I had a pubic fat pad liposuction done in 1994. At the time my pubic fat pad had a thickness of about 1.5” (I weighed 280 lbs at the time). Since I suffer from ED, I needed all the usable penis that I could get, so I chose to have the surgery.
I had insurance at the time, but of course this type of surgery was not covered by insurance. At the time I also needed surgery done to correct a deviated septum. I arranged for the surgeon to do both surgeries at the same time. This meant that my insurance did cover the cost of the anesthesia, and some of the operating room’s costs that I would otherwise have had to pay myself if I had only had the pubic fat pad liposuction done. I can’t remember my exact cost, but I believe that it was between $2500 - $3000. I had this procedure done at the best (read that as most expensive) plastic surgeon in the area, so you might find someone who would do it for less.
I had to wear a compression garment (basically bike shorts) for a couple of weeks to try to smooth things as much as possible. I am pleased with the cosmetics of the surgery, as I can not detect any lumpiness in my pubic fat pad area. Of course I’m not shaved there, so there could be some slight lumpiness that I haven’t noticed.
After the surgery, and after the swelling went down I ended up with a pubic fat pad thickness of about .5”. My weight has gone up and down a few times since then. The last time that I weighed 280 lbs (3 years ago) I had regrown a little fat in the area and the thickness was up to .75”. Now I’ve lost down to 240 lbs and my pubic fat pad is again about .5”.
To me it was very well worth it. If I could spend another $3000 to get another .75” - 1” I’d gladly do it.