Mons pubis ptosis: classification and strategy for treatment

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Reconstructive Surgery

Background:

• Obesity and massive weight loss can lead to bulging and ptosis of the mons pubis, causing aesthetic concerns.
• Mons pubis deformities can be visually apparent even through clothing, impacting patient self-esteem.
• These deformities are often addressed during abdominoplasty procedures.

Purpose of the Study:

• To introduce a novel clinical classification for mons pubis deformities.
• To present a new surgical strategy for rejuvenating the mons pubis.
• To correlate classification with treatment for optimal outcomes.

Main Methods:

• A total of 132 patients with mons pubis deformities underwent abdominoplasty and mons lifting between 2004 and 2009.
• A dermal-fascial suspension technique using permanent sutures was employed to elevate the mons.
• Patient outcomes were assessed over a 12-38 month follow-up using questionnaires and a Likert scale.

Main Results:

• All patients achieved a long-lasting outcome free from postoperative contour deformities.
• High levels of patient satisfaction were reported.
• The surgical intervention effectively addressed mons pubis ptosis and bulging.

Conclusions:

• The proposed clinical classification and treatment guidelines offer a straightforward approach to mons pubis rejuvenation.
• The described technique results in minimal complications and significant aesthetic improvement.
• This method provides a reliable solution for patients seeking correction of mons pubis deformities.