I've had stubborn fat for 12 years. I have exercised and strict diet but nothing has changed. How to get rid of the fat? (Photo)

Doctor Answers 5

I've had stubborn fat for 12 years. I have exercised and strict diet but nothing has changed. How to get rid of the fat?

Thanks for your photographs.  Despite your best efforts it appears that you do carry a lot of intra-abdominal fat that is not amenable to plastic surgery.  Only you can decide with your physician whether your girth warrants a procedure such as a gastric bypass or banding procedure.  Best wishes,

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

I've had stubborn fat for 12 years. I have exercised and strict diet but nothing has changed. How to get rid of the fat?

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Thanks for your photographs.  Despite your best efforts it appears that you do carry a lot of intra-abdominal fat that is not amenable to plastic surgery.  Only you can decide with your physician whether your girth warrants a procedure such as a gastric bypass or banding procedure.  Best wishes,

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

Liposuction - Intra-abdominal fat?

Thank you for your question. You appear to have an excess amount of intra-abdominal fat. This is fat beneath your anterior abdominal wall and can be lost with a strict diet and exercise program. You may be a candidate for gastric bypass surgery. I suggest discussing this with your primary care physician. I hope this helps and good luck with your weight loss.

Liposuction - Intra-abdominal fat?

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Thank you for your question. You appear to have an excess amount of intra-abdominal fat. This is fat beneath your anterior abdominal wall and can be lost with a strict diet and exercise program. You may be a candidate for gastric bypass surgery. I suggest discussing this with your primary care physician. I hope this helps and good luck with your weight loss.

Stubborn fat that does not go away

Thank you for asking about your abdominal fat.

  • Unfortunately, the bulk of your fat appears to be on your abdomen and located internally
  • This means it is around the liver and other organs and cannot be removed with any surgery.
  • If you are more than 100 pounds overweight, you might be a candidate for a gastric bypass.
  • If not, there is no option except weight loss.
  • Lots of exercise and counting calories so you eat no more than 1800 calories a day is the answer.
  • This usually means - no cakes, sweets of any kind, cokes, cookies, pies, pastry, ice cream, snacks, second servings; no alcohol and no other drinks of any kind with calories - just water, black tea and black coffee - with fresh vegetables and fruit at every meal, without any dressings. 
  • Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Stubborn fat that does not go away

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for asking about your abdominal fat.

  • Unfortunately, the bulk of your fat appears to be on your abdomen and located internally
  • This means it is around the liver and other organs and cannot be removed with any surgery.
  • If you are more than 100 pounds overweight, you might be a candidate for a gastric bypass.
  • If not, there is no option except weight loss.
  • Lots of exercise and counting calories so you eat no more than 1800 calories a day is the answer.
  • This usually means - no cakes, sweets of any kind, cokes, cookies, pies, pastry, ice cream, snacks, second servings; no alcohol and no other drinks of any kind with calories - just water, black tea and black coffee - with fresh vegetables and fruit at every meal, without any dressings. 
  • Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Stubborn fat

I would recommend a nutritionist and a trainer to assist you in your efforts. If your unable to have successful weight loss you may consider seeing a bariatric surgeon for consultation. 

Good luck


DrBurnett#realself100


Stubborn fat

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I would recommend a nutritionist and a trainer to assist you in your efforts. If your unable to have successful weight loss you may consider seeing a bariatric surgeon for consultation. 

Good luck


DrBurnett#realself100


Stubborn Fat

Unfortunately, much of your fat looks to be intra-abdominal and can only be treated with dieting and weight reduction.

You have some skin laxity and laxity of your abdominal wall.  If these are a problem, abdominoplasty can be considered.  This is best once you have achieved any weight loss.

A member of BAAPS should be able to counsel you for your concerns.

Douglas McGeorge, MBChB
Liverpool Plastic Surgeon
3.4 out of 5 stars 5 reviews

Stubborn Fat

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Unfortunately, much of your fat looks to be intra-abdominal and can only be treated with dieting and weight reduction.

You have some skin laxity and laxity of your abdominal wall.  If these are a problem, abdominoplasty can be considered.  This is best once you have achieved any weight loss.

A member of BAAPS should be able to counsel you for your concerns.

Douglas McGeorge, MBChB
Liverpool Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.