Nassau University Medical Center Division of Plastic Surgery- Director Roger Simpson

Long Island Plastic Surgical Group

University of Pittsburgh Division of Plastic Surgery

Clinical Paper

Aesthetic

Abstract

Massive weight loss patients present with complex genital mound abnormalities requiring particular attention to reform the misshapen. The deformities include: excess soft tissue volume, redundant skin that is of poor quality, and often the patients possess significant mons ptosis. The authors present a monsplasty technique based upon direct excision of sub-scarpa adipose tissue with suspension of the mons on the anterior rectus sheath via the superficial fascial system. The technique allows reduction of excess volume, resection of redundant skin and eradication of mons ptosis. A retrospective review of 138 weight loss patients undergoing abdominoplasty with concomitant monsplasty was performed. There were 19 males, 119 females ranging in age from 20 years to 70 years with follow up from 2-36 months. RESULTS. All patients had adequate restoration of mons shape, elimination of redundant skin and correction of ptosis. There was no genital skin or fat necrosis. There was no dyspareunia. There were 19 patients with minor wound dehiscences requiring dressing changes but no further intervention. One female patient had a slight alteration in urine stream which resolved in less than two weeks without intervention. CONCLUSION. The authors present a monsplasty technique that is simple, safe and reproducible in a variety of anatomic variants in patients who have undergone massive weight loss