Our cosmetic surgeons will not use liposuction as a method for overall weight loss. He uses it solely as a shaping procedure for areas where genetic fat deposits have proven to be resistant to diet and exercise. The best results from liposuction occur in body areas where there is reasonable muscle tone, where skin has good elastic quality, and where fat is not excessive. In cases where there is a significant loss of elasticity, proper cosmetic results may require a combination of both liposuction and surgical skin tightening to remove the excessive loose tissue.