Background & aim: 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. The purpose of this prospective study was to assess the cosmetic and functional effects of monsplasty in female patients who had undergone abdominoplasty.

Patients& 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 mons region between both groups.

We performed traditional (classical)abdominoplasty- 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, with the exception of the length of the labia majora in (group B). Additionally, there was a significant improvement in the degree of mons ptosis deformity after surgery in (group B). The Female Genital Self-Image Scale showed significant improvement in (group B).

Conclusion: Monsplasty reduces discomfort in the pubic area and positively impacts body image, self-esteem, and sexual experience.