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Liposuction is probably the most popular operation for both sexes in all racial groups. African women who have localized areas of fat often respond best to ultrasonic liposuction. Asian patients appear to have a more even distribution of fat but when local deposits are present respond well to both traditional liposuction and ultrasonic liposuction. In many europeans and american indian people the fat is more evenly and widely distributed . Liposuction alone may not solve this problem. Abdominoplasty, thigh lifting and arm tightening may be needed as well as suctioning