It is a confident, honest surgeon who declines a patient because he anticipates a patient will have a poor result. It is of course never a bad idea to consult several surgeons and view before-after pictures of patients with similar features as yourself before "throwing in the towel".
In patients with loose skin or extensive sun damage, the results of aggressive liposuction can be disastrous.
Often there is a compromise; if conservative liposuction can be performed, or liposuction combined with clever lifts, the patient can achieve very nice results.
Your level of physical fitness seems excellent; congratulations on that.



