If we could get rid of subcutaneous fat will metabolic disease improve?
Surgical removal of subcutaneous fat alone does not affect insulin action, metabolic syndrome markers or risk factors for coronary heart disease. Visceral adipose tissue and liver fat undoubtedly play a key role in the pathophysiology of insulin resistance.
Klein, Samuel, and Bruce W Patterson. “Absence of an Effect of Liposuction on Insulin Action and Risk Factors for Coronary Heart Disease.” The New England Journal of Medicine, 2004, 9.