What is Mons Pubis (Hill of Venus) Aesthetics?

The mons pubis is an upside-down triangle made up of skin and fatty tissue that covers the joint that connects the pubic bone and pelvic bones. The mons pubis, sometimes called the pubic mound, becomes covered with pubic hair after puberty.

The mons pubis is larger and more prominent in women. During puberty in men and women, pubic hair begins to grow on the mons pubis. In females, the fatty tissue in the mons pubis is sensitive to estrogen, so it grows larger during puberty. When estrogen decreases during menopause, the mons pubis becomes smaller and less prominent.

Mons Pubis Structure and Function

Mons Pubis Structure: Mons pubis consists of fatty tissue. It is shaped like an inverted triangle, extending from the top of the pubic hairline to the genitals. In women, it extends from the top of the pubic hairline to the clitoris.

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].

During puberty, the mons pubis becomes covered with pubic hair. It also contains glands that begin to secrete pheromones. These are substances involved in sexual attraction.

Mons Pubis Anatomy

Mons pubis is the front part of the vulva in women. It divides into labia majora on either side of the pudendal slit, which covers the labia majora, clitoris, urethra, vaginal opening, and other structures of the vulval vestibule.

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

The mons pubis is found in both men and women, although it is more common in women. Fat tissue is sensitive to estrogen, resulting in the formation of a distinctive mound with the onset of female puberty. As a result, the front part of the labia majora is pushed outwards and away from the pubic bone. The mound is also covered with pubic hair.

Mons Pubis Aesthetics

Mons pubis aesthetics, also known as mons reduction or monsplasty, is a body contouring procedure designed to remove stubborn fat and loose skin from the fatty bumps located just above the pubic bone. This localized area of ​​fat is called the mons pubis.

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].

As a result of weight gain, excessive fat may accumulate in the mons pubis. Patients who have lost significant amounts of weight may develop loose skin for months. Mons surgery is a highly effective treatment for removing excess skin and fat, leading to a flatter and less prominent mons pubis.

Mons reduction surgery can be performed using several different surgical techniques, depending on the problem at hand, whether it is excess fat or excess skin. Patients with skin laxity will require surgical removal of excess skin. Many patients can have good skin elasticity, and mons pubis aesthetics alone is a highly effective treatment. In some cases, these techniques may be combined with mons pubis aesthetics followed by removal of excess skin.

Mons surgery is most commonly performed during a tummy tuck procedure. Tummy tuck surgery is primarily designed to tighten loose skin affecting the lower and upper abdomen, which often results in a more prominent mons pubis due to fatty bulging tissue after the tummy tuck is completed. Performing a monsplasty at the same time as a tummy tuck means that the groin area can be flattened to the same level as the abdomen.

What are the Benefits of Mons Pubis Aesthetics?

Mons pubis reduction aims primarily to improve the appearance of the mons pubis area, but can also relieve functional symptoms in people with large amounts of excess skin. People with a large mons pubis may have difficulty urinating and having normal sexual intercourse. This is caused by excessively saggy skin extending downwards to the external genitalia, including the urethra. Therefore, it is much more difficult to achieve successful results for sexual intercourse.

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

Many people find that they cannot adequately cleanse themselves in the area due to the excessive amount of loose skin present in the area. This can potentially lead to skin irritation and bacterial and fungal infections developing in the area.

Some women may notice thickened scars in the lower abdomen due to a previous caesarean section, which may cause the scar to attach to the underlying muscle layer. The skin underneath the scar remains flexible, which over time will extend downwards, leading to distinctive-looking hills. People who have lost a significant amount of weight may experience excessive amounts of loose skin affecting the abdominal area, and a tummy tuck is the most effective way to get rid of loose skin. Mons lift surgery is often combined with a tummy tuck to flatten the overly protruding mons pubis, which would otherwise look unsightly when a tummy tuck is performed alone. People can lose self-confidence because of their appearance, and pubic reduction can help regain confidence and improve emotional well-being.

Is Mons Pubis Aesthetics Painful?

Mons Pubis Aesthetics is performed under local anesthesia. There is mild to moderate bruising after these procedures, but symptoms and post-procedure discomfort are minimal. Most Mons procedures are performed within an hour under local anesthesia, and patients can return to normal life activities immediately.

What is the recovery like after Mons Pubis Aesthetics?

Recovery after Mons Pubis aesthetics is very fast. Patients leave the office and return to work the next day. There will be significant swelling and even discoloration of the lips as well as the Mons area following the procedure, but it usually returns to its normal appearance within two to six weeks.

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.