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Pubic Liposuction – Altering the Mons Pubis

Author: Letty's Staff Writer

Okay ladies this article is really for us – mostly because men tend to be less caught up in negative body image than we are.


I am going to go out on a limb to say this: "There are very few medically necessary reasons to alter the shape of the mons pubis (the fleshy part at the very top of the genitals)."

Just off the top of my head – some medically necessary reasons for mons pubis surgery might include:

  1. a traumatic injury of some sort,
  2. or infection perhaps,
  3. or an excess of flesh that completely overhangs the genitals... maybe.

And I am sure there are other reasons that are legitimate that I cannot think of right now. But barring those folks who have medical reasons for surgery, very few of the rest of us really need an operation in this spot.

Nonetheless, I will give you the information that I found on pubic liposuction to the mons pubis area, and genital alteration in general... just so that you can be educated, and sophisticated about this topic. But first...

What's normal down there?!

This question really gets to the heart of the matter.

Most of us women don't know what the normal range of vaginal appearance is. Hell, many of us don't even know what the proper names are for any of the pieces and parts of the vagina.

So, in this total vacuum of knowledge we invent a false reality.

We tell ourselves that somehow our vaginas aren't normal looking... Or we convince ourselves that ours is the worst looking one..

.. and on and on.

The truth is many of us don't know what normal looks like.

Discovering the real deal...

I ran across a really wonderful article in the Journal of Sex Research - January 2011 Edition - entitled, "Evulvaluation: the portrayal of women's external genitalia and physique across time and the current Barbie Doll ideals (Report)". Long title, but a must read – especially if you want to understand how images in print, and electronic media have persuaded everyone to believe normal equals whatever body types are shown to us in soft or hard porn.

The article spoke of a study which linked the amount of exposure to media images with:

  • depression,
  • body dysmorphia,
  • anorexia and bulimia,
  • AND low self-esteem scores for women.

The article also touched on how sexually explicit media images influence how women perceive their own genitalia.

Think about it, sexual entertainment created mostly by men... for men – is what we are using to gauge what normal is.

  • Here's my two-cents worth:

    Pornography is a complete fantasy land.

    From what I've seen of it, there is a lot of pandering to male attention. In "pornography-land" there is a real misunderstanding of what female pleasure is all about (hard thrusting into multiple orifices, by multiple people who aren't particularly sensitive to the women involved). And these "poor" actresses pretend to enjoy it while the pain and discomfort flashes across their faces...

    I don't know, guys.

    The point is that these are the women who we use to judge our most intimate parts by...


    Many of these ladies will often pierce, completely shave, surgically alter themselves, or not even bother to use a condom for their jobs. It is clear that they have little respect for their own health.

    And we want to emulate THEM?... It just doesn't make any sense.

Normal is a healthy, functioning, pain-free vagina!

All shapes and sizes, all skin colors, all ages, pre-pregnancy, post-pregnancy, all hair types, all hair amounts are within the normal range. Period! What you see in the mirror when you look "down there" is most likely normal (barring any disease or discomfort).

Homework Assignment:

You need to see normal for yourself.

And here's the deal – pornography doesn't give you a good idea of normal. That particular group of women is selected for a certain limited look to their bodies and genitalia.

  1. Go to your favorite search engine.
  2. Type in "Labiaplasty Pictures" into the search field.
  3. Pick 3 surgeon websites to view (no pornography allowed).
  4. Navigate to the "Before" pics. These pictures represent what normal was before surgical alteration was done. And many of these surgeries were not medically necessary.
  5. Appreciate the variety of sizes and shapes.

It can be a little shocking to see regular women's vaginas for the first time... but somehow liberating too, right?

Pubic Liposuction:

If you are still determined to have pubic liposuction this is how it works:

Surgery begins when the doctor numbs the area with a local anesthetic. Next small, inconspicuous incisions are made in the area and numbing fluid is injected under the skin until the site is firm and very full of fluid. This technique is called "tumescent" which literally means firm and full. The fluid not only numbs the area from pain during surgery, but it also softens target fat making it easier to remove in the next step.

The fat and fluid are then sucked out of the area through a long, blunt, hollow tube – called a "cannula". The surgeon will push and pull the cannula through the treatment area removing volume until a nicer contour is created.

Risks of Pubic Liposuction:

Liposuction is not for everyone.

Some people should not consider pubic liposuction - or ANY lipo - because of risk to their health, or because the results after surgery would actually look worse for them than if they had done nothing at all.

Some of the more common side-effects include:

  1. Infection. Whenever the skin envelope is pierced there is a possibility for invasion by harmful micro-organisms.
  2. Adverse reaction to the numbing solution. There have been cases where the lidocaine, or other pharmaceuticals used in the numbing solution – has caused injury or death.
  3. Blood or fat clotting. Blood clots and fat clots can form during or after surgery and move to block arteries and blood-vessels servicing the brain, heart or lungs.
  4. Swelling and bruising. Although inconvenient, swelling and bruising is generally self-limiting and will resolve within a few weeks after surgery.

The best way to figure out your particular risk profile is of course to have a consultation with your surgeon.

In Conclusion:

I hope I have given you some things to think about.

It is always preferable to feel good about yourself just as you are. And before you run out and alter your private area for someone else's sexual gratification, be sure you have consulted the most important person there is in this equation... that's YOU.

Pubic Liposuction was part of this transformation:

Watch this gastric by-pass patient complete her journey...

Pubic Liposuction References:

  • Schick, Vanessa R. Brandi N. Rima, and Sarah K. Calabrese. "Evulvalution: the portrayal of women's external genitalia and physique across time and the current Barbie Doll ideals." The Journal of Sex Research vol.48.1 (2011): 74+. General OneFile (20 May 2011).

  • Meyer, Catie. "Intimate Surgery." First for Women (1 Aug 1994): 46+. General OneFile (20 May 2011).

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