For many individuals, both men and women, the lower abdomen can become a troublesome area. One of the most commonly raised concerns in my clinics is the appearance of a FUPA, or Fat Upper Pubic Area. This refers to the soft, fatty tissue that accumulates just above the pubic bone and can result in a noticeable bulge.
It may not seem significant to others, but to the individual affected, it can greatly influence self-confidence, comfort, and body image. From fitted clothing and swimwear to intimacy and personal hygiene, the presence of a FUPA can have a tangible impact on day-to-day life. Understanding this concern begins with exploring FUPA causes and treatments.
As a Consultant Plastic, Reconstructive and Aesthetic Surgeon in Chester, I, Miss Anca Breahna, understand that even a small physical concern can carry a large emotional weight. That’s why I offer a comprehensive, discreet, and highly personalised approach to managing FUPA for patients in Chester and across the North West.
The mons pubis is the rounded, fatty area that sits above the pubic bone. In a healthy and youthful body, it blends seamlessly with the lower abdomen. However, when excess fat or sagging skin develops in this region – whether due to weight gain, childbirth, or ageing – it becomes more prominent, forming what is commonly referred to as a FUPA.
This puffiness or protrusion can feel out of proportion to the rest of the body, drawing unwanted attention and affecting one’s ability to wear tight clothing or enjoy intimacy without self-consciousness. Many patients I see in Chester feel frustrated that even with a healthy lifestyle, this area does not respond to exercise or diet.
Genetics play a key role in determining where the body stores fat. Some people are predisposed to hold excess fat in the lower abdomen or pubic area, regardless of their overall size or level of fitness. This means that even lean, active individuals can struggle with a FUPA simply due to their inherited body composition.
During a consultation, I assess your family history and body shape trends to determine whether a genetic predisposition might be contributing to your concerns. Understanding this factor helps us set realistic expectations and choose the best possible treatment path.
When the body gains weight, the fat cells in the lower abdomen – including the mons pubis – can increase in size. This can result in a soft, visible bulge that may appear even in looser clothing.
Unlike other areas of the body, the pubic region is rarely targeted in fitness routines. As a result, excess fat here tends to be more resistant to natural weight loss efforts. For many of my patients in Chester, this can lead to frustration and body image issues, especially when they feel they’ve worked hard to manage their weight elsewhere.
Pregnancy brings about remarkable changes in a woman’s body. As the uterus expands, the skin and muscles of the abdominal wall stretch considerably. After delivery, these tissues may not return fully to their original position, particularly in the lower abdomen.
The FUPA often becomes more pronounced after pregnancy due to a combination of skin laxity, stubborn fat deposits, and muscle separation. Many of my Chester-based patients come to me after childbirth feeling disconnected from their pre-pregnancy bodies. I provide supportive, restorative care to help mothers feel confident and comfortable again.
With age, the skin loses elasticity and firmness due to the natural decline in collagen and elastin. The lower abdominal region and mons pubis are particularly vulnerable to these changes. Even if fat levels remain consistent, the skin may sag, and the area can appear fuller or heavier.
Additionally, hormonal shifts that occur during perimenopause and menopause can increase fat storage around the abdomen, further contributing to the prominence of a FUPA. Addressing this concern is not about vanity – it’s about helping patients feel as youthful on the outside as they feel inside.
After significant weight loss, patients are often thrilled with their results – but then face a new challenge: excess, loose skin. The skin in the mons pubis region is highly elastic, and when stretched during weight gain, it may not contract after the weight is lost.
This can result in a sagging or drooping pubic area, which may be visible through clothing and cause emotional or physical discomfort. I work closely with patients who’ve undergone weight loss transformations, offering surgical options to remove excess skin and contour the area in a way that complements their new figure.
Hormonal fluctuations, especially in women, can significantly influence where fat is stored. The shift in oestrogen levels during menopause often results in a redistribution of fat from the hips and thighs to the abdomen and mons pubis.
Even men may experience changes in fat distribution due to hormonal imbalances or age-related declines in testosterone. These changes are subtle but cumulative, and many patients feel like their bodies are no longer responding to healthy habits the way they used to. Hormone-related FUPA concerns are completely valid and very treatable.
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Every person’s threshold is different. Some patients seek help for purely aesthetic reasons, while others are experiencing physical or emotional distress. Here are common signs that it may be time to consider a treatment plan:
These are deeply personal decisions. In my consultations at Chester-based clinics, I provide a respectful, non-judgmental space to explore your options.
Adopting a nutritious diet and maintaining regular physical activity are essential for overall health and fitness. However, the mons pubis area is notoriously resistant to spot reduction. Exercises like planks or lower abdominal crunches may tone the underlying muscles, but they do little to eliminate the fat or excess skin above them.
For patients whose FUPA is caused by deeper structural issues – like loose skin, poor elasticity, or isolated fat deposits – medical intervention is often necessary for noticeable improvement.
Technologies such as cryolipolysis (fat freezing), radiofrequency skin tightening, and high-intensity focused ultrasound (HIFU) can offer modest results in cases of mild fat deposits with firm skin.
These treatments are:
During your consultation, I’ll evaluate your skin tone, fat volume, and overall goals to determine whether a non-surgical solution would be beneficial.
For more dramatic or long-lasting results, surgery is often the most effective option. These procedures are designed to sculpt, lift, and smooth the mons pubis and lower abdominal area.
Each of these options is highly personalised and discussed in detail during your consultation.
Your journey begins with a comprehensive, one-to-one consultation. As Miss Anca Breahna, I take pride in offering each patient the time and attention they deserve. During your visit, you can expect:
My Chester clinics offer a calm, private environment where you can feel at ease discussing personal matters and exploring life-enhancing solutions.
Yes, it can. While many people focus on the aesthetic aspect of a FUPA, patients often describe practical discomfort as well. A prominent FUPA may cause chafing when walking, irritation from clothing seams, or even impact how you sit or bend. During physical activity, some individuals feel restricted or self-conscious. If the area interferes with your comfort or movement, surgical or contouring solutions may offer both aesthetic and functional relief.
Absolutely. While fat and skin play the most visible role, posture and muscle tone also influence the appearance of the lower abdomen. A weakened core or pelvic tilt can push abdominal contents forward, accentuating a bulge in the mons pubis area. Part of your consultation will include a full body assessment to determine whether muscle strengthening could enhance surgical or non-surgical results.
Yes, in many cases. The lower abdomen and mons pubis are visually connected. Improving one area often enhances the other. Many procedures – such as a mini or full abdominoplasty – are designed to create smooth, continuous contours across the midsection. I always take a holistic approach to ensure proportional, natural-looking results that complement your overall silhouette.
While results from surgery are long-lasting, the body is dynamic. Weight fluctuations, hormonal shifts (especially around menopause), and lifestyle changes can all influence fat distribution over time. That said, most patients enjoy lasting improvements when they maintain a healthy, balanced lifestyle. As part of your treatment journey, I provide guidance on how to preserve your results well into the future.
In many cases, yes. Previous abdominal procedures such as C-sections, laparoscopic surgeries, or hernia repairs don’t necessarily prevent you from having FUPA treatment. However, surgical history does influence planning. During your consultation, I’ll review any scars or anatomical changes and discuss options that work safely with your medical background.
Many of my patients express that after addressing their FUPA, they feel significantly more comfortable in intimate settings. This includes feeling more confident undressing, wearing lingerie, or simply feeling less inhibited. Emotional well-being and body confidence are important parts of your health, and treatments that address a FUPA often have a powerful impact beyond the physical.
This is a very common concern. When you sit, abdominal contents shift slightly forward, and if there’s extra fat or skin in the mons pubis area, it can appear more prominent. Patients often mention that their FUPA “folds” or bulges in seated positions. Surgical treatments such as liposuction or monsplasty can help reduce this effect, creating a more balanced appearance whether you’re standing, sitting, or in motion.
Patients choose to work with me because they value a surgeon who offers both clinical excellence and compassionate care. Here’s what sets my practice apart:
If you’re ready to take the next step and explore your options for treating a FUPA in Chester, I warmly invite you to book a private, no-pressure consultation. During your appointment, we’ll discuss your concerns in detail, explore tailored treatment options, and create a personalised plan that aligns with your goals.
To schedule your visit, simply call 07538 012918 or email contact@ancabreahna.com. You can also learn more and submit an enquiry via my website. I look forward to guiding you with expert care and compassion on your journey to greater confidence.