Each person has a unique fat distribution. And some people the subcutaneous fat layer becomes thin as a transitions from the lower abdomen to the pubic area. In other individuals this is more continuous. Realistically, Liposuction is the only way to permanently change your fat distribution and that procedure if done well could give you results consistent with the third picture. That said I will point out that delivering consistent quality Liposuction results is more difficult than most people realize. The number of plastic surgeons have mastered this procedure is small. Almost all plastic surgeons do Liposuction from time to time in their career and most of them think they’re far better at the procedure than they actually are. Many plastic surgeons don’t think Liposuction is difficult at all but in reality they’re not talented at the procedure. Poorly done Liposuction can leave people disfigured and it’s very difficult to correct poorly done preview work. Young individuals with tight skin with excess subcutaneous fat in undesirable areas are more or less ideal candidates for the procedure. I personally do view the torso as a single anatomic unit and personally preferred to treat the entire torso when doing liposuction in order for people to get a thin, even fat, distribution without unnatural transition zones between treated and untreated areas. Finding a plastic surgeon who has sufficient skill experience to deliver, consistent quality results is more difficult than most people realize. As I mentioned previously, the number of providers who truly mastered this procedure is fairly small. To find the right provider I suggest patient schedule multiple in person consultations with plastic surgeons in their community who seem to do a lot of Liposuction. Consult with providers who work for Liposuction specialty centers and those in private practice. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of people who had very similar body characteristics to your own. an experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing only the very best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they’ve actually done. if you’re interested in having fat transfer, then make sure you vet providers thoroughly for both liposuction and fat transfer skill. Take carefully notes during each consultation, especially regarding the quantity and quality of before and after pictures. When reviewing Lipo section results with providers ask the provider to point out exactly what areas were treated with liposuction and what areas were not treated. Then look very carefully at transition zones between treated and untreated areas. I highly recommend avoiding virtual consultations whenever possible, and instead choose in person, consultations. If you go to a clinic where you’re consulting with the sales person and not the provider it’s probably a good sign that you should leave. If consulting at a specialty clinic, make sure the pictures they show you represent the work done by the surgeons who’s going to do your procedure. There’s no correct number of consultations needed to find the right provider. The more consultations you have the more likely were to find the better provider. The biggest mistake. Patient make is assuming that a board certified plastic surgeon should know how to do liposuction well. The second biggest mistake is scheduling only one consultation not insisting on seeing Enough before and after pictures and then scheduling surgery without comparing providers. You’ll be living with the results every day for the rest of your life, and choosing the right provider is by far the most important variable so please choose carefully. Best, Mats Hagstrom, MD