Vaginal Rejuvenation or Labiaplasty

For patients whose pregnancy-related changes extend beyond the mons pubis into the genital area, combining monsplasty with vaginoplasty or labiaplasty addresses the full range of postpartum concerns in a coordinated way.

Monsplasty as Part of Mommy Makeover

A Mommy Makeover — typically combining tummy tuck, breast surgery, and sometimes additional body contouring — frequently includes monsplasty for a comprehensive postpartum restoration.

What to Expect From Recovery

Monsplasty performed as a standalone procedure is relatively minor and typically requires only short recovery. When combined with abdominoplasty or other procedures, the recovery timeline follows the more extensive procedure — monsplasty itself does not significantly extend that recovery.

Standalone monsplasty typically takes one to two hours under general or sedation anesthesia. A compression garment is worn for several weeks. Most patients return to desk-based work within one to two weeks. Strenuous activity is restricted for approximately four to six weeks. Final refinement emerges as residual swelling resolves over two to three months.

Frequently Asked Questions About Monsplasty

Can monsplasty be performed alone without a tummy tuck?

Yes, for patients whose primary concern is specifically the mons pubis region without significant abdominal skin laxity. However, monsplasty is most commonly performed alongside abdominoplasty for a balanced, complete result. Dr. Anastasatos evaluates each patient’s anatomy to determine what combination is appropriate.

Where is the incision located?

The monsplasty incision is typically placed in the natural skin crease at the lower abdomen or along the existing tummy tuck incision line when the procedures are combined. The incision is planned to heal discreetly and remain concealed by underwear or swimwear.

Is monsplasty covered by insurance?

Monsplasty is generally considered cosmetic and is typically not covered by insurance. However, when there is documented medical necessity — functional issues with urination or chronic skin problems — partial coverage is sometimes available. Dr. Anastasatos’s office can help navigate these considerations during consultation.

Will monsplasty affect sexual function?

Most patients report improved comfort and function after monsplasty, not diminished function. Excess tissue that had been interfering with intimate function is removed, and sensation is typically preserved. Specific concerns are addressed during consultation.

Can liposuction alone address the mons pubis?

For patients with primarily fatty excess and good skin elasticity, liposuction of the mons pubis may be adequate. For patients with significant skin laxity — most post-pregnancy and post-weight-loss patients — monsplasty with skin excision produces a substantially better result because liposuction alone cannot tighten stretched skin.

Is there scarring?

A fine scar is left at the incision line, but it is placed low and horizontal, typically concealed by underwear. When monsplasty is combined with abdominoplasty, the scar is incorporated into the same incision line as the tummy tuck.

Why Choose Dr. Anastasatos for Monsplasty

• Invited Lecturer on Postpartum Cosmetic Plastic Surgery: Presented at Nanjing University Medical School on postpartum cosmetic surgery — directly relevant to the population most commonly seeking monsplasty.
• Published Book Chapter on Full Abdominoplasty: Author of a peer-reviewed chapter in Aesthetic Surgery of the Abdominal Wall — directly relevant to the abdominoplasty frequently combined with monsplasty.
• Board-Certified and FACS: Certification by the American Board of Plastic Surgery and Fellowship in the American College of Surgeons reflect rigorous, verified training.
• Integrated Aesthetic Planning: Expertise in coordinating monsplasty with tummy tuck, FDL abdominoplasty, vaginal rejuvenation, and Mommy Makeover for balanced results.
• Functional and Aesthetic Focus: Attention to both the visible contour improvement and the functional relief that monsplasty delivers for many patients.
• Featured in Leading Media: Reuters, the Boston Globe, FOX News, Forbes, Vogue, Elle, and the plastic surgery series Nip/Tuck.
• Top 10 International Recognition: Named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World and recognized as a Castle Connolly and U.S. News Top Doctor.

Schedule Your Monsplasty Consultation in Beverly Hills

If pregnancy, weight changes, or aging have left you with excess skin or fullness in the mons pubis — whether the concern is the way clothing fits, the appearance that visually undermines your abdomen, or the functional issues that have quietly affected your comfort — monsplasty offers a focused correction that addresses what tummy tuck alone cannot. Dr. John Anastasatos welcomes patients to the Beverly Hills office at 436 North Bedford Drive, Suite 202, Beverly Hills, CA 90210, for a private consultation covering your anatomy, the appropriate surgical plan (alone or combined), and realistic outcomes. Contact us at Los Angeles Plastic Surgery to arrange your appointment with Dr. Anastasatos.