If only a few hours in the operating room could substitute for years of dietary discipline and hard work in the gym. If only a few hours in the operating room could substitute for years of dietary discipline and hard work in the gym. While that would be nice, reality is somewhat different. The thicker the fat layer beneath the skin, the less you see the muscle layer. How much fat you have under your skin depends primarily on your genes and secondarily on your diet and changes due to aging.
Some men have very little fat, even without watching their diet.
With exercise they can easily develop an attractive abdomen. Others are born with a thick blanket of fat covering their muscles, making it difficult to see even the best-toned musculature. Liposuction may help individuals with too much fat under their skin look leaner. And liposuction isn't for everyone. The technique works best in someone who is young, has good skin elasticity, works out regularly, and has only a limited degree of localized excess fat.