What to Expect Before, During, and After
Your healthcare provider will begin with a thorough evaluation of your general health, including any medical conditions, medications, or previous surgeries. During this visit, your provider will examine your mons pubis while standing and mark the incision sites to help plan the surgery and ensure symmetry.
Monsplasty is usually performed under general anesthesia, which means you’ll be asleep and won’t feel any pain. During the procedure, the surgeon makes a horizontal incision across the mons pubis to remove excess fat and skin and tightens the underlying tissue with internal sutures to reshape the area. In some cases, small drains are placed temporarily to remove excess fluid or blood before the incision is closed.
Your surgeon often performs a ‘pexy,’ or internal stitching, to secure the remaining tissue to the pubic bone, ensuring the area stays lifted, and the penis remains visible.
After the procedure, your incisions are covered with bandages and often supported with an elastic compression garment to reduce swelling and aid healing. Most monsplasty procedures are performed outpatient, allowing you to go home the same day. You’ll need someone to drive you home and assist you for at least the first 24 hours.
Patients can expect the first few days after surgery to be the most uncomfortable, and swelling, bruising, or light bleeding at the surgical site are normal. This generally resolves within 1 to 2 weeks, and pain can be controlled with prescription or over-the-counter medications. Strenuous activity and heavy lifting should be avoided for four to six weeks, with full incision healing taking up to eight weeks. Follow-up appointments are necessary to monitor healing, address activity clearance, remove sutures, and check for complications.
After monsplasty, it’s important to follow your provider’s guidance on recovery and when it’s safe to resume sexual activity.
If you have any questions or concerns, don’t hesitate to reach out to our team at Georgia Urology.
