The pubic mound begins at the level of the pubic branch, approximately at the level of the pubic hair, and extends to the front junction of the two large labia. The juvenile mons veneris is narrow and is characterized by good skin elasticity and moderate subcutaneous fat tissue.
An arching of the Venus Hill can be hereditary. With age, after pregnancy or after weight fluctuations, excess skin may remain in the pubic area. This often results in difficulties during sexual intercourse, hygienic problems and possibly also a feeling of shame.
If the Venus mound is reduced in size, excess fatty tissue is sucked off with fine cannulas. In order to achieve a harmonious overall picture, it can sometimes be helpful to combine corrections. Depending on the extent of the procedure, it may be useful to correct the mons pubis in combination with an abdominoplasty in order to preserve natural proportions.
Before the operation begins, it is routinely checked several times whether all necessary precautions have been taken for the patient's maximum safety. The operation is not started until all the prerequisites have been fulfilled according to the checklist.
Before the operation, the areas to be treated are marked in a standing position. You will then be given a sleeping pill via a cannula so that further events will pass you by.
If the procedure is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. Then the surgeon injects a sterile physiological water-adrenaline solution with anaesthetic ("tumescent local anaesthesia"). Within five to ten minutes, the surgical areas are numb. If you don't sleep deeply anyway, you may feel something happening on the surface of your body. In the case of general anesthesia, the centrally acting painkillers replace the local anesthetic of the water-adrenaline solution.
The marked areas are injected in order to operate more gently and to prevent the formation of bruises and contour irregularities ("tumescence technique"). The tissue is injected with fine microcannulas and the fat is sucked off. The skin incisions of about two to three millimetres are hidden in skin folds. After the tissue has been infiltrated and loosened, the excess fatty tissue is removed by vacuum using an aspiration cannula. The cannulas are inserted through several openings and guided in a fan shape to achieve a suction image that is as uniform as possible. If the skin is very flaccid, the pubic mound is tightened via a horizontal access in the pubic hair area. The wounds are then sutured with fine sutures, which can be removed after about ten days. Finally, a compression bandage is applied. The bandage reduces swelling and pain and adapts the skin to the new contours.
Immediately after the operation you will be continuously monitored in a so-called recovery room. You can drink something after the complete awakening and, if you tolerate it well, eat something. During your first visit to the toilet you will be supported by our nursing staff. Before you leave the practice, check-ups are arranged and the behavioural measures are discussed with you in detail. You will receive a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.
Before, after and even during the operation you can watch movies or your favourite series with virtual reality glasses. This is not only entertaining, the distraction also demonstrably leads to less sensitivity to pain.
- All your questions about possible complications and alternative treatments should be answered before the operation.
- The time of the operation should be as far away from the menstruation as possible.
- The genital area should be free of infections, genital warts or inflammations.
- Intimate shaving may cause skin irritation or injury. To minimize the risk of inflammation, only an electric hair clipper should be used in the week before the operation.
- On the day of the operation, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
- Keep nicotine and alcohol consumption to a minimum.
- If necessary, stop taking hormone-containing medication (the pill) temporarily.
- Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your treating physician.
- Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John's wort preparations, etc.) must be discontinued at least four weeks before the operation.
- Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
- Before performing aesthetic surgery, you should take out follow-up insurance.
- This is followed by regular checks of your well-being and the results of the operation.
- After the intimate operation, you should disinfect the fresh sutures in the morning and evening for 14 days (e.g. with Octenisept® or Lavanid® Gel).
- Take a shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel) from the first postoperative day.
- Regular cooling helps to keep the unavoidable swelling to a minimum. After three weeks, the swelling has largely subsided.
- As a rule, you can resume your work the day after the operation. However, we recommend that you do not sit much for the first ten days after the operation.
- Tampons should not be used in the first three weeks after the operation.
- You should avoid bending over, lifting heavy loads, swimming, saunas, sexual intercourse and sporting activities for four weeks, possibly longer if swelling still exists.