I think you are making things far too complicated. Liposuction is fairly straightforward. There are many pitfalls and not everybody is happy with their outcome. To maximize quality results. Patient should focus very carefully on two variables that are very important. All other variables are relatively unimportant. The two single, most important variables are your candidacy for Liposuction in the first place, and secondly, which provider you choose to do the procedure. Patients seeking Liposuction will have a substantial variety candidacy for quality results based on what their bodies look like, and what cofounding variables are contributing. In the most simplistic version the best candidates for Liposuction tend to be young people with tight skin and pudgy excess fat in undesirable areas. The opposite is also true. Older individuals, those with skin laxity or individuals with thin layers of subcutaneous fat tend to not be good candidates, and will not have impressive results regardless of who does the operation. generally speaking women who have significant pregnancy related changes do not make good candidates for Liposuction. Pregnancy related changes are generally related to skin, laxity and muscle separation and pregnancies. Do not change fat distribution. I don’t know if that is relevant or not, but it is a common topic of discussion during Liposuction consultations. Provider selection is probably equally as important as patient candidacy. Delivering consistent quality, liposuction, results is more difficult than most people realize. The number of plastic surgeons who mastered Liposuction, and can deliver consistent quality results are in a small minority. Being board-certified and plastic surgery with years of experience, and an overall good reputation, does not mean that somebody has mastered every procedure especially not Liposuction. Liposuction can’t leave people permanently disfigured and poor results are very difficult to improve upon. To get a good understanding regarding your candidacy for the procedure, and to begin the vetting process to find the right provider, I suggested, scheduling multiple in person, consultations with plastic surgeons in your community who seem to do a lot of liposuction. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar body characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of preselected images representing the best results of a providers career is insufficient to get a clear understanding of what the average results look like in the hands of each provider, how many of these procedures of them actually performed or what results are likely to look like based on your individual candidacy. Going to the gym will not change anything related to fat. Exercise can strengthen your muscles, but has no impact on fat distribution, or generally on weight loss, or weight gain. Weight problems are generally a reflection of eating habits, rather than exercise, or the lack there of. Most individuals who are fit, have a lifetime of staying fit and exercising, and those who don’t like exercise typically live at sedentary life. The impact of thinking about going to the gym is relatively irrelevant when it comes to getting Liposuction. I encourage all individuals to stay fit for physical and emotional health. Best, Mats Hagstrom, MD