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
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.
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
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.
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.