It may come down to genes. Here at Advanced Concepts in Plastic Surgery in Sacramento we have many plastic surgery solutions for removing unwanted fat, including liposuction, but lets talk a little bit about why women may have fat that they cannot seem to get rid of. For most women the only thing almost as frustrating as buying a bathing suit is buying a pair of designer jeans. The main problem is that most jeans are made for people who prefer jeans to be straight and angular. That works well for the anorexic chain-smoking skeletons that fill fashion magazines. But the problem is that those women represent less than 1% of the population. Genes may have a hand in this.
Normal women have curves. They also have bulges. That’s where the problem starts. Even at normal weights, some women have more bulges than they want. For many women this is a shape that is heavy in the hips, buttocks and thighs, the typical pear shape. Why do women accumulate weight in these areas? Studies have shown that fat in these areas sustains women through breast-feeding and pregnancy. It is fat specifically that provides energy for breast-feeding. Unfortunately in many cases, after the breast-feeding is over the bulges remain.
Many women have a pear shape even before pregnancy. This is determined by your genes. The French who invented liposuction called it genetic fat or diet resistant fat. That is because this fat is the first to come on and the last to leave. Women can be thin everywhere else and heavy in the hips and thighs.
Which brings us back to the genes. With that type of shape, or even with the other difficult shape, the apple [heavy waist, thin legs) designer jeans simply don’t seem to fit in both the waist and thighs.
So what’s a girl to do? Dieting doesn’t tend to work for genetic fat, neither does exercise. Other plastic surgery options include Thermage, a non-invasive procedure, which besides shrinking skin can cause a decrease in inches in the waste and hips. This is an outpatient single treatment that shrinks skin and gets rid of bulges with radio frequency waves. For the best results, however, the gold standard for fat removal is liposuction. The gold standard for liposuction is VASER. An ultrasonic wave is used to melt the fat so it can gently be pulled out. The results are that the bulges are gone. So the genes that cause the problem are neutralized and those designer jeans finally fit.
Liposuction has been with us for almost 30 years. The procedures continue to get better. Newer technologies continue to make the procedure safer faster easier and less traumatic. The third generation of ultrasonic liposuction, 
