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Research shows that hormones strongly influence where in the body fat is deposited. For example, the stress hormone cortisol is strongly linked to increased abdominal fat storage whilst oestrogen is largely responsible for weight gain on the lower extremities, namely the hips, thighs and buttocks
When fat cells have been removed from a specific site, the removal is permanent and the body is able to regain far less weight in the same area.
I’m my experience, when the body cannot store fat in the same area as it did prior to surgery, it appears to accumulate over time in a site with close proximity to the treated area.