Dear Justvisiting666,liposuction can help you loose extra fat but without an examination it is impossible to tell you whether you will end up with 23" waist. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
Generally speaking, the most dramatic changes to the waistline come from tummy tuck and liposuction surgery. A consultation is required to best answer your question.Hope this helps.Dr. Ali Mosharrafa
