Dear doctor, there are fatty bulges I just cannot shift. Should I consider liposuction?

I exercise regularly and eat sensibly but there are fatty bulges I just cannot shift. Should I consider liposuction?

How we lay down fat is determined genetically. Some people put fat down on their thighs (the pear shape figure) some on their hips (the apple shape figure) or elsewhere. For some people these pockets of fat are the last to go with diet and exercise, so they may start to look gaunt by the time they reduce.

Liposuction removes fat from the body - it does not empty storage cells (adipocytes) but actually removes the cells so they cannot fill up again. In this respect liposuction results in permanent removal of fat so the bulges should not return. Many areas can be treated including tummy, hips, thighs, arms, bra line and double chin. It is less commonly used for the breast in women but it is very effective for fatty enlargement of men’s breasts.

Usually liposuction is carried out under general anaesthetic (asleep) but it can be carried with you awake under local anaesthetic.  Recovery varies with how large an area is being treated and where. Some people may return to work the next day others may require a couple of weeks. As with all surgery there can be complications but generally complications are rare for liposuction in healthy people.

Find out more about Mr Jeremy Hurren, Consultant Plastic, Cosmetic and Reconstructive Surgeon practising at Spire Portsmouth Hospital.

The content of this article is provided for general information only, and should not be treated as a substitute for the professional medical advice of your doctor or other health care professional.