Pubic Plastic surgery

The pubis can suffer from various morphological defects in terms of shape, volume or position, usually due to weight variations, ageing, or pubic scars such as caesarean section scars.

The enlargement and roundness of the pubis, which usually occurs through significant weight variations, can also cause the pubis to sag (ptosis), which is linked to an abdominal collapse.

The pubis can be reshaped to reduce its fatty content by liposuction and, if necessary, excess skin can be removed by a skin resection with the scar hidden in the area covered by hair. If the pubis also needs to be lifted, this can be carried out during an associated abdominoplasty.

The pubis can lose its contours through, sagging and drooping, which is usually caused by weight loss or ageing and can be corrected by lipofilling, adding fatty tissue (injecting your own fat), to restore the contours and tone to this anatomical region. It may also be necessary to re-tension the skin and the scar is hidden in the area covered by hair.

In addition to aesthetic discomfort, there are also psychological repercussions, which can alter the patient's image of her femininity and lead to a complex, especially in terms of discomfort when naked.

So you can visualise the desired result, I will show you photos of surgical results from cases similar to yours so you can understand the objective of the procedure.

It is essential that you and I have a good understanding when deciding to operate and to determine the technique to use from those I can offer.

I will then give you all the information on the techniques proposed along with the information sheets from the Société Française de Chirurgie Plastique Reconstructrice et Esthétique (French Society of Plastic, Reconstructive and Cosmetic Surgery) as well as a detailed estimate of the costs for the options chosen. You will then be able to move your project forward and get ready for a second consultation when you will be able to ask any additional questions to help you make a decision and prepare for the operation.

No examination is usually needed unless you are having a general anaesthetic (when you may need a blood test).

If you have a general anaesthetic, you will need a consultation with the anaesthetist in the weeks preceding the operation and at least 48 hours beforehand.

No medications containing aspirin or anti-inflammatories can be taken within 10 days of the procedure.

For a general anaesthetic, you will have to fast strictly for 6 hours before the operation (do not eat anything, chew gum, eat sweets or smoke).

Smoking can cause scarring problems.

Your stay in hospital is usually limited to half a day in a day clinic.

The procedure lasts about 45 minutes.

The anaesthetic is most often local or deep local (neuroleptanalgesia). It can be general at the patient's request.

Before you go to the operating theatre, in your room, I will go over the precise goals with you as we agreed during the consultations. You can then always make recommendations and ask any questions. I will then draw the lines and marks on your skin to guide the operation and the lines of the incisions.

Several techniques can be used to correct hypertrophy and roundness of the pubis:

• The liposuction technique is used to reduce fatty areas

• The abdominoplasty technique is used to resection the skin and lift the pubis, if needs be.

To correct the loss of contouring of the pubis, the lipofilling technique is used with your own fatty tissue. This leaves no scars.

If skin tension needs to be restored, the scar will be hidden in the area covered by hair.

Any stitches are dissolvable and do not require removal.

During the night and days following the operation, there may be a painful sensation of tension in the area that was operated on, including aches and pains, which may impede your mobility. These pains are moderate in a resting position and may require analgesics. Any post-operative pains will diminish and disappear within a few days of the operation.

The stitches used are absorbable and they do not need to be removed.

Swelling (oedema) and bruising may be more or less significant depending on each individual but will disappear completely in about 3 weeks.

Any scars should be cleaned after each shower with an antiseptic and, if necessary, treated with ointment in the weeks and months following the operation to improve the quality of healing.

You will need to arrange a follow-up visit about a week after the procedure, then after 1 month, and 3 months.

• Wear loose-fitting clothing.

• Avoid long walks.

The result is immediately visible despite post-operative oedema and will continue to improve in the weeks and months following the operation.

In the long term, the result will be stable and sustainable.

In addition to the aesthetic improvement, this operation has a beneficial impact on the personal well-being, behaviour and development of the patient, who is relieved of their complex.

Read the information from the French Society of Plastic, Reconstructive and Cosmetic Surgery.

The cost of the operation will depend on the procedure to be carried out, the duration of the operation, the type of anaesthetic and any hospital charges.

You may be covered by Social Security and, if necessary, by your mutual insurance company if you are facing a functional problem.

A detailed estimate is given to you during the first consultation following the options you have chosen. You then have a minimum legal period of 15 days to consider your options and move your project forward.

The first consultation costs €50. The follow-up consultations before and after the operation are free.