Liposuction vs. Excision for (FUPA): Which is Right for You?

By: Dr. J. Timothy Katzen

4/14/2023

Excess fat in the pubic area can be a source of insecurity for many people, leading to difficulty with clothing, intimacy, and even exercise. While it's a common area of concern, it can be difficult to address through traditional diet and exercise alone. Fortunately, there are options for those looking to improve their pubic area's appearance, such as liposuction and excision. In this blog post, we'll explore the differences between the two and help you determine which procedure may be right for you.

First, it's important to understand how fat loss works. Contrary to popular belief, you cannot target fat loss in a particular area of the body through exercise alone. When you exercise, you burn calories, which leads to weight loss and fat reduction throughout the body. However, where you first lose weight is largely determined by genetics and body type. Some people may lose fat in their face or arms first, while others may notice changes in their midsection or thighs. Unfortunately, there is no way to specifically target fat loss in the pubic area through exercise.

So, what are the options for reducing excess fat in this area? The two primary procedures are FUPA liposuction and excision. Let's take a closer look at each.

Liposuction of the FUPA

Liposuction is a surgical procedure that uses a small tube called a cannula to remove excess fat from the body. Typically, the procedure is performed under general anesthesia, and recovery can take a few weeks. During the procedure, small incisions are made in the pubic area. A liposuction cannula is inserted and fat is removed with suction.

Liposuction can be an effective way to reduce the appearance of a fatty pubic area. However, it's essential to note that not all candidates may be suitable for this procedure. Liposuction is best suited for individuals with good skin elasticity, as liposuction does not remove excess skin. If you have loose or sagging skin in the pubic area, you may need to consider excision.

Excision of the FUPA

Excision is a surgical procedure that involves the removal of excess skin and fat from the body. Often, FUPA excision is recommended for individuals who have lost a significant amount of weight and have loose, sagging skin in the pubic area. Excision can be a more invasive procedure than liposuction and may require a longer recovery time.

During a FUPA excision procedure, excess skin and fat are removed through a horizontal incision made in the pubic area. The remaining skin is then sutured back together, resulting in a tighter, smoother appearance. More extreme cases involve a vertical incision or an inverted Y incision.

Which Procedure is Right for You?

Determining which procedure is right for you will depend on several factors, including your skin elasticity, the amount of excess fat and skin you have in the pubic area, and your overall health. An experienced plastic surgeon who specializes in plastic surgery after weight loss can help you determine which procedure is best suited for your unique needs and goals.

Liposuction is the most common surgical procedure in the world, and it's not hard to see why. It's a safe and effective way to remove unwanted fat from specific areas of the body, including the pubic area. However, there are still some misconceptions about liposuction that can make people hesitant to consider it as an option.

One of the biggest misconceptions about liposuction is that liposuction is a weight loss procedure. In reality, liposuction is not designed to help you lose weight but rather to target specific pockets of excess fat that are resistant to diet and exercise. Liposuction can be an effective way to remove stubborn fat from the pubic area, but it's not a substitute for a healthy lifestyle.

Another misconception about liposuction is that liposuction is a painful and risky procedure. While it's true that any surgery carries risks, generally, liposuction is a safe and minimally invasive procedure. Most patients experience only mild discomfort and can return to normal activities within a few days after the procedure.

Pregnancy and age are two factors that can affect the way fat is stored in the body, including the pubic area. During pregnancy, the body naturally stores fat in the abdominal and pubic areas to support the growing fetus. This can lead to excess fat in the pubic area, even after childbirth. Age also affects the way fat is stored in the body. There is a natural tendency to store fat in the midsection and pubic area as we get older.

It's important to know that many people struggle with excess fat in the pubic area, and it's not a reflection of a lack of effort or willpower. According to a study published in the International Journal of Women's Health, up to 90% of women may experience changes in the appearance of their pubic area due to factors like aging, pregnancy, and weight gain. It's essential to remember that you're not alone in this struggle and that there are options available to help you achieve your desired appearance.

In conclusion, liposuction and excision are two options for reducing the appearance of a fatty pubic area, but they are not substitutes for a healthy lifestyle. Liposuction is a safe and minimally invasive procedure, and misconceptions about the procedure should not deter you from considering liposuction as an option. Pregnancy and age can affect the way fat is stored in the body, including the pubic area. It is essential to remember that many people struggle with excess fat in this area. If you're considering liposuction or excision for the pubic area, be sure to consult with an experienced plastic surgeon to determine which option is best suited for your unique needs and goals.

It's also worth noting that both liposuction and excision are surgical procedures and carry risks like any surgery. These risks include infection, bleeding, and adverse reactions to anesthesia. While complications are rare, it's essential to understand the potential risks and discuss them with your plastic surgeon before undergoing any procedure.

When considering liposuction or excision for the pubic area, it's essential to have a clear understanding of the procedure and the expected outcomes. A plastic surgeon can help you determine which option is best suited for your needs and provide you with information on the procedure's risks, benefits, and expected recovery time. Additionally, it's important to have realistic expectations and understand that these procedures are not a quick fix for weight loss or a substitute for a healthy lifestyle.

Contact Dr. Katzen to Discuss Liposuction or Excision of the FUPA

Dr. Katzen has performed hundreds of FUPA reduction procedures. The results are satisfying and often, patients say it was the best decision they ever made.

If you are interested in learning more, Dr. Katzen is currently scheduling initial consultations for patients interested in a FUPA reduction. In addition, in-person appointments are available at his offices in Beverly Hills, CA, Las Vegas, NV, and Dubai UAE.

Alternatively, Dr. Katzen offers virtual appointments via Skype, Zoom, WhatsApp, and FaceTime.

Call (310) 859-7770 today to schedule your appointment and achieve your desired body and flat FUPA.

Before & After

Before & After

Before & After

Before & After

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.