This all comes down to precision and artistic capabilities of the plastic surgeon. Liposuctioning fit individuals is very tricky, and there is no room for error. Recommend liposuctioning abdomen, flanks, and back for a defined hourglass look. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. Find a board certified plastic surgeon who performs hundreds of liposuction and liposuction revision procedures each year. Then look at the plastic surgeon's website before and after photo galleries, and read patient reviews. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA