Do My Knees Look Fat to You?

LOVE handles, saddlebags, turkey wattle. Self-conscious women have been trying to reduce those body areas for years. But now, with more efficient diets and fitness routines, women are turning to more obscure anatomical zones. The newest worries? "Bra fat" and "back fat."

"I had a little roll of fat hanging over the back of my jeans, like a spare bicycle tire in the back," said Dana Conte, a bartender in Manhattan. It was so obvious that her mother constantly came up behind her and pulled her shirt down over it, Ms. Conte said. "When your mother is doing that, it means there's a problem."

Ms. Conte, 34, says she has an hourglass figure that attracts whistles as she walks along the street. To get rid of the back fat, she tried working out — "like a lunatic," she said — five days a week. Then, she enrolled in Weight Watchers. When neither worked, she turned to plastic surgery.

Last August, she had liposuction on her lower back around her waistline, and in January, she had liposuction again, this time on her mid- and upper-back to eliminate "bra fat," bulges that can occur when "your bra pushes lumps of fat down your back and up over the bra fastening and to the sides right near your arms," Ms. Conte said.

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Patients have developed their own nicknames for these obscure fat deposits. To help doctors understand the exact locations their patients are describing, the journal Dermatologic Surgery recently published an article titled "Lexicon of Areas Amenable to Liposuction." According to the article, patients are now asking for liposuction of the "buffalo hump" (upper back), the "wings" (bulges around the bra area), the "doughnut" (around the belly button), the "banana fold" (below the buttocks), the "piano legs" (calves) and the "chubb."

"Chubb is a Southern term for the kneecap area,

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Doctors are grappling over where to draw the line. Last week Dr. Toledo saw a patient who wanted to have liposuction of her pubic area.

"In Brazil, bikinis are very small, and she complained that a little bit of fat stuck out over her bikini," he said. Dr. Toledo refused to do the surgery. He said removing the fat might make sex painful for her. "Sometimes a change is so small that it is not worth the time, money and risk."