Monsplasty Charlotte, NC | Dr. Kevin Stepp

Q: Can Aviva be used for non-surgical mons pubis fat reduction?

Yes. Aviva RFAL (Radiofrequency Assisted Lipocoagulation) can be used to reduce subcutaneous fat of the mons pubis without surgical incisions. It is appropriate for patients with mild-to-moderate fat excess and adequate skin elasticity who prefer a non-surgical approach. A 0.6mm cannula delivers bipolar RF energy to reduce treated adipocytes in a single in-office treatment under local anesthesia. When fat volume is substantial, or when skin laxity is present, Aviva is not the appropriate tool — surgical monsplasty with liposuction and skin excision may be indicated. Dr. Kevin Stepp, MD, FACOG, URPS, determines which approach is appropriate at consultation at Advanced Pelvic Surgery and Urogynecology of Charlotte in Charlotte, NC.

Prominence of the mons pubis — the fatty mound overlying the pubic symphysis — is caused by genetics, significant weight loss including after GLP-1 or bariatric surgery, hormonal fat redistribution, or prior abdominoplasty that did not address the upper pelvic frame. The degree of subcutaneous fat volume and skin laxity present determines the appropriate intervention. In Charlotte, NC, Dr. Kevin Stepp, MD, FACOG, URPS, evaluates each patient individually across a spectrum of options — from non-surgical radiofrequency fat reduction to surgical monsplasty — selecting the approach the anatomy indicates.

Monsplasty and mons pubis contouring by Dr. Kevin Stepp, Charlotte NC

The Aesthetic Frame

The mons pubis forms the upper aesthetic frame of the pelvic anatomy. When prominent, it can create visible bulk in fitted clothing and cause friction during activity. The correct intervention depends on two variables: how much of the problem is fat volume, and how much is skin laxity. Mild-to-moderate fat excess without significant laxity may be appropriate for non-surgical fat reduction. When fat volume is substantial, or when skin laxity is a co-existing problem, surgical monsplasty — combining liposuction with skin excision and fascial anchoring — is the indicated treatment.

Lifestyle Performance

Designed for women who feel their pelvic mound looks "heavy" or "bulging" in tight clothing, ensuring comfort during yoga, cycling, and daily exercise.

The Technique

Skin excision removes redundant tissue; fascial anchoring lifts and secures the result to prevent recurrence. When significant volume reduction is indicated, liposuction is incorporated into the coordinated surgical plan.

Treatment Pathway One

Non-Surgical Mons Fat Reduction

For patients whose mons pubis prominence is driven primarily by subcutaneous fat — without significant skin laxity — non-surgical radiofrequency fat reduction with Aviva may be the appropriate first intervention. Aviva is not a substitute for liposuction when fat volume is substantial; it is a clinically appropriate alternative for the right candidate.

Aviva — RFAL Lipocoagulation

Mild to Moderate Fat Excess • Single Treatment • No Surgical Incision

Aviva uses Radiofrequency Assisted Lipocoagulation (RFAL) — the same technology platform as BodyTite and FaceTite, adapted for intimate anatomy. A 0.6mm cannula is inserted through a pinpoint access site, delivering bipolar RF energy internally and externally simultaneously. The energy reduces treated adipocytes and causes measurable tissue contraction, without surgical incisions, sutures, or general anesthesia.

Performed under local anesthesia in the office. Tissue contraction is measurable immediately; final results are apparent at three to six months. Volume reduction in the treated compartment can be long-lasting. The procedure is appropriate when the degree of fat excess is mild-to-moderate — sufficient to cause visible prominence, but not at a volume that exceeds what RFAL can predictably address.

Appropriate for: Patients with mild-to-moderate mons fat excess and adequate skin elasticity who prefer a non-surgical approach or are not candidates for operative liposuction. Not appropriate when skin laxity is a co-existing problem or when fat volume exceeds the correction threshold of RFAL — in those cases, surgical monsplasty may be indicated.

When Liposuction Is Required Instead

When the volume of subcutaneous mons fat is substantial, Aviva is not the appropriate tool. Liposuction provides reliable, precise fat removal at volume levels that RFAL cannot match. Dr. Stepp makes this determination at consultation based on a direct assessment of fat volume, skin quality, and laxity — not patient preference alone. When the surgical plan includes significant liposuction, the full approach is coordinated from the outset, with skin excision and fascial anchoring addressing any co-existing laxity to prevent recurrence.

Surgical Monsplasty

When fat volume is substantial, or when skin laxity is present alongside fat excess, surgical monsplasty is the appropriate intervention for predictable correction of significant mons pubis prominence.

Monsplasty addresses skin laxity through excision and fascial anchoring — lifting and tightening redundant tissue and securing it to the abdominal fascia to prevent recurrence. The fascial anchor is a critical step that is frequently omitted in non-subspecialty settings. The lower boundary of the dissection, where the mons transitions to the clitoral hood, is managed with urogynecologic precision throughout. When significant volume reduction is part of the surgical plan, liposuction is incorporated and the full approach is coordinated from the outset.

Performed under IV sedation or general anesthesia. Return to desk work within 3–5 days; compression garment worn 4–6 weeks; exercise restriction for 4 weeks; final results visible at 3–4 months. When the surgical plan includes significant liposuction or abdominoplasty, the approach is planned collaboratively from the initial consultation — both specialties informing the design of a single coordinated surgery.

Appropriate for: Significant mons fat excess — particularly with co-existing skin laxity — that exceeds what non-surgical RFAL can predictably correct. Dr. Stepp provides a direct, anatomy-based assessment of which pathway is appropriate.

Why Pelvic Anatomy Training Changes the Outcome

The mons pubis does not end at the skin surface. Its lower boundary transitions directly into the clitoral hood and labia majora — anatomical structures that can be distorted by a lift performed without subspecialty pelvic anatomy knowledge. Dr. Kevin Stepp, MD, FACOG, URPS, is double board-certified in Urogynecology and Reconstructive Pelvic Surgery and in OB/GYN, with dual-fellowship training completed at Cleveland Clinic — a combination held by fewer than 10 surgeons in the United States.

To Dr. Stepp's knowledge, Advanced Pelvic Surgery and Urogynecology of Charlotte offers a select practice model where a board-certified Urogynecologist and a board-certified Plastic Surgeon collaborate in the same office. When a patient's plan includes significant liposuction or abdominoplasty, that plastic surgery expertise enters the planning process from the first consultation — combining reconstructive pelvic precision with cosmetic surgical expertise in a single coordinated approach.

Monsplasty surgical contour result — Advanced Pelvic Surgery and Urogynecology of Charlotte NC

The Process

Monsplasty addresses the upper pelvic aesthetic frame through skin excision and fascial anchoring — lifting and tightening lax tissue and securing it to prevent recurrence. The lower boundary of the dissection, where the mons transitions to the clitoral hood, is managed with urogynecologic precision throughout. When significant volume reduction is part of the plan, liposuction is incorporated and the full surgical approach is determined in consultation.

Frequently Asked Questions

Common Patient Questions

What is monsplasty and who needs it?

Monsplasty is surgical reduction and contouring of the mons pubis through skin excision and fascial anchoring. It is the appropriate intervention when skin laxity is present, or when the degree of prominence exceeds what non-surgical treatment can correct. Patients with mild-to-moderate fat excess and adequate skin elasticity may be candidates for non-surgical mons reduction with Aviva RFAL instead. The condition is commonly caused by genetics, weight loss after GLP-1 or bariatric surgery, hormonal fat redistribution, or prior abdominoplasty that did not address the mons pubis. Dr. Kevin Stepp, MD, FACOG, URPS, evaluates both surgical and non-surgical options at Advanced Pelvic Surgery and Urogynecology of Charlotte in Charlotte, NC.

Can Aviva be used for non-surgical mons pubis fat reduction?

Yes. Aviva RFAL (Radiofrequency Assisted Lipocoagulation) reduces subcutaneous mons fat without surgical incisions, using a 0.6mm cannula to deliver bipolar RF energy that reduces treated adipocytes. It is appropriate for patients with mild-to-moderate fat excess and adequate skin elasticity. When fat volume is substantial — or when skin laxity is present alongside fat excess — Aviva may not be adequate and surgical monsplasty may be indicated. Dr. Stepp makes this determination at consultation based on direct anatomical assessment, not patient preference alone.

What is the difference between monsplasty and liposuction of the mons?

Isolated liposuction of the mons addresses only fat volume — it does not remove excess skin or provide a structural lift. Monsplasty addresses skin laxity directly through excision and fascial anchoring, which corrects the structural problem liposuction alone cannot resolve and prevents recurrence. Dr. Stepp's board certification in Urogynecology and Reconstructive Pelvic Surgery means the intimate transition zone — the area near the clitoral hood — is managed with subspecialty pelvic anatomy precision throughout, reducing the risk of distortion that increases when this region is approached without that training.

How long does recovery from monsplasty take?

Most patients return to desk work within 3–5 days after monsplasty. Compression garments are worn for 4–6 weeks to ensure a smooth contour. Exercise and strenuous activity are restricted for 4 weeks. Final results are typically visible at 3–4 months post-procedure.

Can monsplasty be combined with other procedures?

Yes. Monsplasty is frequently combined with labiaplasty, vaginoplasty, significant liposuction of the mons, or abdominoplasty as part of a comprehensive pelvic and intimate restoration plan. Because Advanced Pelvic Surgery and Urogynecology of Charlotte includes both a board-certified Urogynecologist and a board-certified Plastic Surgeon within the same practice, cases that involve significant liposuction or abdominoplasty are planned collaboratively from the initial consultation — not referred out after the decision has already been made.

How much does monsplasty cost in Charlotte, NC?

The cost of monsplasty at Advanced Pelvic Surgery and Urogynecology of Charlotte depends on whether it is performed alone or as part of a combined procedure. The practice operates as a cash-pay concierge model with transparent pricing. A fee estimate is provided during your consultation. To schedule, call (980) 771-0726.

Where is Dr. Kevin Stepp's office located, and how do I schedule a monsplasty consultation?

Dr. Kevin Stepp performs monsplasty at Advanced Pelvic Surgery and Urogynecology of Charlotte, located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. To schedule a consultation, call (980) 771-0726.

Mons Pubis Reduction &
Contouring