Hello, and thank you for your question regarding would liposuction on your flank’s hips, and back would help you achieve a more toned physique and a smaller waistline? Thank you for your pictures and your history. Liposuction is ideal for patients with isolated pockets of fat. Liposuction is not intended for weight loss. Therefore, in your case, most plastic surgeons would agree that liposuction would be an ideal choice. Liposuction can help to remove isolated pockets of fat in your flanks, hips, and back. Postoperatively, you will experience swelling, which will require lymphatic massage and the use of a garment for approximately six weeks. However, overall, I think you would see improvement in the flanks, hip, and back. Good luck. I hope this answers your question regarding whether liposuction on your hips, flanks, and back would help you achieve a more toned physique and a smaller waistline. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)