How to Get Rid of FUPA – Fat Upper Pubic Area

By Dr Jake Lim – Plastic Surgeon | Updated: February 21, 2024

Effective Strategies to Get Rid of FUPA

Fat Upper Pubic Area, also known as FUPA, is characterised by an accumulation of fat in the lower abdominal region and can be a source of discomfort. Whether it is caused by hormonal changes, weight fluctuations, genetics, or post-pregnancy changes, there are surgical and non-surgical methods to get rid of FUPA.

In this blog, Sydney Plastic Surgeon Dr Jake Lim will discuss the causes of FUPA, explore practical and effective strategies for reducing it, and discuss both lifestyle changes and medical options available.

What Is FUPA?

FUPA, an acronym for Fat Upper Pubic Area, refers to the accumulation of adipose tissue or loose skin in the lower abdominal region, just above the pubic bone. This area can be particularly stubborn when it comes to fat reduction. It’s important to understand that FUPA is a normal part of the human anatomy, and its prominence varies greatly among individuals. The visibility of FUPA can be influenced by several factors, including body type, weight, and even posture.

The presence of FUPA is not exclusively linked to weight gain. In some cases, it can be more pronounced due to the loss of skin elasticity, especially in older individuals or those who have experienced significant weight fluctuations. It’s also worth noting that FUPA is not a medical concern in most cases, but rather an aesthetic one.

Causes of FUPA

Understanding the causes of FUPA is important in determining the most effective approach for its reduction. The causes can be multifaceted and often interlinked:

  1. Genetics: Just as with other body parts, genetics play a significant role in determining where your body stores fat. If your family members tend to accumulate fat in the lower abdominal area, you might be predisposed to developing a FUPA
  2. Weight Gain and Obesity: One of the most common causes of FUPA is weight gain, particularly when fat is stored in the lower abdomen. Obesity can significantly increase the likelihood and prominence of FUPA
  3. Pregnancy: During and after pregnancy, women often experience a FUPA due to the stretching of the skin and abdominal muscles. Post-pregnancy, this area can be particularly challenging to tone, as the skin and muscles might not return to their pre-pregnancy state.
  4. Ageing: As we age, our skin loses elasticity, and our body composition changes. These natural ageing processes can lead to the development of a FUPA, as the skin in the lower abdominal area becomes less firm and more prone to sagging
  5. Rapid Weight Loss: While losing weight is generally beneficial for health, rapid or significant weight loss can lead to loose skin, particularly in areas where fat was previously stored, such as the upper pubic area
  6. Hormonal Changes: Hormonal fluctuations, especially those related to menopause, can lead to changes in fat distribution in the body, often increasing the likelihood of developing a FUPA
  7. Lifestyle Factors: Sedentary lifestyles, poor diet, and lack of exercise can all contribute to the development of a FUPA. These factors often lead to overall weight gain, which can disproportionately affect the lower abdominal area

Plastic Surgery to Get Rid of FUPA

Plastic surgery is a solution for those seeking a more permanent and pronounced change as plastic surgery can effectively reduce or eliminate the Fat Upper Pubic Area. It’s important to approach this option with a clear understanding of what it entails, including the types of procedures available, their potential risks, recovery times, and the expected outcomes:


  • Why Monsplasty is a Beneficial Option for Reducing FUPA: Monsplasty, also known as pubic lift, is a surgical procedure specifically designed to address the concerns of the FUPA. This procedure is beneficial for those looking to reduce the bulge in the upper pubic area, resulting in a smoother, more contoured lower abdominal profile. It’s particularly effective for individuals who have experienced significant weight loss, post-pregnancy changes, or natural ageing, which often leave the mons pubis area with excess skin and fat
  • How It’s Performed: Monsplasty is performed under general anaesthesia. Dr Jake Lim makes an incision, often along the bikini line, to minimise visible scarring. Through this incision, excess skin and fat are removed, and the remaining skin is tightened to provide a more aesthetically pleasing contour. In some cases, liposuction may be used in conjunction with monsplasty to achieve optimal results. The procedure usually takes about one to two hours, depending on the extent of the correction required
  • Results Achieved After the Intervention: Post-monsplasty, patients can expect a significant reduction in the size of the FUPA, leading to a more toned and defined lower abdominal area. The results can be long-lasting, provided the patient maintains a stable weight
  • Good Candidates for Monsplasty: Good candidates for monsplasty are individuals who are at or near their ideal body weight but struggle with a protruding upper pubic area due to excess skin and fat. Candidates should be in good overall health, non-smokers, and have realistic expectations about the results. It’s particularly well-suited for those who have undergone significant weight loss or women post-pregnancy who are not planning future pregnancies
  • Expected Results and Recovery: Following monsplasty, patients can experience an immediate change in the appearance of their FUPA. Swelling and bruising are common in the initial weeks, and full recovery can take several weeks to a few months. Most patients can return to work and light activities within a week or two, but strenuous activities and heavy lifting should be avoided for a longer period as advised by the surgeon. The final results are usually fully visible after the swelling has subsided

Download Dr Lim’s 2024 Abdominoplasty Guide

Abdominoplasty Guide


  • Why Abdominoplasty is a Beneficial Option for Reducing FUPA: Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that offers a complex solution for those looking to address FUPA. This procedure is not only effective in removing excess fat and skin from the lower abdominal region but also in tightening the abdominal muscles, which may have become stretched or separated, a condition known as diastasis recti. Abdominoplasty is particularly beneficial for individuals seeking a more visible transformation in their abdominal profile, often following pregnancy, significant weight loss, or as a result of ageing
  • How It’s Performed: Performed under general anaesthesia, abdominoplasty involves a horizontal incision made just above the pubic hairline. The length and shape of the incision depend on the amount of excess skin. Once the incision is made, Dr Lim removes excess fat and skin, and in many cases, restores weakened or separated muscles, creating a firmer abdominal wall and a more toned appearance. The remaining skin is then pulled down, and a new opening for the belly button is created. The procedure takes two to four hours, depending on the extent of the surgery
  • Results Achieved After the Intervention: Abdominoplasty offers a significant transformation in the appearance of the lower abdomen. It not only reduces the prominence of FUPA but also creates a flatter, more toned abdominal area. The results can be long-lasting, especially when accompanied by a stable weight and a healthy lifestyle
  • Good Candidates for Abdominoplasty: Good candidates for abdominoplasty are individuals who have excess skin and fat in the abdominal area, possibly with weakened abdominal muscles. It is particularly suited for women post-pregnancy or individuals who have undergone significant weight loss. Candidates should be in good health, non-smokers, and have realistic expectations about the outcome of the surgery. It’s important to note that abdominoplasty is not a substitute for weight loss and is best suited for those who are already at or near their ideal weight
  • Expected Results and Recovery: The recovery period for abdominoplasty can vary but generally includes several weeks of reduced activity. Patients may experience swelling, bruising, and discomfort in the initial post-operative period, which can be managed with prescribed medication. Most patients can return to work within two to four weeks, although strenuous activities should be avoided for at least six weeks. The final results can be seen once the swelling has fully subsided. The results of abdominoplasty are long-lasting, provided the patient maintains a stable weight and healthy lifestyle. Regular follow-ups with Dr Lim are important to monitor the healing process and ensure an optimal outcome


  • Why Panniculectomy is a Beneficial Option for Reducing FUPA: Panniculectomy is a surgical procedure specifically designed to remove the pannus – an apron of excess skin and fat that often hangs down over the genitals and thighs, commonly seen in individuals who have experienced massive weight loss. This procedure is particularly beneficial for those who are troubled by the FUPA due to the pannus, which can cause hygiene issues, skin irritation, and difficulty in physical activities and wearing certain clothing. Unlike a tummy tuck – abdominoplasty, panniculectomy focuses solely on removing the excess skin and fat without tightening the abdominal muscles, making it a targeted solution for FUPA reduction
  • How It’s Performed: Panniculectomy is performed under general anaesthesia. Dr Lim makes a horizontal incision across the lower abdomen, similar to a tummy tuck – abdominoplasty, but the focus is on removing the hanging pannus. The size of the incision depends on the amount of excess skin and fat. After the removal of the pannus, the remaining skin is sutured together. This procedure can take several hours, depending on the extent of the excess skin and fat
  • Results Achieved After the Intervention: Patients undergoing panniculectomy can expect a significant reduction in the size and appearance of the FUPA. The removal of the pannus can help alleviate the discomfort and health issues associated with it, such as skin infections and irritation
  • Good Candidates for Panniculectomy: Good candidates for panniculectomy are individuals who have a significant amount of excess skin hanging in the lower abdominal area, often as a result of massive weight loss, either through diet and exercise or bariatric surgery. Candidates should be at a stable weight, as future weight fluctuations can affect the results. It is important for candidates to be in good overall health, non-smokers, and have realistic expectations about the surgery’s outcome. Panniculectomy is often considered a medical necessity rather than a cosmetic procedure, especially when the pannus causes health issues
  • Expected Results and Recovery: Patients may experience swelling, bruising, and discomfort, which can be managed with medication. Most individuals can return to work and light activities within a few weeks. The final results are visible once the swelling has subsided. Regular follow-up appointments with Dr Lim are crucial to ensure proper healing and optimal results.


  • Why Liposuction is a Beneficial Option for Reducing FUPA: Liposuction is a popular cosmetic procedure that can be highly effective in reducing FUPA by targeting and removing localised fat deposits in the upper pubic area. This procedure is particularly beneficial for those who have specific areas of stubborn fat that are resistant to diet and exercise. Liposuction offers a more contoured and streamlined appearance in the lower abdominal region, making it a good option for individuals seeking a less invasive solution compared to more extensive surgical procedures like abdominoplasty or panniculectomy
  • How It’s Performed: Liposuction for FUPA is performed under local or general anaesthesia, depending on the extent of the procedure. Dr Jake Lim makes small incisions in the targeted area and inserts a thin tube called a cannula. The cannula is used to break up and suction out the fat from the upper pubic region. The technique and equipment used may vary, including options like tumescent liposuction, ultrasound-assisted liposuction, or laser-assisted liposuction, each having its own advantages. The procedure usually takes one to two hours, depending on the amount of fat being removed
  • Results Achieved After the Intervention: Post-liposuction, patients can expect a reduction in the prominence of FUPA. The area becomes more flattened and harmonious with the surrounding body contours. While the results are not as extensive as those from abdominoplasty, the outcomes can be long-lasting, especially if the patient maintains a stable weight post-procedure
  • Good Candidates for Liposuction: Good candidates for liposuction are those who have localised fat deposits in the FUPA area with relatively good skin tone and elasticity. It is best suited for individuals who are close to their ideal body weight but struggle with specific areas that are unresponsive to diet and exercise
  • Expected Results and Recovery: The recovery period following liposuction is generally shorter than that for more invasive surgical procedures. Patients may experience bruising, swelling, and discomfort in the treated area, which subsides within a few weeks

Non-Surgical Options to Get Rid of FUPA

Non-surgical methods for reducing the Fat Upper Pubic Area (FUPA) offer less invasive alternatives to traditional surgery. These methods are particularly appealing to those seeking improvement without the downtime and risks associated with surgery. Among the most effective non-surgical options are CoolSculpting, radiofrequency treatments, laser therapy, and injectable treatments, each offering unique benefits in addressing FUPA.


CoolSculpting, also known as cryolipolysis, is a leading non-surgical fat reduction treatment. It works by freezing fat cells in the targeted area, which are then naturally eliminated by the body over time. The procedure involves placing a cooling applicator on the FUPA area. The applicator delivers controlled cooling, specifically targeting fat cells without damaging the surrounding tissues. Each session lasts about 35-60 minutes, and multiple sessions may be required for optimal results. Patients can expect a noticeable reduction in the FUPA area, with results becoming apparent within three weeks and continuing to improve over the following months. CoolSculpting is a good option for those with localised fat deposits and good skin elasticity.

Radiofrequency Treatments

Radiofrequency treatments use energy waves to heat the deep layer of the skin, promoting collagen production and skin tightening. This method is effective for reducing the appearance of FUPA by tightening the skin and improving its texture. Treatments like Thermage or Venus Freeze involve using a handheld device that delivers radiofrequency energy to the skin. These treatments are generally comfortable, require no downtime, and results can be seen gradually over several months. They are best suited for individuals with mild to moderate skin laxity.

Laser Therapy

Laser treatments use laser energy to heat and destroy fat cells in the FUPA area. The procedure involves applying a device that delivers laser energy, raising the temperature of fat cells and causing their destruction. The body then naturally eliminates these cells over time. Each session takes about 25 minutes, and similar to CoolSculpting, multiple sessions may be necessary. Laser therapy is effective for those looking to reduce fat and achieve a more contoured appearance without surgery.

Ultrasound Therapy

Ultrasound therapy, such as UltraShape, uses focused ultrasound energy to target and destroy fat cells. This non-invasive treatment is painless and requires no downtime, making it a convenient option for those with busy schedules. Patients undergo a series of treatments, and results can be seen in as little as two weeks after the first session.

FAQs about How to Get Rid of FUPA


Will my FUPA go away if I lose weight?

  • Losing weight can significantly impact the size of your FUPA, as it often consists of fat deposits that can be reduced through weight loss. However, the extent to which it will diminish depends on individual factors like your body’s natural fat distribution, skin elasticity, and the amount of weight lost. While overall fat reduction through diet and exercise can lead to a decrease in FUPA size, some individuals may still notice persistent fat in this area due to genetic predispositions. It’s important to approach weight loss with a healthy mindset, focusing on balanced nutrition and regular exercise.

Can you get rid of FUPA without tummy tuck – abdominoplasty?

  • Yes, it is possible to reduce FUPA without resorting to abdominoplasty. Non-surgical methods such as CoolSculpting, laser therapy, and radiofrequency treatments can effectively target and reduce fat in the upper pubic area. Additionally, a combination of targeted exercises and a healthy diet can also help in reducing the appearance of FUPA. These alternatives are particularly appealing for those who prefer less invasive approaches or are not suitable candidates for surgery.

Why do I have a FUPA after lipo?

  • Experiencing FUPA after liposuction can occur for several reasons. Liposuction targets and removes fat cells, but if the skin’s elasticity is not sufficient to conform to the new, reduced volume, it can result in a sagging appearance in the treated area. Additionally, uneven fat removal or post-surgical weight gain can also contribute to the development of a FUPA. It’s important to maintain a stable weight post-liposuction and engage in exercises that strengthen and tone the abdominal area to minimise this risk.

How to get rid of FUPA naturally?

  • Getting rid of FUPA naturally involves a combination of regular exercise and a healthy diet. Focus on exercises that target the lower abdomen, such as planks, pelvic tilts, and leg raises, to strengthen and tone the muscles in this area. Incorporating cardiovascular exercises can also help in overall fat loss. A balanced diet rich in lean proteins, whole grains, fruits, vegetables, and healthy fats can aid in reducing body fat. Staying hydrated and getting adequate sleep are important factors in maintaining a healthy weight and reducing fat deposits.

What are the symptoms of FUPA?

  • FUPA is characterised by excess fat or loose skin in the lower abdominal region above the pubic bone. It’s not associated with specific symptoms, as it’s more of a physical characteristic than a medical condition. In some cases, a prominent FUPA can cause discomfort with physical activities, issues with clothing fit, or skin irritation and chafing.

Further Reading about Body Procedures with Sydney Plastic Surgeon Dr Jake Lim

Medical References about FUPA

About Dr Jake Lim

Highly qualified and experienced specialist plastic surgeon Dr Jake Lim focuses on facial plastic, cosmetic breast and body contouring after significant weight loss

Dr Lim creates the best possible plastic surgery results for his Australia-wide and international patients.

Dr Lim is passionate about making sure each and every patient has access to the right information about available treatments and procedures and is able to make well-informed decisions.

At My Klinik, patient safety, education and achieving optimal results are our top priorities.