puboplasty

puboplastyIt is a type of surgery that is part of female genital plastic surgery. This procedure aims to correct excess fatty tissue or sagging in the pubic area (the area located at the top of the groin, also known as the mons pubis). This operation, which is generally performed due to aesthetic concerns, can also increase the person's self-confidence and relieve physical discomfort.

What is Pubis?

It is the bony and protruding part below the navel in the female genital area. It may become evident in women due to weight gain. As weight gain continues, this part of women becomes more visible under clothing. Vaginal and pubic area aesthetics, that is,puboplastyExcess fat in this area is removed and a flatter appearance is achieved. Increasing obesity in women, sudden decrease in weight loss, and density of mons pubic fat deposits cause this area to appear protruding.

In genital aesthetic applications, the decision is not only based on appearance expectations; Functional complaints should be evaluated together with the impact on sexual life and the patient's realistic expectations [1][2].

The fat in this area, which is connected to the outer lip structure, also affects the outer lips. Fat gain also occurs on the outer lips. Deformation of the mons pubis is observed in sudden weight loss. At this stage, surgical operation is required. As the mons pubis fat pad is reduced by liposuction, a horizontal section of the skin and a portion of it are removed and tightened.

How is Puboplasty Done?

The surgery is usually performed under spinal or general anesthesia. The surgical procedure can be performed vaginally or abdominally, depending on the patient's condition and needs, and the surgeon selects this option.

In preoperative counseling, normal anatomical diversity, healing process, scar, change in sensation, and the possibility of revision should be clearly discussed [1][2].

In vaginal puboplasty, the surgeon makes an incision in the vagina to reach the pelvic floor muscles. Weakened or damaged muscles and connective tissues are strengthened and repaired. Meanwhile, stitches or special support materials may be used to support the pelvic organs.

In puboplasty, several small incisions are made through the abdomen to reach the pelvic floor muscles. The laparoscope, a thin, illuminated instrument for viewing internal organs, allows surgeons to perform the necessary interventions using small instruments. This method also strengthens weakened muscles and tissues.

After the procedure is completed, the incisions are closed and the patient begins to heal. Recovery time after puboplasty may vary depending on the patient's overall health and the extent of the surgery, but usually takes several weeks. In the postoperative period, patients should avoid heavy lifting and strenuous physical activities. Puboplasty improves urinary incontinence, pelvic organ prolapse and quality of life by strengthening the pelvic floor muscles.

Pubolasti Examination and Application

pubic aestheticsDuring the examination, first of all, the degree of pubic fat and mons sagging is determined. Pubis measurement is best taken in the standing position of the patient. During the examination, the size and protrusion of the outer lips due to the pubic protrusion are also included in the notes. This section is a whole with the entire structure and what will be donepuboplastyIt is very important for the overall process to be in proper form. The island of skin to be removed at the pubic protrusion should not be more than a few centimeters. Since it will not be aesthetically pleasing if the upper junction of the outer lips extends too much, the size of the cutting island must be appropriate.

Choice of surgical or non-surgical application; It should be personalized according to examination findings, tissue structure, birth history and the person's complaint [1][3].

puboplastyIt can be done in three ways. It is the commonly used liposuction method. In addition to liposuction, pubic aesthetics is performed by horizontal cutting of the skin and reducing the mons cushion. Surgical procedures are performed on those who complain of advanced and excessive folds and excess in the pubic area.

Liposuction:It is the removal of the fatty tissue on the pubis by liposuction, thus thinning the pubic mound.

Lipolysis:Melting the subcutaneous fat with some injections made to the subcutaneous part over the pubis. It is advantageous because it is a painless and non-surgical procedure.

Surgical Procedure:Surgical removal of the skin layer and flattening of this area. The pubic mound can be reduced surgically, such as a minor abdominoplasty. Surgical procedure is only performed on those who have complaints of advanced folds, wrinkles and excess in the pubic area.

The incision line is made from the abdominoplasty, that is, the lower abdominal cesarean section incision line. The epidermis cut may also include some pubic hair. In pubic surgery, the incision scar should be large enough to remove excess skin. Pubic skin flap tissue, which has become fatty fibrous, is attached to the rectus fascia to prevent pubic sagging.

By entering through the cesarean section scar or possible cesarean section incision, the soft tissue on the mons pubis is suspended upwards. In mons pubis aesthetics, the fat pad is removed and both the appearance of the pubis and the new appearance of the outer lips are examined, and if necessary, excess fat is removed by liposuction. By removing the fatty tissue under the skin, the pubic mound is thinned. With this technique, permanent and long-lasting effective results are achieved.

Main Reasons for Seeing Puboplasty

• In people, due to different genetic factors, the elasticity of the connective tissue in the vagina is not strong or congenital inner lip size and asymmetric disorder in the vagina
• Sagging in the vagina due to aging
• Growth in the inner lips due to sagging of the vagina after menopause
• natural birthor rupture of the vagina as a result of multiple births
• Women frequently experience vaginal infections
• Loss of elasticity of the vagina and enlargement of the lips due to excessive strain on the vagina
• Rapid weight gain or loss of the individual or sudden weight gain due to various reasons

Will There Be Any Surgical Scars on the Body After the Puboplasty Procedure?

The genital area is an area that heals quickly in terms of wound healing and scars are not visible. The edges of the inner lips heal very quickly, and at the end of the first month after the operation, it cannot even be understood that the person had surgery. After 6 months, even the patient who underwent surgery cannot notice the incision site.

Complaints related to sexual health are not only about anatomical appearance; Pain, dryness, infection, hormonal status and psychological factors should also be evaluated [3].

Sexual intercourse can be had one month after the surgery.puboplastyBefore performing the procedure, the person and the doctor should decide, in communication, what procedure will be followed in the surgery. People's inner lip structures differ from each other, sopuboplasty surgeryare also different from each other. Sometimes this procedure can also balance visual excesses or deficiencies in the inner lips. Puboplasty surgery does not cause any harm to the hymen, you can choose the procedure with peace of mind.

How Many Days Does Pubis Surgery Take to Heal?

When pubic surgery involves procedures such as strengthening or repairing the pelvic floor muscles, recovery time varies depending on the patient's overall health, the scope of surgery, and the patient's postoperative care. Recovery after pubic surgery usually takes four to six weeks.

After surgery, patients are usually kept in the hospital for the first few days. Pain and discomfort may be felt during this time, but doctors may prescribe painkillers and other medications. Patients should avoid heavy lifting, strenuous physical activities and sexual intercourse for the first week. It is possible to slowly return to daily activities and light exercises, but caution should be exercised until full recovery is achieved.

Following the doctor's recommendations during the postoperative period can speed up recovery and reduce the risk of complications. It is also important to visit your doctor frequently during this period. If any abnormal symptoms or discomfort occur during the healing process, you can call the doctor immediately. In general, with proper care and rest, recovery after pubic surgery can be completed smoothly.

Is Pubis Aesthetics Risky?

Pubic aesthetics is a cosmetic operation performed to remove excess fat or skin in the pubic area, tighten the skin, or improve the general appearance of the area. Pubic aesthetics, like other surgical operations, involves some risks and potential complications. However, when appropriate precautions are taken and performed by an experienced surgeon, these risks are usually minimized.

Infections, bleeding, anesthesia-related complications, wound healing problems and unexpected scar formation can be counted among the risks of pubic aesthetics. Additionally, undesirable aesthetic results or asymmetry may occur in the postoperative period, which may require additional correction surgeries.

Patients should pay attention to their doctors' recommendations in the postoperative period. This reduces the risk of infection, speeds up healing and prevents complications. Some habits, such as smoking, can also negatively affect healing, so these habits should be avoided in the pre- and post-operative period.

Istanbul Puboplasty and Pubis Surgery

Istanbul has become an important center for healthcare and offers extensive expertise and experience for special surgical procedures such as puboplasty and pubic aesthetics. Many hospitals and clinics in the city have experienced surgeons who are equipped and competent to perform such surgeries.

References

• [1] ACOG - Elective Female Genital Cosmetic Surgery- Expert opinion for consultancy, expectation management and ethical evaluation in genital plastic surgery.
• [2] RCOG - Ethical considerations in relation to female genital cosmetic surgery- Ethical and clinical evaluation principles in female genital aesthetic applications.
• [3] ISSWSH - Patient resources- Patient resources about women's sexual health and genital area complaints.