A tummy tuck removes excess skin and tightens the abdominal muscles—but what about the area below your incision? The mons pubis, located just above the bikini line, is often left untreated during standard abdominoplasty. At Little Rock Plastic Surgery, Dr. Michael Spann includes mons pubis lifting and contouring in every tummy tuck procedure. This creates a smooth, natural result from the abdomen through the lower pelvic region without an additional procedure or extra cost.
What is the mons pubis?
The mons pubis is the soft tissue mound located below the lower abdomen and above the pubic bone. It contains fatty tissue covered by skin and is the area where pubic hair grows. Like the abdomen, this area is affected by weight fluctuations, pregnancy, and aging. The skin and fat can become loose or heavy over time, causing the mons to sag or protrude.
Why do most tummy tucks ignore the mons pubis?
Standard abdominoplasty focuses on the area between the belly button and the lower incision. Many surgeons do not address the mons pubis for several reasons:
- It requires additional surgical technique
- Some consider it a separate procedure with separate billing
- The anatomy is often overlooked during surgical planning
The result is a common complaint: patients achieve a flat stomach but notice persistent fullness or sagging at the bikini line. This creates an unbalanced appearance and can affect how clothing and swimwear fit.
How Dr. Spann approaches mons lifting differently
Dr. Michael Spann treats the abdomen and mons pubis as a single aesthetic unit. During every tummy tuck, he evaluates the mons for excess skin and fatty tissue. His approach includes:
- Direct lifting and anchoring of the mons tissue to the abdominal fascia
- Liposuction of the mons when excess fat is present
- Contouring of the labia majora when indicated
- Incision placement that allows for proper mons elevation
This is not an add-on or upgrade. It is included in every abdominoplasty because a complete result requires it.
Who is a candidate for mons pubis lifting?
Most tummy tuck patients benefit from mons lifting. You may be a candidate if you have:
- A heavy or sagging mons pubis
- Excess fatty tissue in the pubic area
- Loose skin below the lower abdomen
- Asymmetry or drooping after weight loss
- A previous tummy tuck that left the mons untreated
During your consultation at our Little Rock or Northwest Arkansas office, Dr. Spann will evaluate your anatomy and discuss whether mons lifting should be part of your surgical plan.
 What is recovery like after tummy tuck with mons lift?
Recovery is the same as a standard tummy tuck. The mons lifting is performed through the same incision with no additional downtime. Most patients return to desk work within two weeks and resume full activity at six weeks. Swelling in the lower abdomen and mons area is normal and gradually resolves over several months.
Can the mons pubis be lifted during tummy tuck revision?
Yes. Tummy tuck revision with mons pubis lifting is one of the most common procedures Dr. Spann performs for patients who had surgery elsewhere. If your previous tummy tuck left you with a flat stomach but a heavy or sagging bikini line, revision surgery can address the mons, reposition the scar if needed, and complete your result.
Mons pubis lift vs monsplasty—what is the difference?
Monsplasty is a standalone procedure that lifts and reduces the mons pubis without a full tummy tuck. It may be appropriate for patients who do not need abdominal skin removal or muscle tightening. However, when performed during a tummy tuck, mons lifting achieves better results because the tissues can be elevated and secured as part of a single procedure.
Frequently asked questions
Does mons pubis lifting add to the cost of a tummy tuck? No. Dr. Spann includes mons contouring in every abdominoplasty at no additional charge.
Will the incision be longer? No. The mons is lifted through the same incision used for your tummy tuck.
Is mons lifting the same as labiaplasty? No. Mons lifting addresses the pubic mound above the labia. Labiaplasty addresses the labia minora. Dr. Spann can discuss labia majora contouring if this is a concern.
How long do results last? Results are long-lasting with stable weight. Significant weight gain or loss can affect the mons over time.
Can men have mons pubis lifting? Yes. Men who undergo abdominoplasty after weight loss may also benefit from mons reduction and lifting.
Why does my stomach still look puffy after a tummy tuck? A common cause is an untreated mons pubis. If the area below your incision wasn’t addressed, you may notice fullness at the bikini line even with a flat upper abdomen. Revision surgery with mons lifting can complete your result.
Schedule a consultation in Little Rock
Dr. Michael Spann is a board-certified plastic surgeon serving Little Rock, Fayetteville, and the surrounding areas in Arkansas. To learn whether tummy tuck with mons pubis lift is right for you, contact Little Rock Plastic Surgery to schedule a consultation.
To learn more about Dr. Spann’s approach to tummy tuck visit https://littlerockplasticsurgery.com/surgical/body/tummy-tuck/
