Monsplasty – Surgery for Bulging Mons

Monsplasty – How to Get Rid of Your Fat Upper Pubic Area (FUPA) or Bulging Mons

Most of us don’t like having excess fat on our body regardless of where it’s located. A lot of factors come into play to determine the fat distribution in every woman’s body, and many end up storing fat in the upper pubic area. FUPA is slang for Fat Upper Pubic Area, this is something many women suffer from after either weight loss and pregnancy. These women come to us complaining of fat and bulging pubic mound (mons pubis) that causes a range of problems and ruins their self-esteem.

Indeed, a fat upper pelvic area might cause embarrassment and social distress. Many women who have it will avoid wearing a bikini or sexy underwear that draws attention to this area of their body. To make the problem worse, the FUPA is one of those areas that is just stubborn. Often it doesn’t go away with diet and exercise. So, how can you get rid of FUPA?

There are several ways to get rid of excess fat in the pubic region, and surgery (called Mons Pubis Reduction or Monsplasty) is one of the most effective ways.

Our certified plastic surgeons in Australia have extensive experience in restoring your pre-pregnancy body and removing all the excess skin and leftover fat after pregnancy or weight loss.

What is FUPA and what does it look like?

If you haven’t heard of the term FUPA before, it’s okay, the acronym has just recently become famous after the pop sensation Beyonce talked about it in an interview with Vogue magazine in 2018. After giving birth to twins, she explained how she developed a “little mummy pouch” after her c-section. Pregnancy, c-section, and losing weight can all contribute to excess fat and skin in the pelvic region. She called it a FUPA or fat upper pubic area.

Upper pubic fat is the stubborn fat that collects in your pelvic and groin areas right below your bikini line. The medical term for this area is the mons pubis (also mons veneris or pubic mound). When it becomes too fat it starts to bulge out leading to an unappealing look when you’re wearing revealing clothes.

The belly pooch is not only a cosmetic concern, for many women it can cause medical problems as well. The excess fat and tissue shelf in the lower abdomen can cause the skin underneath to become irritated, inflamed, and can even lead to ulcers. Moreover, the pubic area in women who have FUPA usually becomes sweaty and hard to clean. It’s not uncommon for women with a fat upper pelvic area to complain about bad odors arising from their private area. Many women (and men) also complain that the abnormal protruding tissue shelf is causing them back pain due to its weight and effect on their posture.

What causes FUPA?

Several factors can lead to a fat upper pelvic area, and they include:


Your genes are probably the most important determinant when it comes to developing a FUPA. Genetics determines how your body stores excess fat. Some people might store fat around their belly, some around the hips, thighs, back, and in many women and men it’s stored in the upper pubic region. Your genes do not only determine where your body stores excess fat, they also determine where your body starts to burn off fat once you start exercising and dieting, and your abdomen and mons pubis might be the last (and least) areas to respond to your efforts. This is why the most efficient way to lose FUPA is surgical mons pubis reduction.

Losing or gaining weight too fast

When you gain too much weight too fast, excess fat will build up unevenly in different parts of your body. One of the most common regions that stores fat is the suprapubic area, so you end up with a bulging FUPA. On the other hand, losing weight too fast can also leave excess tissue and skin in your lower belly region that does not usually go with dieting and exercise alone.


When you become pregnant, your body changes in many ways to accommodate the baby growing inside of you. Fat will be stored all around your trunk to cushion your uterus and provide enough energy to complete the pregnancy. Unfortunately, many women (like Beyonce) are not able to shed off the pregnancy fat and excess skin after giving birth, and the result is a stubborn and unappealing tissue shelf in the pubic area. Moreover, many women come asking about how to lose their FUPA after a c-section. Thankfully, a tummy tuck and monsplasty can usually restore your pre-pregnancy body and give you a flat and sexy belly.

Before-Monsplasty Melbourne

How to get rid of pubic fat?

There are several conservative ways to try to flatten your FUPA, such as dieting and targeted exercises. Nevertheless, fat stored in the lower belly and pubic region is usually stubborn and does not go away easily. Moreover, the excess skin that forms after pregnancy or rapid weight loss is nearly impossible to get rid of without surgery.

The best way to flatten FUPA is through one or a combination of cosmetic procedures performed by a certified plastic surgeon. Surgery to remove FUPA (Mons Pubis Reduction) is usually done in combination with a tummy tuck procedure with or without mons pubis liposuction to get the best results possible.

Mons Pubis Reduction

Also called pubic lift, Monsplasty, and Panniculectomy. It’s a surgical procedure commonly done in combination with a Tummy Tuck (Abdominoplasty). Your plastic surgeon will start by performing a straight incision along your bikini line extending from one hip to the other. After that, they will remove the excess skin and fat from your lower belly (tummy tuck) and upper pubic region (mons reduction). Then the skin on both ends is pulled tighter together. After removing the bulging tissue flap and pulling everything together, your plastic surgeon will close the wound with very thin and resorbable sutures to ensure that minimal scarring occurs.

Monsplasty is usually combined with a tummy tuck and not done alone. Tummy tuck and pubic mound reduction can also be done as part of a full mummy makeover that can include; breast lift, breast augmentation, bra-line back lift, and several other cosmetic procedures to restore your pre-pregnancy body.

Cryolipolysis, like Cooltech or CoolSculpting®

Cryplipolysis could be an effective non-surgical alternative to get rid of a FUPA. Nevertheless, as with liposuction alone, this procedure does not deal with the excess skin in your pubic area. Cryolipolysis is an innovative method that does not require any incisions or needles. The machine helps you flatten your FUPA fast by freezing the stubborn fat in your suprapubic area and breaking it away. It is a non-invasive procedure to shed off your mummy pouch with minimal downtime. The process can be an alternative to mons pubis reduction in those who have a bulging mons pubis without any sagging or excess skin and tissue. There have, however, been serious complications associated with Cryolipolysis for some patients. As a result, we don’t offer this procedure at Coco Ruby Plastic Surgery.

Mons Liposuction

Liposuction is when your plastic surgeon uses a rigid catheter (a narrow rod) to literally suck the excess fat from under your skin. You can combine Mons pubis liposuction with pubic lift (Monsplasty) and tummy tuck to achieve the best results possible. Your surgeon will insert the catheter through tiny skin incisions to remove the fat from your pubic area. This process reduces the size of your FUPA flattening it. Mons liposuction can be done during a tummy tuck procedure.

However, it can be done alone if you’re looking for a quick fix or planning to get pregnant again. It should be noted that Liposuction alone will not remove excess hanging skin. In order to remove excess skin from your lower pelvic region, you will need to have pubic mound surgery.

Who’s a good candidate for mons pubis reduction?

Monsplasty is a good option for women who:

  • Have had a stable weight for the past 6 months
  • Are not planning to get pregnant in the future
  • Do not smoke (or would consider quitting for a few weeks)
  • Are in a generally good physical and mental health
  • Keep a realistic expectation for the surgery outcomes
  • FUPA is causing them cosmetic concerns, back pain, skin irritation, or bad odours

If these apply to you, then you should come in for a consultation with one of our certified plastic surgeons to get a full assessment. This allows you to talk openly with a professional about your concerns and see what surgical approaches they suggest. If surgery is the right path and a date for surgery is set, your surgeon will tell you if you should stop any of your chronic medications before the operation.

What to expect during recovery from FUPA surgery?

After surgery, you will most likely spend the night in hospital for monitoring and observation. You should expect to have some;

  • Swelling
  • Bruising
  • And, pain in both your lower abdomen and pelvic regions.

These will subside as the days pass, and your surgeon will prescribe painkillers to help you through the first week. As time passes and the swelling subsides, you will notice a considerable change in the shape of your belly and suprapubic area. If all goes well, you will no longer have a tissue shelf in your lower abdomen, or a bulging FUPA, you will be left with a smooth and flat belly.

Check the tummy tuck (and monsplasty) before and after pictures on our website to see the results for yourself.


Can I have a tummy tuck alone without Monsplasty?

A Tummy Tuck (Abdominoplasty) can be a stand-alone procedure. In other words, you can have it done without mons pubis reduction. However, the results can be unsatisfying if you do have a FUPA. Excess fat and skin in the lower tummy can take focus away from your FUPA. But, if you do a tummy tuck to remove the excess abdominal skin and fat, your FUPA could become more prominent. That is why if you do have a fat upper pelvic area you should combine abdominoplasty with mons pubis reduction.

Does Mons Pubis Reduction leave a scar?

When performing a tummy tuck and monsplasty, your surgeon will make a surgical incision along your bikini line. Our surgeons use meticulous techniques and fine absorbable suture lines to ensure that the scar is minimal. There’s no way to avoid scarring completely, however, your scar will be well hidden along your bikini line. This lets you wear revealing clothing to show off your flat tummy without worrying about your scar.

Can men have FUPA?

Yes! In fact, FUPA is also a common problem in men. However, they are less likely than women to seek treatment for it. Genetics and weight change can cause excess stubborn fat and skin to build up and bulge in the pubic area right above the penis. This can make the penis look smaller than it actually is. This is due to the fact that it becomes buried in the surrounding bulging pubic fat. A monsplasty (mons pubis reduction) is ideal for men dealing with this problem. The surgery will make the penis appear bigger since it removes all the fat surrounding it and creates a more flat pubic region and lower belly.

How much does mons pubis surgery cost?

There are a lot of factors that come into play when determining the cost of monsplasty. There is;

  • Hospital’s fees
  • Anaesthetist fees
  • Surgeon fees
  • and others.

The good news is that many women and men find the cost of monsplasty affordable. There are also several financing options that can help people afford it without a hassle.

Medicare Plastic Surgery MBS item numbers

Does Medicare cover FUPA surgery?

This largely depends on each particular case. In some cases, if the surgery is purely cosmetic, you will probably not be able to get Medicare coverage. However, in other cases, when the surgery is a medical necessity, you might be eligible for a rebate. A Monsplasty may be medically necessity if it’s causing skin irritation, ulceration, back pain, or another debilitating problem.

Further Reading – Medical Sources:

Last updated: 12/09/2023
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Dr Patrick Briggs
Dr Patrick Briggs is an experienced Specialist Plastic Surgeon Now based in Melbourne, Australia. He is an expert in Breast, Body and Blepharoplasty Surgery with a special interest in Gender Surgery - Top Surgery. Dr Briggs has been published widely in surgical literature; he is trained and experienced in all aspects of Plastic and Cosmetic Surgery. Dr Briggs’ extensive experience across multiple surgical fields has allowed him to refine his skills to produce optimum results for his patients. Combined with his experience, Dr Briggs continually attends conferences and seminars to extend his knowledge and training surrounding the latest and best surgical techniques and equipment. By doing so he is able to provide his patients with the highest level of care and skill ensuring quality results.

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What to do next?

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Disclaimer: Results depend on individual patient circumstances and can vary significantly. Results may also be impacted by a variety of factors including your lifestyle, weight, nutritional intake and overall health. Consult your Specialist Plastic Surgeon for details. This information is general in nature and is not intended to be medical advice nor does it constitute a doctor-patient relationship. Surgery risks and complications will be covered in detail during a consultation with your Surgeon.