Stubborn Fat
Eliminate diet and exercise-resistant fat deposits for a defined body contour.
What is Stubborn Fat?
Stubborn fat refers to localized adipose tissue deposits concentrated in specific body areas that persist despite maintaining a balanced diet and regular exercise routine. This condition is extremely common and has a strong genetic component.
The most commonly affected areas include the abdomen, flanks (love handles), back, inner and outer thighs, double chin, and arms. These deposits do not respond to targeted exercise because natural fat loss cannot be directed to a specific area.
Why Does It Happen?
- Genetics: Fat distribution is genetically programmed; some people accumulate more in certain areas
- Hormones: Estrogen promotes accumulation in hips and thighs; testosterone in the abdomen
- Age: With age, metabolism slows and fat tends to redistribute
- Receptor type: Problem areas have more alpha-adrenergic receptors that hinder fat release
Treatment Options
Dr. Geldres offers effective solutions for stubborn fat removal:
- VASER HD Liposuction: The most effective treatment for significant volumes. Ultrasonic technology selectively emulsifies fat, allowing extraction with minimal trauma
- High-definition liposculpture: For patients who want not only to remove fat but also to define the underlying musculature
- Fat transfer: Extracted fat can be processed and transferred to other areas such as buttocks or breasts
Treatment choice depends on fat volume, skin elasticity, and the patient's aesthetic goals.
Frequently Asked Questions
Why does some fat not go away with diet and exercise?
Body fat distribution is genetically determined. Some areas have fat cells with more alpha-adrenergic receptors that hinder fatty acid release. These cells are particularly resistant to normal weight loss mechanisms and can only be effectively removed through procedures like liposuction.
Is liposuction the only option for stubborn fat?
It is the most effective option with the most significant results, especially for moderate to large volumes. For small deposits, non-surgical alternatives like cryolipolysis exist, but their results are more limited and gradual.
What weight should I be at for liposuction?
Being close to your ideal weight (BMI under 30) and maintaining it stable for at least 3-6 months before surgery is recommended. Liposuction is not a weight loss treatment but a body contouring procedure.
Can the fat come back after treatment?
Removed fat cells do not return. However, if significant weight is gained, remaining cells can enlarge. Maintaining a healthy lifestyle is essential for preserving results.