The Fat Upper Pubic Area (FUPA) is a term used to describe excess fat or skin that sits just above the pubic bone, in the lower abdominal area. It can affect people of all body types and genders, and while it’s completely normal, many find it frustrating, especially when it proves resistant to diet and exercise.
In this post, we explore what causes FUPA, why it occurs in both men and women, how to reduce it through lifestyle changes, and the most effective surgical procedures for FUPA removal.
Several factors can lead to the development of FUPA, and in many cases, more than one cause may be involved.
Substantial fluctuations in weight can stretch the skin and lead to stubborn fat deposits in the lower abdomen. Even after significant weight loss, the pubic area may still carry fat or have loose, sagging skin.
Some individuals are genetically predisposed to store fat in their lower abdomen, regardless of their BMI. For these people, FUPA fat may develop even if they are otherwise fit and healthy.
Post-pregnancy changes—particularly from C-sections—often result in separated abdominal muscles (diastasis recti) and a bulge in the lower abdomen. This can lead to stretched skin and localised fat storage in the FUPA region.
Hormonal imbalances due to menopause, thyroid conditions, or PCOS(Polycystic Ovary Syndrome) can alter fat distribution in the body, often favouring the abdomen and pubic region.
With age, the skin loses collagen and elasticity, making it more prone to sagging. This can cause fat in the lower abdomen to appear more pronounced, especially in the mons pubis area.
Yes—FUPA affects both men and women, though it may appear differently depending on body type, hormones, and lifestyle factors.
More commonly notice FUPA is noticed after childbirth or with age-related hormonal changes. It’s often linked with changes in the pelvic floor and abdominal wall, particularly after C-sections.
FUPA in men is typically due to weight gain or a sedentary lifestyle. Abdominal fat in men often pushes downward, creating a bulging appearance over the pubic area. ( But fat in men is usually within the abdominal cavity.)
Regardless of gender, FUPA can affect body image, posture, and even physical comfort, especially when wearing fitted clothing.
While not always easy, non-surgical methods can help reduce the size and appearance of FUPA, particularly if the area is mainly caused by fat rather than excess skin.
Exercises that strengthen your core and lower abs will tone the area beneath the belly button:
Consistency is key—results may take weeks or months, and outcomes depend on your overall body fat percentage.
A nutrient-dense, low-sugar, and anti-inflammatory diet can support overall fat reduction:
Good sleep, stress reduction, and staying active all support hormone regulation and fat metabolism.
Technology like CoolSculpting, radiofrequency (RF) skin tightening, or ultrasound fat reduction may help reduce mild fat in the pubic area without surgery. However, these typically work best for people near their ideal body weight without skin excess.
If you’ve tried diet and exercise with limited success, or have loose skin or muscle separation—surgical intervention may offer the best solution.
At Cosmetic Surgery Partners, our experts offer a range of tailored procedures:
Liposuction can precisely remove fat from the mons pubis, helping flatten and contour the area. It’s minimally invasive and offers faster recovery compared to more complex procedures, but it works best when there is minimal skin excess
This surgical lift specifically targets the mons pubis, elevating and reshaping sagging or enlarged tissue. It is often paired with other body contouring procedures.
Ideal for people with diastasis recti (muscle separation), loose skin, or excess fat across the abdomen. A tummy tuck can include:
For post-weight loss or post-pregnancy patients, combining tummy tuck, liposuction, and monsplasty can deliver dramatic, natural-looking results.
Here’s what patients commonly experience after FUPA-related surgery:
The most visible benefit is a flatter lower abdomen and better overall body proportion.
Eliminating excess fat or skin allows for more freedom and comfort, especially in tight jeans or swimwear.
Many patients report a significant boost in self-esteem and body confidence after surgery.
Unlike non-surgical options, surgery provides long-term results, especially when maintained through a healthy lifestyle.
Repairing muscle separation can improve core strength, posture, and even back pain.
FUPA fat is a common concern, but with the right approach—be it lifestyle changes or surgical intervention—it can be managed effectively. At Cosmetic Surgery Partners, we offer expert advice and advanced surgical options tailored to your unique goals. Whether you want subtle contouring or a complete transformation, our team is here to help you feel confident and comfortable in your skin.