| PBL | Pubic Lift Surgery |
|---|---|
| Procedure | A pubic lift (=monsplasty / mons reduction) reduces a prominent mons. This can be done with either liposuction or by excising skin and fat, depending on the skin quality. In abdominoplasty surgery, a pubic lift is usually achieved as part of the procedure. I do not use drains routinely. The wounds are repaired with sutures under the skin which do not require removal and dissolve within four months. |
| Scars | Above the hairline, 10 - 20cm in excision surgery, 5mm for liposuction |
| Operation time | 1.5 hours |
| Anaesthesia | General or Local |
| Hospital Stay | Day Surgery |
| Benefits | Aesthetic, Psychological, Functional, Symptomatic |
| Risks | Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Fat cysts, Pain, Numbness, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Remaining stretch marks, Recurrent redundancy, Aesthetic imperfections (higher risk after subsequent pregnancies / weight changes), Seroma, Organ injury, Contour irregularities, Need for further surgery, Liposuction: Friction / thermal burns, Fat embolism, Allergic reaction, (General anaesthetic: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs). N.B. Most complications are unlikely. Serious risks or death are rare |
| Risk factors | Alcohol, Poor tissue quality can cause recurrent laxity, Asymmetry cannot be entirely corrected, Coughing, Straining, Nausea, Too early or excessive mobilisation, Wound interference without surgeon's agreement; Contraindications which preclude surgery unless discussed otherwise in the consultation: Smoking / vaping / nicotine / recreational inhalations within 6 weeks before and after surgery, Contraception with estrogens or HRT tablets (if under general anaesthetic), Air travel over 2 hours within 6 weeks before and after surgery (if under general anaesthetic), Air travel under 2 hours within 2 weeks before and after surgery, Overweight (Body Mass Index = BMI of 27 and over), Recent weight changes over 6kg, Pregnancy (if under general anaesthetic), Raised blood pressure (if poorly controlled), Bleeding tendency (Stop herbal products or supplements for two weeks before surgery), Diabetes or immunosuppression (if poorly controlled) |
| Optimising factors | Diet rich in Vitamin C and protein, plenty of fluids, fresh air, sufficient sleep, scar massage, sun protection, silicone sheets / gel, support garments |
| Discomfort | 1 - 2 weeks |
| Bruising | 2 - 3 weeks |
| Recovery | Light activities 2 weeks, Driving 3 weeks, Physical work / sports / sex 6 weeks, Unrestricted 3 months |
| Acceptable appearance | 2 - 4 weeks for most patients (This is subjective) |
| Final result | 6 - 18 months |
| Alternatives | No Surgery, Garments, Weight loss |
Anstey Hall
Maris Lane
Cambridge
CB2 9LN
