The term ‘FUPA’ has gained increasing attention, especially in women’s publications like Cosmopolitan. An acronym for “fatty upper pubic area,” a FUPA refers to the accumulation of fatty tissue or loose skin in the upper pelvic region, specifically above the mons pubis – the area that develops pubic hair during puberty. While typically hidden under regular clothing, a FUPA can become a source of discomfort and self-consciousness in more revealing attire such as swimwear or fitness clothes, and may even affect confidence in intimate experiences.

FUPA -Fatty Upper Pubic Area
The FUPA is more than just a cosmetic concern; it’s a physical condition that can affect both men and women, although it’s more commonly discussed in the context of women’s health and body image. Dr. Charles Perry, a seasoned plastic surgeon in Sacramento, acknowledges the sensitivity surrounding this issue and aims to provide a detailed understanding of its causes and potential remedies.
Causes of FUPA: From Genetics to Lifestyle
Several factors contribute to the development of a FUPA. A primary cause is genetic predisposition, where one’s body naturally tends to accumulate fat in the upper pubic area. Other significant factors include:
- Weight Fluctuations: Gains and losses in weight can lead to the formation of fat pockets and loose skin in the upper pubic area. This is particularly noticeable after significant weight changes, as the skin and tissue may not fully return to their original state.
- Pregnancy and Childbirth: Many women develop a FUPA post-pregnancy due to the combination of weight gain and reduced muscle tone in the abdominal and pelvic regions.
- Dietary Influences: Consumption of inflammatory foods, such as those high in fructose corn syrup, processed ingredients, and excessive sodium, can exacerbate the formation of fatty deposits and cause bloating, contributing to the appearance of a FUPA.
- Stress Factors: Stress can lead to changes in the body’s fat storage patterns, often resulting in increased fat accumulation in the upper pubic area.
Treatment Options: Addressing the FUPA
Addressing a FUPA involves a multifaceted approach, depending on the individual’s circumstances and the severity of the condition. Treatment options include:
- Lifestyle Changes: Incorporating a balanced diet and regular exercise can help reduce the overall body fat, including in the upper pubic area. Focus on exercises that target the core and pelvic region can be particularly effective.
- Stress Management: Since stress can influence fat storage, adopting stress-relief practices such as yoga, meditation, or even counseling can be beneficial.
- Surgical Interventions: For cases where lifestyle changes are insufficient, surgical options like monsplasty (pubic lift) or abdominoplasty (tummy tuck) can be considered. Monsplasty specifically targets the mons pubis area to remove excess fat and skin, while abdominoplasty addresses the abdominal region more broadly. Additionally, liposuction can often effectively target stubborn areas of fat on patients without skin inelasticity and muscle looseness.
- Non-Surgical Treatments: In some cases, certain laser treatments can reduce fat deposits in targeted areas with minimal downtime.
Comprehensive Care and Consultation
Dr. Charles Perry emphasizes the importance of a personalized approach when addressing FUPA. Each individual’s body is unique, and so are the factors contributing to the development of a FUPA. A thorough consultation can help determine the most effective treatment plan, whether it involves lifestyle modifications, non-invasive procedures, or surgical interventions.
Considering Traveling for Your FUPA Treatment?
While Dr. Charles Perry often encourages patients to explore local options whenever possible — as continuity of care, convenience, and post-operative follow-up are key benefits of choosing a nearby surgeon — we also understand that not every patient has access to a trusted, board-certified plastic surgeon in their immediate area. For this reason, we proudly welcome select traveling patients who feel Dr. Perry’s expertise and the quality of care we offer align with their aesthetic goals and expectations.
If you are traveling from out of town to Sacramento for a procedure like monsplasty or abdominoplasty, our team will work with you to ensure a smooth, supportive experience from start to finish. We can assist with:
- Virtual consultations to minimize initial travel.
- Guidance on accommodations and nearby amenities.
- Thoughtfully planned post-operative care timelines to allow for safe, appropriate healing prior to returning home.
Whether you’re local or traveling, Dr. Perry emphasizes the importance of working with a surgeon who offers personalized attention, comprehensive care, and long-term support. For those able to visit our practice in Sacramento, we strive to make your journey as comfortable, convenient, and rewarding as possible.
Final Thoughts and Continued Learning
Understanding what a FUPA is and how it develops is the first step in addressing this common concern. By recognizing the various factors that contribute to its formation and exploring the range of treatment options available, individuals can make informed decisions about managing this condition.
For more information, or to schedule a consultation with Dr. Perry, please contact our office today.
Editor’s note: This blog was originally posted on October 23rd, 2014.