Management of the Mons Pubis and Labia Majora in the Massive Weight Loss Patient
Accepted 6 August 2009.
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. (Aesthet Surg J;29:432-442)
Reprint requests: Gary J. Alter, MD, 416 N. Bedford Dr., Ste. 400, Beverly Hills, CA 90210
DISCLOSURES
The author has no disclosures with respect to the contents of this article.
1 Dr. Alter is Assistant Clinical Professor of Plastic Surgery at the University of California, Los Angeles, CA.
ABSTRACT