Fat pockets on lower stomach - how to make flat/smooth? (Photo)

Great question!  The lower abdominal regions is a very stubborn area where fat likes to accumulate.  Looking at your photos, you have several options. non-surgical or surgical, and each has its advantages and disadvantages.Non surgical options include Coolsculpting which "freezes" the fatty tissue.  The advantages are that its quick, there are no scars, and you sit in a chair for an hour each treatment.  However you do not see immediate improvement, it takes about 4-6 weeks for the fatty tissue to be metabolized, and the final results are not as drastic as liposuction.  You may need a second or third session to achieve your goals.Surgical options would include liposuction.  The advantages of this is that fat is physically being removed during the procedure and the surgeon is able to contour the region, giving the surgeon more control over the final results.  More fatty tissue can also be removed with this procedure and generally is all done in one sitting.  However, it is a surgical procedure so you may need to be placed under anesthesia, and the recovery is more painful.Therefore, in your situation, it depends on what fits with your goals and lifestyle.  A more in-depth discussion can be performed with a consultation and physical examination.   Best of luck and hope this information helps!- Dr. Roger Tsai

Thank you for  your photos and I appreciate your concerns.Although there are nonsurgical techniques for permanent fat reduction the question is what degree of improvement you are hoping to make.Vanquish ME is an excellent device and can reduce both the upper and  lower abdominal fullness over a 2-3 month period. The device uses radiofrequency to heat the fat and cause permanent damage to the cells. The body then clears those cells away. This can make a very  nice improvement nonsurgically.If you want a more dramatic result. Liposuction is a very good technique for you as your skin tone is good and it does not appear the abodminal muscles are lax. Incisions are small and placed in cosmetically silent areas. You will have to undergo anesthesia and recover while wearing a compression garment but the degree of reduction of fat and the final contour will be significantly improved.Seek out a board certified plastic surgeon to evaluate you and discuss which of these options is best for you.Good luck and I hope this was helpful

Looks like you are a great candidate for liposuction.  Liposuction is ideally used for stubborn areas of fat that are difficult to remove with diet and exercise alone, and with good skin tone.  Would need to examine you to get a better idea of your skin tone, but from these pictures it appears that you qualify.  Hope that helps -

Thank you for your pictures and questions. The best treatment for you depends on your ultimate goals and expectations. If you are looking for minimal improvements with no surgery, there may be some non-invasive options for you. If you are looking for more significant improvements, then liposuction may be an option. If you are looking for a recontouring of your abdomen, then a small tummy tuck may be in order.Best to have a consultation with a local board certified plastic surgeon and discuss your goals in detail. Only after that can you decide what procedure would be right for you.Best of luck!

Liposuction would really make a big improvement in your tummy and is so easy to undergo under tumescent local.

I suggest seeing an expert. if you have loose skin this would need skin removal and fat reduction with VASER HI DEF LIPO.  Non invasive treatments may help and there are combination options such as sculpsure and coolsculpting with vaniqush. Best, Dr. Emer.

Precision liposculpting liposuction is an excellent sure way to reduce that area. It's a zone of the body that is commonly resistant to flattening even in the setting of regular exercise and a good diet. You don't need general anesthesia either which will speed up your recovery.  

Thank you for your photos. Many people have a persistent lower abdominal "pouch" which just never goes away regardless of diet and exercise. It appears you have minimal excess skin and would be a good candidate for liposuction to remove the excess fat. It is always best to have an in-office examination to determine the exact causes of your appearance. If you do have excess skin and your abdominal muscles are also a bit lax/stretched, then you would benefit from a mini tummy tuck which would remove both excess skin and fat while tightening your abdominal muscles. This would leave a lower abdominal transverse scar which is hidden in your underwear or swimwear. Hope this helps!!Johnson C. Lee, MD Plastic Surgery

Hello. From the posted photos you appear to be a good candidate for liposuction of the abdomen and flanks. The procedure is ideal for diet and exercise-resistant fat deposits. 

Good luck 

DrBurnett#realself100

Thank you for your question. Liposuction may give you optimal results provided your bulge is not from muscle laxity. Based on the pictures you look like a good candidate for lipo. Please consult with a board certified PS for evaluation.