With weight loss, will this area of fat decrease or would it need to be removed with liposuction? (Photo)

With your body type and fat distribution, it is unlikely that you will loose this fat collection just with weight loss; very likely that liposculpting using liposuction would be needed to achieve good result. Continue loosing weight and when close to your goal, consult a board certified plastic surgeon regarding liposuction. Good luck.

Thanks so much for reaching out. It’s hard to say for sure. But often times your lower flanks and lower back or areas that are resistant to diet and exercise. If you’re on the weight loss journey, lose the weight and see what happens you could always get liposuction after.