The Aesthetic and Functional Outcome of Monsplasty in Women Who Experienced Abdominoplasty

Document Type : Original Article

Authors

1 The Department of Plastic Surgery, Faculty of Medicine, Assiut University

2 The Department of Plastic Surgery, Faculty of MediciThe Department of Plastic Surgery, Faculty of Medicine, Assiut Universityne, Assiut University

Abstract

Background: One of the most popular procedures for body
sculpting is still abdominoplasty, for which many new surgical
techniques are released every year. But the region beneath the
abdomen has received little attention. Consequently, patients
who have a body lift or abdominoplasty without a corresponding
monsplasty frequently report discomfort with function and
appearance, especially in the pubic region.
Objective: The purpose of this prospective study was to
assess the cosmetic and functional effects of monsplasty in female
patients who had undergone abdominoplasty.
Patients and Methods: between September 2021 and December
2023 at the Plastic Surgery Department Assiut University,
A total of 30 women who were candidate for abdominoplasty
associated with mons deformity were included in this
study from the. Those women were randomly subdivided into
2 groups; traditional abdominoplasty or liposuction-assisted
abdominoplasty without monsplasty (group A) and with monsplasty
(group B) - Mons lift as a technique of monsplasty- to
Compare the female genital self-image, degree of mons deformity
and measurements of the mons region between both groups.
We performed traditional (classical) abdominoplasty
With the classical horizontal incision, excluding
extended and belt abdominal lipectomy.
Results: The main findings of the study included: Both
groups showed no significant differences regarding baseline
and perioperative data. The operative duration was not significantly
different between the two groups. There was a significant
postoperative reduction in the various measurements during
follow-up, except for the length of the labia majora
in group B). Additionally, there was a significant improvement
in the degree of mons pubis tosis deformity after surgery in (group < br />B) The Female Genital Self-Image Scale showed significant
improvement in group B.
Conclusion: Monsplasty reduces discomfort in the pubic area
area and positively impacts body image, self-esteem, and sexual
experience.

Keywords

Main Subjects

References

Hamdi M., Waked K., Deleuze J., Giunta G., De Baerdemaeker
R., De Brucker B. and Zeltzer A.: The monsplastysurgical
and functional outcomes using an effective and
reproducible surgical technique. Journal of Plastic, Reconstructive
& Aesthetic Surgery, 84: Pages 287-294, September
2023.
2- Joseph Michaels V., Friedman T., Coon D. and Rubin:
Mons rejuvenation in the massive weight loss patient using
superficial fascial system suspension. Plastic and Reconstructive
Surgery, 126: 45e-46e, July 2010.
3- Triana L. and Robledo: Aesthetic surgery of female external
genitalia. Aesthetic Surgery Journal, 35: 165-177, February
2015.
4- Herbenick D., Schick V., Reece M., Sanders S., Dodge
B. and Fortenberry J.D.: The Female Genital Self-Image
Scale (FGSIS): Results from a nationally representative
probability sample of women in the United States. The
journal of Sexual Medicine, 8: 158-166, 2011.
5- El-Khatib H.A.: Mons pubis ptosis: Classification and
strategy for treatment. Aesthetic Plastic Surgery, 35: 24-30,
2011.
6- Seitz I. A., Wu C., Retzlaff K. and Zachary L.: Measurements
and aesthetics of the mons pubis in normal weight
females. Plastic and Reconstructive Surgery, 126: 46e-48e,
2010.
7- D. Brauman R.R.Van Der Hulst and B. Van Der Lei: Liposuction
assisted abdominoplasty: An enhanced abdominoplasty
technique. Plastic and Reconstructive Surgery–
Global Open, Vol. 6 Issue 9 Pages e1940. 2018.
8- Abdelmofeed A.M., Seif O., Younes M.T. and Abdelbaki
S.A.: Adding Monspexy (Pubic Suspension) Step to Abdominoplasty,
Does this Benefit in Management of Urinary
Stress Incontinence in Females with Redundant Abdomen
and Mons Pubis? The Egyptian Journal of Plastic and Reconstructive
Surgery, 45: 147-155, 2021.
9- Simone P., Savani L., Marchica P. and Persichetti P.: Puboplasty
as an integral step in massive weight loss abdominal
contouring: A retrospective assessment of results, stability,
and patients’ satisfaction. Journal of Plastic Surgery and
Hand Surgery, 56: 387-395, 2022.
10- Mahmoud M.A., Abdel-Maksoud M.A. and Almezaien
O.F.I.: Assessment of Outcomes of Abdominoplasty Combined
with Monsplasty in Post Massive Weight Loss Patients.
International Journal of Medical Arts, 5: 3750-3756,
2023.
11- Bloom J.M., Van Kouwenberg E., Davenport M., Koltz
P.F., Shaw Jr. R.B. and Gusenoff J.A.: Aesthetic and functional
satisfaction after monsplasty in the massive weight
loss population. Aesthetic Surgery Journal, 32: 877-885,
2012.
12- Pechevy L., Gourari A., Carloni R., Sauvaget F., Bertheuil
N. and Goga D.: Monsplasty after massive weight loss: Assessment
of its aesthetic and functional impact. Annales de
Chirurgie Plastique Esthétique, 61: e21-e35, 2016.
13- Marques M., Modolin M., Cintra W., Gemperli R. and Ferreira
M.C.: Monsplasty for women after massive weight
loss. Aesthetic Plastic Surgery, 36: 511-516, 2012.
14- Vierhapper M.F., Pittermann A., Hacker S. and Kitzinger
H.B.: Patient satisfaction, body image, and quality of life
after lower body lift: A prospective pre-and postoperative
long-term survey. Surgery for Obesity and Related Diseases,
13: 882-887, 2017.
15- Pujols Y., Meston C.M. and Seal B.N.: The association between
sexual satisfaction and body image in women. The
Journal of Sexual Medicine, 7: 905-916, 2010.
16- Bykowski M.R., Rubin J.P. and Gusenoff J.A.: The impact
of abdominal contouring with monsplasty on sexual function
and urogenital distress in women following massive
weight loss. Aesthetic Surgery Journal, 37: 63-70, 2017.
17- De Brito M.J.A., Nahas F.X., Bussolaro R.A., Shinmyo
L.M., Barbosa M.V.J. and Ferreira L.M.: Effects of abdominoplasty
on female sexuality: A pilot study. The Journal of
Sexual Medicine, 9: 918-926, 2012.
18- Garcia B., Scheib S., Hallner B., Thompson N., Schiavo J.
and Peacock L.: Cosmetic gynecology a systematic review
and call for standardized outcome measures. International
Urogynecology Journal, 31: 1979-1995, 2020.

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