title: Management of the mons pubis and labia majora in the massive weight loss patient.
abstract: The high incidence of female obesity and weight loss has resulted in common complaints of a large, protuberant mons pubis and labia majora (outer labial lips) related to unsightly fat deposits and skin ptosis. The author presents a technique to correct the protuberant mons and pubic descent by performing a pubic lift, fat excision, and liposuction, and then tacking the superficial fibrofatty tissue to the rectus fascia. The labia majora enlargement is treated by fat excision and/or liposuction and skin excision. These techniques eliminate difficulties with sexual intercourse, poor hygiene, and discomfort, while also improving self-esteem.
authors.affiliation: University of California, Los Angeles, CA, USA. altermd@altermd.com
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Alter
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D050218:Body Fat Distribution; D003357:Cosmetic Techniques; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods; D008488:Medical Illustration; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D050151:Subcutaneous Fat / Q000601:surgery*; D016896:Treatment Outcome; D014844:Vulva / Q000601:surgery*; D015431:Weight Loss / Q000502:physiology*; D055815:Young Adult