Would 15lbs of lipo fat come back as visceral fat if weight is gained? Would transferring the fat prevent lipo area enlargement?

Fat is distributed throughout the body in two areas.  One is intra-abdominal fat and the other is the rest of the body.  Liposuction only removes fat that is outside the intra-abdominal cavity and results in permanent loss of that fat.  If you do gain weight, your fat will gain throughout intra-abdominally as well as extra-abdominally.  However, the distribution ratio has changed since you have removed some of the extra-abdominal fat.  Women typically have 20% of the fat intra-abdominally and men typically have 25% of the fat intra-abdominally.  If for instance, you gain 10 lbs of fat, 2 lbs would be intra-abdominally and 8 lbs would be extra-abdominally.Best Wishes,Gary Horndeski, M.D.

Hello! The physiology of body fat is highly complex. There are hormones that are more associated with building visceral fat and others focused on more superficial fat in the body. Liposuction contours so well because it breaks of fat and removes fat cells. The reduction in fat cells reduces the potential for fat growth in areas treated. Fat transfer moves fat cells to other parts of the body, and these cells see their new location as their new home, and will act as they did in their old site, getting smaller with weight loss and larger with weight gain. If someone does not follow a healthy diet and does not exercise, then they can still gain everywhere, less in the suctioned area, but will still gain there. Many individuals present for secondary liposuction procedures in areas previously treated. There is not intercommunication between visceral fat and external fat - they will both reduce or both grow with weight gain.There is a lot of complexity to the endocrine nature and physiology of fat. Excellent question!