Our genetics are very powerful. They decide the shape and length of our bones, the color or our eyes and the number of fat cells we harbor in certain anatomical areas. Diet and exercise can shrink fat cells cut they cannot remove fat cells. Typically, when you lose weight your fat cells get smaller and typically when you gain weight the fat cells basically get bigger. So, you keep your proportions regardless of your weight. Removing fat with liposuction alters your genetic predisposition to having “problem” areas and permanently makes the treated area proportionately smaller. This young lady is not overweight. But, ever since she was a young girl, she had two large swellings on her hips. So, without the need for exercise weight loss, liposuction effectively changed her shape.