@Alittlebigger Can providers provide an overview of the Mons Pubis Liposuction process including any after care needed? Also does it leave a scar?
Well, unfortunately, it's not that simple.
The very first question for someone looking at options for an engorged fat pad is their age. If someone is 30 or under, sometimes you can just do liposuction, but if that person's fat pad has been engorged for years, or if they're older, if you just lipo the area, there's going to be a lot of loose, hanging skin which will conceal the penis and honestly usually looks a lot worse than it did before the liposuction. If they're under 30 and haven't had a fat pad that long and eat healthy and exercise, they will heal quickly and usually won't have much of a scar afterwards. But over 30, the skin elasticity starts to give out. If they're under 30 but have had an engorged fat pad most of their life, you have the same issue of the skin having been stretched for so long that it has lost most of its elasticity. So in either case, if you just suck out the fat the skin is then going to hang down and make your penis look even smaller.
The second thing to get into with this is your health dynamics. Our skin is the largest organ of our body. If you haven't taken care of your body (you smoke, drink, eat unhealthy food all the time, don't exercise), then your skin isn't very healthy either and you're not going to get a good result from liposuction alone. This also gets into whether or not you're a candidate for liposuction in the first place. Liposuction requires anesthesia, so we have to look at your healing factors and if you have any contraindications with anesthesia.
Now for us, we can't really do a monsplasty with just liposuction of the fat pad. A monsplasty is where after Dr. Carney has surgically removed (essentially cut out) the fat pad, he then pulls the skin from under the belly button down to meet the base of the penis, basically stitching back together the borders where he just incised. If you tried to save the skin, it would take at least 9 months to heal. Another thing to think about with monsplasty is, if you have hard fat in the stomach, you have to lose weight to get enough softness and elasticity to be able to pull that skin down. When you have a lot of visceral fat like that, it becomes impacted and feels hard when you press on it.
Yes, if you do a monsplasty it's going to leave a scar. It tends to start out really nasty but fades out over time, and again, that process and the end result depends on your health dynamics. As with any surgery, your body has to heal itself, and if you're eating potato chips all day it's not going to do real well with that. Otherwise, it will lighten but you will always have a horizontal scar there.
There are other factors that come into play here as well. We always do penile lengthening and repositioning along with a monsplasty. We do that for a couple of reasons. If we were to go in and only do a monsplasty and fat pad reduction, if you wanted to later add surgical length, you would end up with both a horizontal scar and a vertical scar. The more major reason is, if you've had an engorged fat pad for a while, there's a good chance that all that added weight has strained your dartos muscle and caused it to detach. The dartos is very thin and fragile. So we would also have to go in and repair that, because if we didn't and we left the dartos detached, your body would start to reabsorb the shaft skin. However, if we have to repair the dartos, that means we can't do any lengthening or repositioning because we would have to use those structures as the new attachment point for the dartos.
You also want to think about any weight loss, or your weight history. If you've lost a lot of weight and have loose skin, liposuction is not going to get you a good result. You also want to make sure you are at your weight goal and are going to stay there when you have this surgery. You don't want to lose your results from either losing more weight after surgery or gaining more weight back on.
So how old are you, how long has the fat pad been there, and how is your overall health are all questions that factor in to whether or not this is the best option for you to reach your goal.
