Are There Body Areas That You Can Not Fix with Nutrition and Working Out?

Thank you for your question - Targeted weight loss is something that the infomercials promote but doesn't exist. Crunches won't target fat in your abdomen. While it is important to be as close to your ideal body weight as possible - weight loss (and weight gain) does not happen necessarily in an even fashion over your body and there are no known exercises or diets to reduce abdominal fat or target other areas. Unfortunately surgery remains the only way to perform targeted contour... more

It still appears as if you are above your ideal body weight as a significant portion of your fatty deposits appeara centralized and intra-abdominal or visceral. You may want to seek evaluation by a medical doctor to exclude any ohter possible causes for your appearance see video

Today, there are many good options to correct the stubborn areas in our body that do not seem to go away with exercise or a low-fat diet. If it is a localized area of extra fat, liposuction is an excellent option. If the patient has extra fat, loose skin, or loose muscles in the abdomen, a tummy tuck may be the ideal procedure. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in abdominoplasty and body contouring as they will be able... more

It sound like you are taking all the steps one can to combat your situation. However, genetics not only plays a role in fat storage it wins! You may be storing a fair amount of fat intra-abdominaly. This will not change with surgery. The surgical removal of skin and the fat attached will make a positive change. In addition tightening the abdominal rectus muscle combined with liposuction in the flank area will make a nice change, judging from your photo. The best thing to do is get a... more