What is the cost of monsplasty?

The price of monsplasty at the CREO Clinic starts from £6,900 for liposuction and skin excision. As monsplasty is a bespoke procedure, an exact quote can only be provided following a consultation with Dr Tillo.

Why do I have an oversized mons pubis?

An oversized mons pubis can develop as a result of weight gain, hormonal factors or genetic factors. An oversized mons pubis can also develop following significant weight loss, where the excess, inelastic skin bulges in the area.

Is there scarring from monsplasty?

Scarring from monsplasty depends on the surgical techniques chosen. For a mons reduction using liposuction only, scarring is minimal, as only small incisions are required for the liposuction cannulas. Surgical excision of the skin involves larger incisions to be made above the mons pubis. However, these are still relatively small in size and are well covered by undergarments as well as the natural contours of the body. Any scarring that you are concerned about after surgery can also be treated with laser scar removal to minimise its appearance.

How soon can I resume sexual activity?

Patients should avoid sexual activity for a minimum of four weeks after surgery to avoid strain on the surgical site and to avoid delaying the body’s healing process. Instead, patients should wait until they are fully recovered and are not experiencing discomfort to engage in sexual intercourse.

What other treatments can be combined with monsplasty?

A mons pubis reduction surgery is commonly combined with several treatments, including a tummy tuck. During surgery, excess skin is removed from across both the abdomen and fatty mons pubis. Monsplasty can also be combined with liposuction to remove excess fat deposits from the area.

Mons Pubis Reduction (Monsplasty Surgery) in London

At a Glance Reviews Before & After Pricing FAQs

Medically Reviewed by Dr. Omar Tillo Senior Plastic Surgeon (GMC: 6046095), last updated: November 13, 2026

What Is Monsplasty?

Mons pubis reduction, sometimes known as monsplasty, is a surgical procedure to remove excess fat or skin from the mons pubis (i.e., the area above the pubic bone) with the aim of reducing its prominence and enhancing the contour of the area. An excessively prominent mons pubis can cause physical discomfort and aesthetic concerns, which means the procedure may be considered for both functional and aesthetic reasons.

At the CREO Clinic, all mons pubis reductions are performed by our Medical Director and GMC-registered specialist plastic surgeon, Dr Omar Tillo. He is an experienced body contouring surgeon, focusing exclusively on cosmetic procedures from the neck down. He is also a member of the British Association for Aesthetic Plastic Surgeons (BAAPS) and a fellow of the Royal College of Surgeons (FCRS).

Surgery at a Glance

Treatments

Results

3–6 months

Anesthesia

Sedation or General Anaesthesia

Surgery Time

1-2 Hours

Hospital Time

Day case (same-day discharge)

Downtime

2–4 weeks

Stay Home

1–2 weeks

Off-Work

7 Days

Exercise

4 Weeks

Full Recovery

6 Weeks

Why Patients Consider Mons Pubis Reduction

Patients may consider mons pubis reduction for physical, functional, and cosmetic reasons relating to changes in the body, perhaps from pregnancy, weight loss, or the natural ageing process. The decision is an individual one, and the most appropriate treatment will be discussed in full during a one-to-one consultation with Dr Tillo.

Post-Pregnancy Changes

Pregnancy can alter fat distribution and place additional tension on the skin across the lower abdomen and pubic region. The mons pubis may increase in prominence or develop tissue laxity as the skin and surrounding tissues change during pregnancy. Following delivery, these changes may partially resolve, although the skin does not always fully retract, potentially leaving lax skin folds. A mons pubis reduction may remove some of this excess lax skin to help achieve a smoother, more proportionate mons pubis.

Changes Following Weight Loss

Weight gain can increase the volume of fatty tissue in the mons pubis and cause the overlying skin to stretch. When significant weight is subsequently lost, particularly following substantial or rapid weight loss, fat volume may reduce without the skin fully retracting. This can leave lax tissue that may cause discomfort and practical difficulties.

For this reason, mons pubis reduction may be considered as part of a post-weight-loss body contouring plan, perhaps following a period of dieting or bariatric surgery.

Physical Comfort, Clothing & Body Proportion

Excess tissue or lax skin in the mons pubis can create practical and aesthetic concerns, such as visible contour under fitted clothing or discomfort during exercise. A larger mons pubis area may also restrict certain movements, cause chafing, or lead to difficulty maintaining hygiene within the skin folds. A reduction may help alleviate some of these symptoms by reducing excess tissue and skin folds. In some patients, this may also reduce areas where moisture accumulates and contributes to skin irritation or fungal infections, although the extent of improvement varies and cannot be guaranteed.

What Is Mons Pubis Reduction?

A mons pubis reduction is a procedure designed to reduce the overall size of the mons pubis to help alleviate the symptoms resulting from excess skin in the area. The surgery may involve skin excision, liposuction, or a combination of both, depending on the clinical case.

Understanding the Mons Pubis

The mons pubis, sometimes called the mons veneris, is the fatty pad of tissue that sits just above the pubic bone. It is typically rounded and covered by skin and pubic hair. The size of this area can vary according to genetics or fluctuations in hormones, leading to significant variations in mons pubis prominence.

Monsplasty vs Mons Pubis Liposuction

There are two key approaches to mons pubis reduction: skin excision and liposuction. The type of approach taken depends entirely on the individual case and the severity of the excess skin and tissue.

A liposuction-only reduction is typically appropriate where the primary concern is excess fatty tissue, but the skin elasticity in the area is good. For skin excision alone, sometimes known as a mons lift, a portion of excess skin is excised via a horizontal incision above the mons pubis and is typically used where skin laxity is the primary concern rather than fatty tissue.

In some cases, a combination of these two approaches may be necessary to optimally enhance the mons pubis area. This is generally indicated when both excess fat and skin laxity are present.

How Mons Pubis Reduction Surgery Works

The surgical approach taken for a mons pubis reduction depends on the proportions of excess fat and excess skin present in the area, as well as the quality of the surrounding skin, BMI, and long-term cosmetic goals.

Consultation & Surgical Assessment

The initial one-to-one consultation with Dr Tillo gives him the opportunity to evaluate fat volume versus skin laxity in the mons pubis area, which, alongside other factors such as skin quality and elasticity, helps him determine whether to use liposuction or excision or a combination of the two.

Once a full evaluation has been completed, Dr Tillo is able to create a bespoke surgical plan designed to help achieve the patient’s individual cosmetic goals.

Liposuction-Based Mons Reduction

A liposuction-based mons pubis reduction involves the use of small cannula incisions to aspirate fat from the mons pubis area, working to reduce volume and help refine contour. This technique may be most appropriate in cases where skin elasticity is sufficient to retract successfully following fat removal.

Mons Lift & Skin Excision Techniques

In cases where excess lax skin on the mons pubis area is the main concern, skin excision may be the most appropriate treatment. Any excess skin is excised, then the area is sutured at the deeper fascial layer to help tighten the skin of the mons pubis. The incision is then closed up with dissolvable sutures.

A mons lift using skin excision may be performed alongside liposuction in cases where fat removal and skin tightening are both deemed necessary in consultation.

Anaesthetic, Procedure Time & Hospital Stay

A mons pubis reduction can be performed under general anaesthetic or using local anaesthetic, depending on the complexity of the case and the patient’s clinical needs. The procedure typically lasts between one and two hours and is a day case, although overnight stays are available when deemed clinically appropriate by the surgical team.

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Is Mons Pubis Reduction Right for You?

Suitability for mons pubis reduction depends on individual anatomy, skin quality, general health, and the nature of the concerns being addressed. While the procedure may be appropriate for some patients, the decision to proceed is guided by a thorough clinical assessment rather than personal preference alone.

Who It’s For

Suitability for mons pubis reduction is assessed through a one-to-one consultation with Dr Tillo. The points below offer a general indication of suitability. The appropriate approach, and whether surgery is suitable at all, can only be confirmed following clinical examination of the tissue, skin quality, and individual anatomy of the patient.

Mons pubis reduction may be considered for patients who:

Have excess fatty tissue or loose skin in the mons pubis area that has not improved with a stable weight and regular exercise

Are at least 18 years old

Are experiencing physical discomfort, clothing fit issues, or hygiene difficulties as a result of excess mons pubis tissue

Have noticed changes in the mons pubis area following significant weight loss, pregnancy, or both

Meet CREO Clinic’s BMI eligibility criteria, 35 or below for liposuction-only approaches, or 30 or below where skin excision is planned, subject to individual clinical assessment

Are in good general physical and psychological health

Meet CREO Clinic’s pre-operative nicotine cessation requirement, abstaining from all nicotine products for at least four weeks before and after surgery

Have realistic expectations of what the procedure can achieve, including an understanding that some scarring is inevitable and that results may be affected by future weight changes

Physical & Functional Considerations

For many patients, the decision to seek treatment is driven as much by practical concerns as by aesthetic ones. Excess tissue in the mons pubis can make it difficult to find comfortable, well-fitting clothing, particularly in fitted styles, activewear, or swimwear.

Physical discomfort during exercise or movement can occur where mons pubis prominence is present. Some patients may experience difficulty maintaining hygiene within skin folds, which can contribute to friction, recurring skin irritation, or moisture-related conditions such as intertrigo. These functional concerns are assessed alongside the anatomical picture during consultation with Dr Tillo, and where present, they form a clinical basis for considering treatment.

Who It May Not Be Right For

Mons pubis reduction may not be appropriate for patients who:

Exceed CREO Clinic’s stated BMI eligibility thresholds of 35 for liposuction approaches, or above 30 where skin excision is required, subject to individual clinical assessment

Are currently pregnant or planning to become pregnant in the near future, as this may alter the results of surgery

Are actively losing weight or have an unstable weight

Smoke or use nicotine products and are unable to stop for at least four weeks before and after surgery

Have unmanaged health conditions that may increase the risk of surgical complications

Have unrealistic expectations, including expectations of a perfectly flat result or no visible scarring

Are seeking treatment for concerns that may be more appropriately addressed through weight management or non-surgical means

Procedure Variants & Alternatives

Mons pubis reduction may involve different surgical approaches depending on the extent of excess fat, skin laxity, and the patient’s treatment goals. The procedure may be performed independently or alongside other body contouring surgery where clinically appropriate. The exact approach used will be determined during the initial one-to-one consultation with Dr Tillo.

Mons Pubis Liposuction

Mons pubis liposuction is typically used when pockets of excess fat on the mons pubis are the primary concern. This approach may help reduce volume and improve the contour of the area where skin elasticity is sufficient. The final contour depends on the degree of skin retraction and individual healing.

Mons Lift Surgery

In cases where excess tissue and skin laxity are the primary concerns, a mons lift surgery using skin excision may be judged a more effective approach. Unlike liposuction alone, this approach addresses excess skin directly. In comparison to the purely liposuction variant, skin excision may leave a more significant scar, although the incision is typically positioned where it may be concealed by underwear or swimwear.

Mons Reduction with Tummy Tuck Surgery

When the mons pubis is enlarged or has developed significant skin laxity or ptosis (sagging), monsplasty may be considered alongside an abdominoplasty (tummy tuck). A tummy tuck may make the mons pubis appear more prominent relative to the flatter abdominal contour. Where both areas require treatment, combining the procedures may be appropriate following clinical assessment. The treatment of the mons pubis will depend on whether excess fat, skin laxity, or both are present.

Post-Weight-Loss Body Contouring Procedures

Following significant weight loss, including after bariatric surgery or treatment with GLP-1 medications, mons pubis reduction may be considered as part of a broader body contouring plan. Excess skin and residual tissue can affect the mons pubis alongside other areas of the body. Where procedures such as a tummy tuck or thigh lift are also indicated, treatment may be combined or planned in stages according to the patient’s anatomy, weight stability, and clinical suitability.

What to Expect: Before, During & After Surgery

At the CREO Clinic, we want patients to have a clear picture of what to expect before going into a surgery. The sections below give a clear outline of the stages of the surgery from preparation right through to long-term results.

Before Surgery

The CREO Clinic surgical team will provide personalised pre-operative guidance ahead of your procedure, carefully aligned with your treatment plan and medical history. The key steps to take in preparation for mons pubis reduction surgery are:

Stop all nicotine consumption: Cigarettes, vapes, patches, and all other nicotine-containing products should be stopped at least four weeks before surgery. Nicotine impairs blood flow to healing tissue and meaningfully increases the risk of wound complications

Keep weight stable: Aim to maintain a consistent weight in the weeks leading up to surgery. Significant weight changes in this period can affect the surgical plan and the long-term outcome

Review oestrogen-based contraceptives or HRT: Our surgical team will assess your individual risk of venous thromboembolism (VTE) and advise whether any changes to oestrogen-containing medication are necessary before surgery. Any decision to pause or adjust prescribed medication should be made in consultation with your surgeon and prescribing clinician, with alternative contraception discussed where appropriate

Disclose all medications and supplements: Provide your surgeon with a full list of what you are taking, including prescribed medications, over-the-counter drugs, and supplements such as fish oil or vitamin E. Do not stop any prescribed medication without first consulting your GP

Arrange your journey home: Monsplasty is a day case procedure; you will not be able to drive after surgery. Have a responsible adult collect you and stay with you for the first 24 hours of recovery

Plan your recovery in advance: Mobility may be limited in the first few days after your procedure, so arrange for any physically demanding responsibilities to be covered, and wear loose, comfortable clothing on the day of the surgery

Day of Surgery

On the day of your surgery, you will be admitted into CQC-registered surgical facilities, where you will meet the surgical team for final clinical checks. Following administration of the appropriate anaesthetic, the procedure typically takes between one and two hours. A compression garment is applied after surgery, where indicated, to support the treated area during recovery. Patients are monitored by the surgical team and are typically discharged within a few hours, once they have been assessed as medically fit to return home.

Initial Recovery

In the days and first weeks following surgery, it is normal to see a degree of swelling and bruising at the treatment sites. A compression garment should be worn throughout the early recovery period as directed, which helps reduce swelling and support the healing tissue. Most patients are able to mobilise within the first 24 to 48 hours.

A return to desk-based work is typically possible within around one week for most patients, though the timeline depends on the extent of surgery and how each individual heals. Activities that place direct pressure on or strain the treated area, including strenuous exercise, should generally be avoided for approximately four to six weeks. Sexual activity should typically be avoided for at least four weeks, as friction and pressure on the mons pubis during this period can aggravate swelling and discomfort. Dr Tillo will advise when these activities can safely be resumed based on the surgical technique and individual healing progress. Recovery timelines vary between patients and are influenced by the surgical technique used, individual healing response, and adherence to post-operative guidance.

Long-Term Results

In the initial stages of recovery, a degree of swelling is expected at the treatment sites. By around six to eight weeks, a significant proportion of the swelling may have settled, with the final contour typically becoming more apparent over the following months, often between six and twelve months after surgery, depending on the extent of treatment and individual healing.

Over the following 12 to 18 months, any incision scars should continue to mature. As part of our APEX protocol, laser scar treatment is provided as soon as is clinically appropriate, as well as manual lymphatic drainage massage to help address swelling in the initial stages of recovery.

The results of mons pubis reduction surgery are typically long-lasting, particularly if BMI remains stable. Fluctuations in weight can affect the results of the surgery long term.

Risks, Limitations & Considerations

As with any surgical procedure, mons pubis reduction carries recognised risks that should be considered carefully before proceeding. Outcomes vary between patients and may be influenced by multiple factors including the surgical technique used, skin quality, the extent of tissue removed, and individual healing.

Potential risks and considerations include:

Scarring; the extent and visibility of scarring depends on the technique used; liposuction leaves small entry-point marks only, while skin excision results in a horizontal incision above the mons pubis, typically positioned within the bikini line
Asymmetry or uneven contour in the final result
Changes to sensation in the treated area
Infection
Wound breakdown or delayed healing
Haematoma or seroma formation
DVT/VTE
Adverse reaction to anaesthesia
Recurrence of excess tissue where significant future weight gain occurs
Need for revision surgery

Not all limitations are related to surgical complications. In some patients, skin quality, the degree of tissue laxity, or individual anatomy may affect the final contour achieved regardless of surgical technique. Results can also change over time with ageing, hormonal changes, or significant weight fluctuation.

During consultation, Dr Tillo will explain the risks and expected outcomes relevant to your circumstances.

Cost of Mons Pubis Reduction Surgery

The cost of mons pubis reduction at the CREO Clinic depends on the surgical technique required and the overall complexity of the individual case.

At the CREO Clinic, a mons pubis reduction surgery begins at £7,500

A personalised quote is provided following consultation with Dr Tillo once the most suitable treatment approach has been agreed. The final surgical fee may differ from the advertised starting price depending on the individual treatment plan.

What’s Included in Your Surgical Fee

The surgical fee typically includes:

Surgeon, anaesthetist, and nursing fees
Use of CQC-registered surgical facilities
Pre-operative assessments
Compression garment
Post-operative dressings and follow-up appointments with Dr Tillo
Manual lymphatic drainage massage and laser scar management treatments as part of the APEX aftercare programme
The CREO recovery kit, including immune-supportive vitamins, Hibiscrub, absorbent pads, silicone tape and Bio-Oil

Additional costs may apply for services such as private prescriptions, chaperone services or further medical investigations. Any applicable exclusions or additional charges should be confirmed in the personalised quotation.

Financing & Payment Options

Where appropriate, financing options may be available through CREO Clinic’s external finance partner, Chrysalis Finance, with repayment periods and interest rates depending on the finance product available at the time of application.

Any financing arrangements are discussed separately following consultation and are subject to approval and eligibility criteria. Applicants must be at least 18 years old and have been permanently resident in the UK for at least three years. CREO Clinic currently states that a £1,500 deposit is required for financed procedures. Financing should be considered only after the clinical suitability of the procedure has been established.

Why Choose CREO Clinic

Specialist Surgeons Operating Within Their Anatomical Expertise

A core principle of the CREO Clinic is to supply expert surgeons who are specialists in the area of the anatomy they are operating on. All mons pubis reduction surgery performed at the CREO Clinic is by Dr Omar Tillo, a GMC-registered Specialist Plastic surgeon who focuses exclusively on cosmetic procedures from the neck down.

Consultation-Led Treatment Planning

To ensure full independence from commercial considerations, all procedural decisions at the CREO Clinic are surgeon-led and guided by clinical suitability. Suitability is determined through a 1:1 consultation only, and alternative approaches may be discussed during the consultation if the surgery is not considered appropriate for the patient’s circumstances.

Comprehensive Aftercare & Recovery Support

CREO values the importance of comprehensive aftercare in the clinical journey of our patients. For this reason, our Apex Aftercare system provides support throughout recovery, including regular follow-up appointments with Dr Tillo and the nursing team to monitor recovery progress and the application of manual lymphatic drainage massage and laser scar treatment, where appropriate.

A Focus on Safe, Long-Term Outcomes

The main goal of our surgical team is to work to provide high-quality long-term outcomes while also ensuring patient safety. To help optimise long-term results and patient safety, a multi-faceted approach is taken involving comprehensive clinical aftercare, but also the exclusive use of CQC-registered surgical facilities with a strong focus on safety precautions.

FAQs About Mons Pubis Reduction Surgery

Can mons pubis reduction be performed with liposuction alone?

In cases where the primary concern is excess fatty tissue on the mons pubis and overlying skin retains strong elasticity, then liposuction alone may be the appropriate treatment. For patients who present with excess lax skin alongside excess fat, liposuction alone is unlikely to address the full extent of the issue, and skin excision may be recommended.

What causes excess fat or tissue in the mons pubis area?

There are multiple factors that contribute to excess tissue or fat in the mons pubis. Some patients may have a genetic predisposition to fat distribution to the lower abdomen and pubic region, but weight gain and hormonal changes can also have a significant effect. Pregnancy can also alter fat distribution and skin elasticity in the mons pubis, leading to stretched skin that may benefit from removal.

How long does recovery take after monsplasty surgery?

The majority of patients are able to return to light daily activities and desk-based office work within approximately one week of the surgery, depending on the techniques used in the surgery and individual recovery times. More strenuous activity and exercise should be avoided for at least four to six weeks, and sexual activity should be avoided for a minimum of four weeks following the surgery. The final results typically become more apparent over six to twelve months following the procedure, depending on the extent of treatment and individual healing.

Will mons pubis reduction leave visible scars?

As with any surgery, mons pubis reduction will leave some scarring, but the extent and visibility depend on the technique used. If liposuction alone is used, this typically involves small cannula entry points, which may become less noticeable as they heal and mature, although some visible scarring may remain. Skin excision creates a horizontal incision along the top of the mons pubis, which is typically positioned with the aim of allowing concealment beneath underwear or swimwear, although visibility depends on incision placement and individual healing. Over the 12 to 18 months following surgery, excision-based scarring may become flatter and less noticeable, with laser scar management potentially helping to improve its appearance.

Can mons pubis reduction be combined with a tummy tuck?

Combining mons pubis reduction with a tummy tuck is often clinically appropriate in cases where pregnancy or significant weight loss has affected both the abdomen and the mons pubis. A tummy tuck performed alone can draw attention to a prominent mons pubis by flattening the surrounding area, which is why the two procedures are often indicated in combination. Whether this combined approach is clinically appropriate will be determined during the initial consultation.

How soon can I exercise after surgery?

Some light walking is encouraged from the early stages of recovery, as this helps support circulation and wound healing. However, exercise that places direct strain on the lower abdomen and mons pubis area should be avoided for 4 to 6 weeks after surgery. Dr Tillo creates a guided return to various activities, but each patient’s recovery milestones are personal to them and vary according to the techniques used and their unique capacity for recovery.

Is mons pubis reduction suitable after weight loss?

A mons pubis reduction is often considered following significant weight loss where excess skin or residual fatty tissue remains in the mons pubis area. Skin laxity may persist despite maintaining a stable weight, particularly after substantial weight loss. Surgery is generally considered once weight has stabilised, with suitability determined through an individual assessment of skin quality, tissue volume, and overall health during consultation with Dr Tillo.

How much does mons pubis reduction surgery cost in London?

At the CREO Clinic in London, mons pubis reduction starts from £7,500. The final cost of the surgery depends on the techniques used. The fee may differ depending on whether liposuction alone, skin excision, or a combination of the two is required. A personalised quotation is provided following consultation with Dr Tillo once the treatment plan has been established.

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