Intimate Wellness Institute

Dr. Nathan Guerette and The Intimate Wellness Institute is the most experienced and only dedicated practice to cosmetic gynecology such as Monsplasty in the region.

What is the Mons?

The mons pubis (also known as the Mons or Mons Veneris) is a tissue mound made up of fat located directly in front of the pubic bones. The mons can be found just above the pubic bone and above the clitoris.  This mound of tissue is more prominent in women especially after puberty or with weight changes.  The mons functions as a source of cushioning during sexual intercourse. The mons pubis also contains sebaceous glands that secrete pheromones associated with sexual attraction.

Enlarged Mons Pubis

Often women feel like there is a specific bulging appearance at the mons separate from the abdomen or vulva (outer vagina).  The phases of a woman’s life like weight-loss, weight-gain, pregnancy, childbirth or changes with aging and menopause can alter the appearance of the pubic area making it enlarged, protrude more or can make the skin droopy and seem to be overhanging. Such changes can be noticeable especially when wearing tight-fitting clothes and during social situations causing a feeling of lowered self-confidence and discomfort for many women. This can be made more prominent in patients who have a C-section or surgery scar as the fat accumulates and is accentuated below the firm scar.

Monsplasty or Mons pubis reduction

What is Monsplasty?

A monsplasty is a minimally invasive procedure that is designed and performed to change the appearance of a bulging mons pubis area. A monsplasty reduces the amount of skin and fatty tissue present, offering a more desired appearance.

How is Monsplasty performed?

A Monsplasty is a minimally invasive, office-based procedure. The procedure is done by using a form of mons pubis mini-liposuction on that area to remove excess fatty tissue from the area, and then having the area trimmed of excess skin, sculpted, lifted, and tightened to create a more appealing and desirable appearance.  Dr. Guerette can add Laser or Radiofrequency skin tightening to further enhance the results. Often to achieve the very best cosmetic vaginal surgery many patients desire multiple cosmetic surgical techniques technique Including vaginal rejuvenation, labiaplasty and vaginoplasty.

What is Mons pubis liposuction?

Mons pubis liposuction is a mini-liposuction procedure that removes the fatty deposits and makes the area flat, often patients (if they so decide) will have their surgeon transfer the fat in to the labia majora to perform a labia majora augmentation.   This is done in the office and is comfortably performed with some sedation and specialized local anesthesia.

What is Laser or Radiofrequency Monsplasty?

For women with more minor degrees of excess tissue in the mons non-invasive laser and radiofrequency treatments can tighten and flatten the skin.  This procedure requires no anesthesia, is painless and has no preparation or recovery time.

How can you decide if a Monsplasty is right for you?

Dr. Guerette and the IWI team will set dedicated time to consult with you about your issue and expectations to understand your goals and select the best option for you.  To be a good candidate for this procedure you should be:

  • At least 18 years old.
  • Have an enlarged mons pubis
  • Have overhanging, saggy or droopy skin around the pubic area.
  • Are often very self-conscious about the appearance of your pubic area.
  • Feelings that the appearance of your pubic area might be altered from your liking due to pregnancy, childbirth, obesity, weight-gain, weight-loss or any other factors.

Recovery from a Monsplasty

The entire recovery process normally takes 3 to 4 weeks. This period can vary from one individual to another.  A compression garment should be worn post the surgery for a minimum of 2 weeks (subject to change depending upon the patient) to ensure proper shaping of the mons pubis. Routine work like going to the workplace can be resumed a few days after the surgery.  A detailed, tailored, set of instructions will be provided to you to help recovery.  The IWI team will be there to ease your recovery process.

IWI Combination Therapy:  The advanced IWI treatments work in different ways to improve vaginal and sexual function.  They are the most effective when used in combination to treat all aspects of the physical issue.  Talk to an IWI team member about treatment packages to get the best results.

The Intimate Wellness Institute of Virginia is Happy to Answer Your Questions. Call a team member to help!