If the fat is beneath the muscle wall, is there no way the surgeon can remove fat from the stomach? Liposuction

Great question!  The fat beneath the muscular abdominal wall is called visceral fat and surrounds all the abdominal organs.  Patients with mainly this type of fat will have the "beer gut" appearance.  Unfortunately this fat cannot be removed and any attempt to try is extremely dangerous.  The only way to rid this fat is through diet and exercise.The fat above the muscular abdominal wall is subcutaneous fat (between the six-pack muscle and the skin), and this is what is removed during liposuction.  Thus a consultation is important to determine what can be treated and what cannot. Best of luck and hope this information helps!- Dr. Roger Tsai

If fat is causing the stomach to push forward this is called visceral fat and is not subcutaneous fat... therefore it cannot be removed.  I suggest you see an expert for a consultation and trust what they are saying.  Best, Dr. Emer.

Hello,Only fat that is under the skin can be liposuctioned.  Fat that surrounds your internal organs, the fat under the muscle, can not be suctioned. Only diet and exercise can affect that fat.  Go on a few consults yourself to see if you are a candidate for liposuction.Best of luck!

In improving the appearance of the abdomen there are quite a few things that one needs to factor in. 1) Is there excess fat under the skin (Subcutaneous fat? If there is, this can be addressed by liposuction. 2) Is there excess redundant skin? This need to be addressed with a tummy tuck procedure. Also, if there is a lot of excess subcutaneous fat that need to be removed, then after removal it might leave you with saggy skin (especially if you are older and have inelastic skin). This will need to be removed by a tummy tuck procedure. 3) Do you have a split between your muscles (divarication)? If you have one, this will manifest as an abdominal bulge and will have to repaired during a tummy tuck procedure.4) Do you have excess fat under you tummy wall (Intra abdominal)? This unfortunately cannot be addressed safely by surgery. You will need to work on loosing it by exercise and diet.

The fat you speak of is inside and not safely accessible or a removable option. The only significant way to alter this fat is through diet and lifestyle change. 

Thank you for your question. Intra-abdominal fat is beneath your abdominal wall, around your internal organs. This can not be treated with liposuction. However, this fat will decrease with weight loss through strict diet and exercise. Please see your primary care physician for guidance to help achieve your weight loss goals. It is best to be within 15 pounds of your ideal body weight prior to surgery. I suggest consulting with a board certified plastic surgeon to discuss what can be realistically achieved with liposuction. Hope this helps.

The fat underneath the muscle wall is called visceral fat, which surrounds your internal organs and actually has a purpose. It would be dangerous to remove this fat. The only way to reduce the amount of visceral fat is by proper diet and exercise.The fat that can be reduced by liposuction is subcutaneous fat, the fat between your skin and muscle. If you can pinch the fat in question, you can likely have liposuction to take care of it. I recommend you see a qualified plastic surgeon to help you determine your options.

Hello and thank you for your question. In people who are in reasonably good shape, liposuction is a great modality for reducing subcutaneous fat and contouring their shape to a more appealing silhouette. In women, they tend to gain weight initially in their subcutaneous space, and as they get heavier, develop more fat internally near their organs such as their colon, small intestine, liver, stomach, etc. The fat near the internal organs is not amenable to liposuction as it is too deep and intertwined with the organs, and any injury to those organs would be problematic and potentially lethal.  I have no photos to comment on whether or not you not you would be a suitable candidate for liposuction, but if you are interested in this procedure, you should consider getting a second opinion from a plastic surgeon with expertise in advanced body contouring techniques to evaluate your options for your ideal body.  I hope this helps and good luck to you!Sincerely,Dr. Sean Kelishadi

Hi, thanks for your inquiry. The liposuction and also a Tummy tuck, could only address the fat that is between the muscle and your skin, when it is in your internal organs it is impossible to reach them with a cannula. The best way to get rid of fat inside your organs is with a healthy lifestyle: proper diet and regular exercise. Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey!Respectfully,Dr. Jaime Campos-Leon 

J-Liposuction and even abdominoplasty (tummy tuck) only address fat above the muscle and lining of the abdominal wall.  Intraabdominal fat (inside your abdomen, around your vital organs) is treated with weight loss.  You would likely get the best result from liposuction and abdominoplasty after losing this intraabdominal fat.