Management of the mons pubis and labia majora in the massive weight loss patient

Aesthet Surg J. 2009 Sep-Oct;29(5):432-42. doi: 10.1016/j.asj.2009.08.015.

Abstract

The high incidence of female obesity and weight loss has resulted in common complaints of a large, protuberant mons pubis and labia majora (outer labial lips) related to unsightly fat deposits and skin ptosis. The author presents a technique to correct the protuberant mons and pubic descent by performing a pubic lift, fat excision, and liposuction, and then tacking the superficial fibrofatty tissue to the rectus fascia. The labia majora enlargement is treated by fat excision and/or liposuction and skin excision. These techniques eliminate difficulties with sexual intercourse, poor hygiene, and discomfort, while also improving self-esteem.

MeSH terms

  • Abdominal Wall / surgery*
  • Adult
  • Body Fat Distribution
  • Cosmetic Techniques*
  • Female
  • Humans
  • Lipectomy / methods
  • Medical Illustration
  • Middle Aged
  • Obesity / complications
  • Subcutaneous Fat / surgery*
  • Treatment Outcome
  • Vulva / surgery*
  • Weight Loss / physiology*
  • Young Adult