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Liposuction and belly fat risks

Larry K. Fan

Larry K. Fan, M.D.

California Pacific Medical Center

Question:

If I get liposuction to get rid of my belly fat, will I reduce the health risks associated with being "apple" shaped?

Answer:

Liposuction is a great way to contour and reshape the body (including the belly) by removing unwanted fat. Unfortunately, liposuction is not a treatment for weight loss, nor does it appear to influence the risk factors for developing heart disease and diabetes.

Abdominal fat occurs in two places: (1) superficial fat that is located just below the skin and above the abdominal wall muscles; (2) deep (or visceral) fat that is located inside the abdominal cavity around the intestines and internal organs.

The health risks associated with being "apple" shaped appear to be related to the presence of deep fat. The deep fat produces insulin resistance and inflammation that increase the risk of heart disease and diabetes. Liposuction can remove superficial fat but not deeper visceral fat.

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