Central Obesity and the Right Approach to Treatment

The primary cause of central obesity is visceral fat, which accumulates around the abdominal organs and causes severe metabolic problems. Addressing visceral fat is challenging as it cannot be resolved solely through willpower. Globally, the success rate of reducing visceral fat through diet and exercise is less than 8%, largely due to the difficulty in sustaining lifestyle and dietary changes. According to a study published in the International Journal of Obesity, long-term adherence to dietary and exercise regimens remains a significant barrier, contributing to this low success rate.

In particular, middle-aged men and postmenopausal women face unique challenges in managing central obesity. Middle-aged men often have well-developed muscle mass, making it harder to address visceral fat issues through exercise alone. Similarly, postmenopausal women experience hormonal changes that promote fat accumulation in the abdominal area, further complicating weight management. Without incorporating dietary changes, achieving meaningful results is difficult, making dietary improvements a critical task.

For individuals who find it challenging to maintain long-term dietary changes, drug therapies and the latest injectable medications can offer effective alternatives. Recently introduced injectables such as Wegovy, Saxenda, Mounjaro, Ozempic, Trulicity, and Rybelsus are highly effective in reducing visceral fat and facilitating weight loss. These medications enhance satiety and suppress appetite, delivering remarkable results in combating visceral fat.

Note: In the U.S., the monthly cost of Wegovy is approximately $1,300. A study published in NEJM reported that over 60% of patients who discontinued its use regained weight within a year.

At Evita Clinic, these cutting-edge injectables are available for purchase and integrated into treatment plans. However, these medications are costly, and there is a high likelihood of weight regain after discontinuation. Therefore, it is crucial to maximize the benefits of these treatments by combining them with sustainable dietary habits and regular exercise.

Dr. Francis Jeon of Evita Clinic, a highly experienced specialist in obesity and body contouring, emphasizes the importance of a stepwise approach when considering abdominal liposuction.

Dr. Jeon explains, “If liposuction is performed without addressing visceral fat, a large gym ball will merely become a smaller gym ball.

Think of Santa Claus trimming his suit but keeping all the stuffing inside—it’s not quite the transformation we’re aiming for!” Visceral fat plays a pivotal role in the overall treatment process because it is metabolically active and contributes to systemic inflammation, insulin resistance, and other metabolic disturbances. By addressing visceral fat first, the foundation for effective and lasting results is established, making subsequent procedures like liposuction far more impactful. He advocates for resolving visceral fat first before proceeding with liposuction.

1. Address Visceral Fat: The initial step involves improving dietary habits and utilizing injectables like Wegovy to reduce visceral fat. This process transforms the firm gym ball-like abdomen into a looser, sack-like form. Addressing the underlying issue of visceral fat is a critical priority.
2. Remove Subcutaneous Fat: Once visceral fat has been significantly reduced, liposuction or a tummy tuck can be performed to remove sagging skin and subcutaneous fat. Liposuction helps sculpt a smooth and firm abdominal contour, and if necessary, a tummy tuck can eliminate excess skin. These procedures enable patients to achieve a six-pack, which not only enhances their physical appearance but also contributes to better core strength, posture, and overall metabolic health. By reducing abdominal fat and strengthening the core, patients experience improved physical function and reduced risks of obesity-related illnesses, making the transformation both aesthetic and health-focused. This transformative outcome boosts satisfaction and encourages long-term commitment to exercise and health management.

Related Academic Article: The effectiveness and indications of liposuction are comprehensively discussed in the Aesthetic Surgery Journal.

Dr. Francis Jeon leverages extensive expertise in liposuction and tummy tuck procedures to highlight how achieving a refined appearance can lead to a positive feedback loop of improved health and confidence.

Post-Liposuction Benefits

1. Increased Basal Metabolic Rate: Greater muscle mass boosts daily calorie consumption, reducing the likelihood of weight regain.
2. Enhanced Confidence: Visible improvements motivate patients to maintain regular exercise habits.
3. Improved Health: Consistent exercise alleviates metabolic disorders like diabetes and hypertension, enhancing overall health.

This positive cycle enables patients to move beyond weight loss, maintaining a healthy, fit physique and lifestyle. So, even Santa Claus could trade his sack of gifts for a six-pack with the right approach!