Stubborn Fat Treatments
Non-surgical management of localised adiposity resistant to lifestyle modification
Localised adipose deposits resistant to dietary and exercise intervention represent a common body contouring indication. At Berkshire Aesthetics, our medical assessment evaluates adipose distribution, tissue quality and patient suitability before recommending clinically validated non-invasive fat reduction modalities including cryolipolysis and high-intensity focused electromagnetic technology.
Aetiology & Contributing Factors
- Genetic predisposition determining where the body stores fat
- Hormonal influences affecting fat distribution (e.g. menopause, cortisol)
- Age-related changes in metabolism and body composition
- Fat deposits that are resistant to diet and exercise in certain areas
- Post-pregnancy changes in abdominal fat distribution
- Natural variation in individual body shape and fat storage patterns
Clinical Presentation
- Localised fat deposits that do not respond to regular diet and exercise
- Common areas include the abdomen, flanks (love handles), inner and outer thighs, upper arms and beneath the chin
- Difficulty achieving desired body contour despite a healthy lifestyle
- Self-consciousness about specific areas of the body
Evidence-Based Treatment Modalities
Treatment selection is individualised following clinical assessment, taking into account disease severity, Fitzpatrick skin type, medical history and patient goals.
CoolSculpting
CoolSculpting uses controlled cooling (cryolipolysis) to freeze and permanently destroy fat cells in targeted areas. The body naturally processes and eliminates these cells over the following weeks and months, resulting in a measurable reduction in fat layer thickness.
Emsculpt Neo
EMSculpt Neo combines radiofrequency heating with high-intensity electromagnetic energy to simultaneously reduce fat and build muscle tone. It provides both fat reduction and muscle definition in a single non-invasive treatment.
Why we start with a consultation
Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.
During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.
All bookings are subject to our Booking Conditions.
Clinical FAQs: Stubborn Fat
Clinical Summary
Clinical Governance
- Body contouring plans are assessed and overseen by experienced doctors who ensure you are a suitable candidate
- We use two complementary, FDA-cleared technologies — CoolSculpting and EMSculpt Neo — and recommend the best option for your anatomy and goals
- Honest, realistic expectations are set during consultation; we will advise if non-surgical treatment is unlikely to achieve your desired outcome
Book a Consultation
Request a medical assessment for your stubborn fat with our clinical team.
Book NowCall 01628 202028Related Conditions
Further Reading & Clinical References
The following external resources provide independent clinical and regulatory information.
- Cryolipolysis (fat freezing)— DermNet
- Non-surgical body contouring— DermNet
This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.
- CQC registered clinic — regulated and inspected
- Doctor-led clinical oversight by Dr Selena Langdon (GMC 6159259)
- Complaints process and patient rights
Page last reviewed: February 2026
Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: February 2026
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