Love handles or love handles
The love handles, Also known as love handles, are accumulations of localized fat in the flanksIt is located on both sides of the waist and just above the hips. It is primarily subcutaneous fat and can appear in both men and women.
Although weight loss can reduce their size, love handles can persist even with diet and exercise. Furthermore, It is not possible to eliminate fat in specific areas solely through exercises specifically for the waist..
Its presence can alter the transition between the abdomen, waist, lower back, and hips, making the body contour appear less defined.
At Cirumed Clinic Marbella, Dr. Alexander Aslani treats localized fat in the flanks through body contouring techniques such as liposuction, the liposculpture and other procedures adapted to the anatomy and goals of each patient.
What are love handles?
Love handles, or rolls, are fat deposits that accumulate on the sides of the waist, just above the hips. Their name comes from the English phrase "love handles" and refers to the rounded shape that is especially noticeable when wearing tight clothing.
Unlike visceral abdominal fat, which lies deeper and surrounds internal organs, love handles are usually subcutaneous fatlocated just below the skin. Although they don't always indicate a medical problem, they can affect waist definition, silhouette, and self-esteem.
Quick facts
Where are the love handles located?
The love handles are in the flanks: the lateral area of the waist located between the abdomen, the lower back and the upper part of the hip.
Therefore, it's not advisable to evaluate them as isolated areas. A good body contouring plan analyzes the continuity between the abdomen, waist, lower back, hips, and buttocks to avoid flat or uneven results.
Quick anatomical summary
- Flanks: sides of the waist, above the hip.
- Waist: defines the visual transition between abdomen and hip.
- Lower back: It influences how the overall shape of the waist is perceived.
Love handles vs hip dips vs cartridge belts
Although they are sometimes confused, they are not the same. Clearly distinguishing between these concepts helps in choosing the best treatment.
The essentials: what you need to know
Why do love handles appear?
Love handles usually appear due to a combination of individual predisposition, habits, and bodily changes. They don't always mean you're overweight: some people retain fat on their flanks even at a healthy weight.
Genetic and hormonal factors
Some people have a greater genetic predisposition to accumulate fat in this area. Hormones, especially cortisol associated with stress, can promote fat storage around the waist. In women, changes such as menopause, pregnancy, or hormonal fluctuations also play a role.
Feeding Habits
Excessive consumption of refined sugars, trans fats, ultra-processed foods, alcohol, or a high-calorie, low-nutrient diet can facilitate the accumulation of fat in the flanks.
Sedentary lifestyle
Lack of physical activity reduces calorie expenditure and facilitates the accumulation of localized fat. Furthermore, it can contribute to a loss of muscle tone in the abdomen and obliques.
Key features
Localized and resistant fat
Fat on the flanks can be difficult to eliminate even after trying diets or targeted exercises for a long time.
They affect the silhouette
Love handles can make the waist lose definition, even in thin people.
Posture and clothing
Many people modify their posture or avoid certain clothing to hide the area, which can generate tension and frustration.
Why is this area so difficult to tone?
The body burns fat generally, not selectively. That's why, even doing specific abdominal exercises, a reduction in love handles isn't guaranteed.
In addition, lateral abdominal fat can be particularly resistant to mobilization, and the skin on the flanks may have less elasticity, which means the area continues to look undefined even after weight loss.
This doesn't mean that diet and exercise are useless. They help improve body composition and overall health, but they don't always resolve localized fat deposits when anatomy works against you.
Have you tried diet and exercise and your love handles still won't budge?
You're not doing anything wrong. Love handles can be located in a fat compartment resistant to lifestyle changes. An assessment with Dr. Aslani's team will tell you precisely what is and isn't possible for your individual anatomy.
Common myths about love handles
Can they be eliminated with diet and exercise?
In some cases, they can be reduced if there is an overall excess of fat. A routine that combines a balanced diet, cardio, and strength training can improve body composition and also reduce flank fat.
The problem arises when the patient has already achieved a stable weight, exercises regularly, and still retains localized fat in that area. In this context, it's not due to a lack of effort: it may be an anatomically resistant area.
That's why at Cirumed we don't recommend treatment without first assessing the whole picture: weight, skin quality, fat distribution, abdomen, lower back, hips and realistic goals.
Effective treatments to eliminate love handles
The treatment depends on the amount of fat, skin elasticity, and the desired aesthetic outcome. Not all cases require surgery, but when the fat is localized and resistant, liposuction or liposculpture are usually the most effective options.
Liposuction
La liposuction It extracts fat using cannulas and allows for a visible reduction in volume. It requires surgery, anesthesia, and recovery, but can be very effective on the flanks.
360 Liposculpture
La liposculpture It works the entire silhouette: abdomen, waist, lower back, and flanks. It's useful when the goal is not just to remove fat, but to define the contour.
BBL or Supercharged BBL
When the treatment is part of a larger body remodeling program, it can be combined with BBL o Supercharged BBL if indicated.
Non-invasive options may also exist in very mild cases, such as radiofrequency or non-surgical lipolysis techniques, always according to medical assessment and actual availability of the treatment.
Have you tried diet and exercise and your love handles still won't budge?
You're not doing anything wrong. Love handles can be located in a fat compartment resistant to lifestyle changes. An assessment with Dr. Aslani's team will tell you precisely what is and isn't possible for your individual anatomy.
Which treatment to choose based on your case
Small localized fat
Non-invasive treatment or follow-up may be considered depending on skin elasticity, volume, and expectations.
Flanks resistant to diet/exercise
La 360 liposuction It may be the most direct option if the weight is stable and the fat is localized.
Flanks + abdomen + back
La liposculpture 360 It allows you to work on the entire silhouette and avoid treating the waist in isolation.
Flanks + waist/hips/buttocks
It can be considered lipo + BBL or combined techniques if the goal is to reshape the entire body transition.
You are likely a candidate for surgical treatment if:
- You have maintained a stable and healthy weight for at least 6 months.
- Diet and exercise have not reduced the size of the flanks despite constant effort.
- The fat is localized and is not associated with a significant overall weight gain.
- Your appearance matters to you enough to consider a permanent solution.
- You enjoy good general health and you don't smoke, or you are willing to quit.
If this describes you, liposuction at Cirumed Clinic is performed in a certified hospital operating room, under specialized anesthesia, and with results becoming visible progressively as the swelling subsides.
Which treatment is right for you?
The difference between liposuction, 360 liposculpture, and a combined plan depends on your anatomy. A consultation will determine which option can give you a realistic and safe result.
Before and after
The actual results are especially important on a page like this, because they help to understand how the waist changes when you work correctly on flank fat and the transition with the abdomen, lower back and hips.






Tips to prevent love handles from returning
Balance diet
Reduce your sugar intake and increase your protein and fiber intake. A stable diet helps maintain the results.
Cardio + strength
A complete routine combines cardio and strength exercises. Side planks, mountain climbers, and twist squats can tone the area, although they don't target specific fat burn.
stress management
Cortisol, the stress hormone, can contribute to the accumulation of abdominal fat. Yoga, meditation, or regular exercise can help control it.
Avoid alcohol and sugary drinks
They provide empty calories and can facilitate the accumulation of fat in the waist and flanks.
Do love handles not disappear even if you're at your ideal weight?
Request a personalized assessment at Cirumed Clinic Marbella. We'll analyze whether your flanks can be improved with liposuction, liposculpture, non-surgical treatment, or a more comprehensive body contouring plan.
FAQ
These are localized fat deposits on the sides of the waist, just above the hips. In Spanish, they are often called love handles.
They are found on the flanks, between the abdomen, waist, lower back and upper hip.
They are usually subcutaneous fat, located under the skin. This should not be confused with visceral fat, which is found deeper around the organs.
Genetics plays a significant role in where each person's body accumulates fat. Some people tend to retain fat in their flanks even at a healthy weight.
Yes. A thin person can have localized fat in the flanks due to genetics, hormones, or individual fat distribution.
Diet can help if there is general excess fat. In many cases, when the fat is localized and stubborn, it may be necessary to combine healthy habits with aesthetic or surgical treatments.
Not in a localized way. Abdominal exercises strengthen the muscles, but fat loss is overall, not just in the area you train.
It depends on the volume of fat, skin elasticity, and the desired outcome. For stubborn flanks, liposuction or liposculpture are often very effective options, always after a medical evaluation.
It depends on the method. With non-invasive techniques, it can take months. With liposuction, the first changes appear when the swelling subsides, and the result matures gradually.
Not exactly. Fat distribution patterns can vary. Men may have more visceral fat; women typically have more subcutaneous fat. The approach should be tailored to each individual's body.
They can appear at any age, although they are common after age 30 due to metabolic, hormonal and body composition changes.
Yes, provided they are performed by qualified professionals and with the correct indication. At Cirumed, procedures are planned with safety protocols and individual assessment.
Personalized treatment at Cirumed Clinic Marbella
Eliminating love handles can be key to defining your silhouette and achieving a more streamlined, harmonious, and proportionate figure. At Cirumed Clinic Marbella, the treatment is approached from a personalized medical-aesthetic perspective, not as a generic solution.
The team analyzes the abdomen, flanks, lower back, waist, hips, and aesthetic goals to recommend the most suitable option: from non-invasive treatments in mild cases to liposuction o liposculpture when a more defined transformation is sought.
Ready to find out what will actually work for you?
Love handles aren't always a matter of willpower. An honest assessment with Dr. Aslani's team will tell you which surgical or non-invasive approach is right for your anatomy and what you can realistically expect.
Video call consultations available for international patients. No obligation.
Related reading
These pages help you differentiate between localized fat, body shape, and contouring treatments before deciding which option best suits your case.





