The Cosmetic Management of Mons Pubis Ptosis

Introduction: Achieving excellent cosmetic monsplasty results consistently can be difficult. Undertreatment or overtreatment of the fatty ptotic mons pubis will yield suboptimal results. A stepwise tactical approach to the monsplasty eliminates these problems and produces excellent aesthetic results. Materials and Methods: The surgical management of monsplasty requires individualization and careful surgical planning. The authors’ approach illustrating the steps and tactics to perform monsplasty is presented. Based on our experience with 1,200 cases, a comprehensive clinical classification of mons pubis ptosis with surgical guidelines for treatment was created. Results: Over 1200 patients have undergone monsplasty using the authors’ stepwise tactical approach to mons rejuvenation. No complications associated with the monsplasty occurred. Patient satisfaction with the monsplasty was very high. Conclusion: In the authors’ experience, the preoperative grading of the mons pubis ptosis and the use of guidelines produces consistently excellent aesthetic results. Monsplasty is associated with high aesthetic and functional patient satisfaction.