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How to Get Rid of FUPA: Detailed Guide from the Best Plastic Surgeon in NYC & Miami

  • Writer: Dr Ronald Espinoza
    Dr Ronald Espinoza
  • 3 days ago
  • 4 min read

What is FUPA and Why Does it Happen


“FUPA” stands for the fat upper pubic area, referring to excess fat (and often skin laxity) just above the pubic region in the lower abdomen. According to Dr. Ronald Espinoza, many patients ask “how to get rid of FUPA in NYC” because the bulge persists despite healthy living.


Before and after photo of a female patient showing significant body contouring results, including a flatter abdomen and more defined waistline, following cosmetic plastic surgery by Dr. Ronald Espinoza.
Dramatic transformation with expert body contouring by Dr. Ronald Espinoza — flatter abdomen, enhanced curves, and sculpted definition. Results that speak for themselves.


Common causes


  • Pregnancy and childbirth, which stretch the abdominal region.

  • Weight fluctuations or significant weight loss leading to fat pockets or loose skin.

  • Aging and decreasing skin elasticity, making fat in this area more noticeable.

  • Genetics and body‐type predisposition: some people simply store more fat in the lower abdomen region.


Why diet and exercise may not be enough


Even with consistent workouts and clean eating, the lower pubic area can resist change because:


  • Fat in that region may be more stubborn due to hormonal and structural factors.

  • Loose skin or separated abdominal muscles (“diastasis”) may prevent the area from looking flat even when fat is reduced.

  • Targeted fat removal and skin tightening often require direct surgical or procedural intervention.


How to Get Rid of FUPA by Dr. Ronald Espinoza

If you’re seeking a long‑term improvement and have persistent FUPA, the practice of Dr. Ronald Espinoza in New York and Miami offers several tailored body‑contouring options.


Liposuction for FUPA


  • A minimally invasive approach to remove excess fat from the upper pubic area.

  • Ideal for patients with good skin elasticity and primarily fat accumulation without significant loose skin.

  • Benefits: shorter downtime compared to more extensive surgery, improved contouring in the target area.

  • Expect to wear compression garments, and avoid strenuous activity for a period as instructed by your surgeon.


Mini Tummy Tuck (Abdominoplasty) for FUPA


  • For patients who have both fat accumulation and loose or sagging skin in the lower abdomen. Dr. Espinoza notes this combines fat removal with skin excision and muscle tightening if needed.

  • This is more invasive than liposuction alone, but addresses multiple layers (fat + skin + muscle) so the result is a flatter, firmer lower abdomen.

  • Ideal candidate: stable weight, good overall health, realistic expectations.


Combined Liposuction + Mini Tummy Tuck


  • In some cases, the best outcome comes from blending both approaches: liposuction to sculpt the fat, plus a mini tummy tuck to remove loose skin and tighten the area.

  • This “hybrid” approach gives more comprehensive transformation when FUPA is more advanced.


Why choose Dr. Espinoza?


  • Board‐certified plastic and reconstructive surgeon practicing in both NYC and Miami.

  • Offers advanced body‐contouring techniques (including liposuction and tummy tucks) with an artistic, personalized approach.

  • Transparent pricing, flexible financing, and focus on safe, natural‐looking results.


What to Expect Before, During & After the Procedure


Pre‐operative evaluation


  • A consultation with Dr. Espinoza to assess your abdomen: fat amount, skin quality, muscle integrity, overall health.

  • Clear discussion of goals: what “flat” means for you.

  • Review of options (liposuction vs. mini tummy tuck vs. combined), risks, recovery timeline, cost, and financing.


During the procedure


  • Depending on the chosen method: small incisions, suction of fat, excision of skin, muscle repair.

  • Performed in an accredited surgical facility under safe anesthesia standards.


Post‐operative recovery


  • For liposuction alone: many patients return to light activity within a few days; compression garment required.

  • For mini tummy tuck or combined: expect 1‑2 weeks off work, full return to exercise around 4‑6 weeks.

  • Follow‐up visits, monitoring for swelling, healing, contour changes.

  • Final result will evolve over 2‑3 months as swelling subsides and tissues settle.


Who Is a Good Candidate?


Ideal candidates for FUPA correction with Dr. Espinoza include:


  • Men or women in generally good health (no uncontrolled chronic disease).

  • Individuals at or near a stable, healthy weight (“not looking for weight‐loss surgery”).

  • Those with localized fat or loose skin in the lower abdomen that does not respond to diet and exercise.

  • Realistic about the outcome: this is body‑contouring, not a substitute for weight‐loss or major lifestyle change.


Lifestyle Tips to Support Lasting Results


Even after surgery, these tips help maintain your improved contour:


  • Maintain a stable, healthy weight: significant fluctuations can affect the result.

  • Strengthen core muscles with appropriate exercise (after recovery) to support the abdomen.

  • Follow post‐op instructions: wear garments, avoid smoking (which impairs healing), follow nutrition guidelines.

  • Understand your “new normal”: surgery improves contour, but maintaining the result is a partnership.


Common Questions & Myths


  • Is the procedure a substitute for weight loss? No. Dr. Espinoza emphasizes that a tummy tuck or liposuction is not intended primarily for weight loss but for shaping and tightening after weight has stabilized.

  • Will I have visible scars? Incisions are placed discreetly (especially in a mini tummy tuck) and are designed to fade with time. The trade‐off is a flatter, firmer contour.

  • How long will the result last? With stable weight and good lifestyle, results are long‐term. However, natural aging or weight changes can alter the area again.

  • Is fat removal ever reversible? Fat removal via liposuction or excision is permanent for the treated area, but other areas can still expand if weight increases.

  • Can non‐surgical treatments fix FUPA? Non‐surgical options may help skin firmness slightly, but for true fat removal plus skin tightening in the pubic region, surgery remains the most reliable solution.


Why Now Is a Good Time to Address It


Many patients delay addressing the lower abdomen “bulge” because they hope diet or exercise will fix it. But when months of effort yield minimal change, that’s the signal to consider professional body‑contouring. Choosing a skilled surgeon like Dr. Ronald Espinoza—who specializes in abdominal and body contour surgery in both NYC and Miami—lets you move forward confidently toward the flat, refined abdomen you’ve worked for.


Interested in learning more or taking the next step? To schedule your consultation with Dr. Ronald Espinoza—the best plastic surgeon in New York and Miami for FUPA liposuction and mini tummy tuck—please visit https://www.drronaldespinoza.com/consultation.


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