**1. Introduction**

Physical appearance has been of immense importance for centuries B.C. including the wives of Persian rulers (**Figures 1–3**) and as seen in portraits dating back to the Italian Renaissance (**Figures 4** and **5**). Although there were no procedures available to address unwanted excess truncal fat and loose skin, artists in the above cited figures portrayed the ideal male contour and the unattractive body contour in a young child. The child demonstrates early obesity with neck, truncal, and extremity lipodystrophy. Unaesthetic fat deposits or loose skin, especially the ones without response to diet or physical exercise, are a major concern to patients. Witness the frequency of body contouring procedures throughout the world where liposuction is the most common esthetic surgical procedure. There are, however, differences in the distribution of the body fat between male and female patients. Men have less body fat around the waist, especially in the abdominal area; women generally have a higher percentage of body fat than men, especially around their thighs and buttocks, which is called gynoid fat. In overweight women, normally, the deposition is mainly found below the waist.
