When fat is taken from between the skin and the muscle, the skin retracts back inward and doesn’t hang or get very lose. Before lipo, the skin is stretched over the fatty area, but it will usually recoil nicely. This patient is an excellent candidate for liposuction because she has just a few stretch marks and her skin has retained good elasticity. You’ll see some shadows and some uneven areas. This is a side effect of size reducing lipo where the main goal is to lose inches and to be noticeably smaller in clothes. If the goal of liposuction is to be able to wear a bikini with minimal imperfections, lipo must be performed differently with other goals in mind.