When someone looks at their stomach and says:
"I want to get rid of my belly fat,"
there's actually a lot more to that statement than you might think.
Not all body fat is the same.
Two of the main types you'll hear about are:
Subcutaneous fat
and
Visceral fat
They sit in very different places in the body and have very different implications.
And if you're considering a non-surgical body contouring treatment such as cryolipolysis, understanding the difference is really important.
Because here's the key point:
Cosmetic fat-reduction treatments target specific types of fat โ they don't treat all abdominal fat.
Let's break it down.
What is subcutaneous fat?
Subcutaneous fat is the fat stored directly underneath your skin.
It's the soft tissue that you can generally pinch between your fingers.
You'll find subcutaneous fat throughout the body, including around the:
- abdomen
- waist
- hips
- thighs
- arms
- back
- buttocks
Everyone has some subcutaneous fat.
The amount varies from person to person based on factors including genetics, age, sex, hormones, nutrition and overall body composition.
This is the type of fat that creates many of the visible "pockets" people want to contour.
For example:
- lower belly fat
- love handles
- muffin top
- bra-line fat
- thigh fat
- upper-arm fat
may involve localised subcutaneous fat.
What is visceral fat?
Visceral fat is located much deeper inside your abdomen.
Instead of sitting underneath the skin, it surrounds internal organs such as the liver, pancreas and intestines.
You can't simply grab visceral fat between your fingers.
It contributes to the deeper abdominal fullness sometimes described as a firm or protruding abdomen, although you can't reliably determine the amount of visceral fat just by looking at someone's stomach.
And unlike subcutaneous fat, visceral fat is particularly important from a health perspective.
Higher levels of visceral fat are associated with increased cardiometabolic risk, including conditions such as type 2 diabetes and cardiovascular disease.
Visceral fat vs subcutaneous fat at a glance
| Subcutaneous fat | Visceral fat | |
|---|---|---|
| Location | Under the skin | Around internal abdominal organs |
| Can you pinch it? | Generally yes | No |
| Visible as a localised pocket? | Often | Not reliably |
| Present throughout the body? | Yes | Primarily abdominal |
| Main concern | Body composition/appearance | Metabolic health |
| Target of cosmetic fat-freezing? | Potentially, if suitable | โ No |
| Can lifestyle changes affect it? | Yes | Yes |
| Associated with health risks | Less strongly than visceral fat | Strongly associated with cardiometabolic risk |
Why does visceral fat matter?
Visceral fat isn't simply a cosmetic concern.
It's metabolically active tissue and is associated with increased health risks.
Higher levels of visceral adiposity are associated with an increased risk of conditions including:
- cardiovascular disease
- insulin resistance
- type 2 diabetes
- metabolic syndrome
The relationship between visceral fat and health is complex, and measuring visceral fat accurately isn't something that can be done simply by looking at your stomach.
That's why overall health and body composition matter much more than simply asking:
"How flat is my stomach?"
Is all belly fat unhealthy?
No.
This is an important distinction.
Having some subcutaneous belly fat doesn't automatically mean you're unhealthy.
Subcutaneous fat is a normal component of the human body.
The amount and distribution of body fat matter, but you can't diagnose someone's health based purely on the appearance of their stomach.
Similarly, someone can appear relatively slim while still carrying a higher proportion of visceral fat.
That's why appearance and health aren't always the same thing.
How can you tell if belly fat is visceral or subcutaneous?
The simple "pinch test" can give you a rough indication of whether some of the tissue near the surface is subcutaneous fat.
If you can pinch soft tissue underneath the skin, you're feeling subcutaneous tissue.
But here's the important part:
You cannot accurately determine how much visceral fat someone has by pinching their stomach.
And you can't diagnose visceral fat levels simply by looking in the mirror.
More accurate assessment may involve measurements such as waist circumference, body composition assessment or medical imaging, depending on the circumstances.
If you're concerned about visceral fat and your health, your GP or another appropriately qualified healthcare professional can help assess your individual risk.
Why does my stomach stick out if I don't have much pinchable fat?
This is a really common question.
There are lots of reasons an abdomen can appear prominent.
It could involve:
Visceral fat
Deeper abdominal fat can contribute to abdominal size.
Subcutaneous fat
There may be a layer of fat underneath the skin.
Loose skin
Skin laxity can create folds or fullness.
Abdominal muscle changes
Pregnancy and other factors can affect the abdominal wall.
Bloating
Digestive changes can temporarily alter abdominal appearance.
Natural anatomy
Your ribcage, pelvis, posture and body proportions all influence the shape of your abdomen.
Muscle development
The size and position of abdominal and surrounding muscles can affect your silhouette.
So if you're looking at your stomach thinking:
"Why won't this go flat?"
the answer isn't necessarily:
"You need to lose more fat."
Can exercise reduce visceral fat?
Yes.
Physical activity is an important part of managing overall body composition and cardiometabolic health.
Regular aerobic activity and resistance training can contribute to reductions in visceral adiposity, particularly when combined with appropriate nutrition and overall weight management.
The good news is that you don't need to do hundreds of abdominal exercises specifically to target visceral fat.
Your body responds to overall lifestyle changes.
And unlike cosmetic fat freezing, improving visceral fat is fundamentally a health and lifestyle goal, not a cosmetic treatment goal.
Can diet reduce visceral fat?
Overall dietary patterns and energy balance can influence body fat, including visceral fat.
If you're concerned about visceral fat, focusing on sustainable healthy habits is much more meaningful than trying to find a cosmetic treatment to "melt" it.
This can include:
- eating a nutritious, balanced diet
- regular physical activity
- resistance training
- adequate sleep
- maintaining a healthy body weight
- limiting excessive alcohol intake
If you have concerns about your metabolic health, your GP can help you determine what is appropriate for you.
Can fat freezing treat visceral fat?
No.
This is one of the most important things to understand about cryolipolysis.
Fat freezing is designed to target subcutaneous fat in an appropriate treatment area.
It doesn't reach through the abdominal wall to treat the fat surrounding your internal organs.
The FDA describes non-invasive body contouring technologies as treatments intended to alter the appearance or shape of a specific area, rather than treating obesity or producing weight loss.
So if someone tells you fat freezing will remove your visceral fat, that's a major red flag.
Can fat freezing treat subcutaneous belly fat?
Potentially, yes.
This is where cryolipolysis can have a role.
Cryolipolysis uses controlled cooling to target suitable subcutaneous fat.
The treated fat cells are subsequently processed by the body over time, resulting in a gradual reduction in the treated fat layer.
Clinical studies have demonstrated reductions in localised subcutaneous fat following cryolipolysis, although individual results vary.
But:
Not every pocket of subcutaneous fat is suitable for treatment.
That's why assessment matters.
What does suitable subcutaneous fat look like?
For cosmetic body contouring, we're generally looking for an area where there is sufficient, localised and pinchable subcutaneous tissue that can be appropriately treated.
This could potentially include areas such as:
- lower abdomen
- upper abdomen
- flanks
- back
- thighs
- arms
- under the chin
The exact areas that can be treated depend on the technology, applicator and individual anatomy.
Why isn't every "belly" suitable for fat freezing?
This is something we really want clients to understand.
You might look at your stomach and think:
"There's fat there, so why can't I freeze it?"
Because the type, location and amount of tissue matter.
If the fullness is primarily:
- visceral fat
- loose skin
- muscle separation
- bloating
- another anatomical factor
then fat freezing may not address the underlying issue.
This is why "not all fat is treatable."
And that's not a negative.
It's actually an important part of responsible treatment.
What is the difference between a soft and firm belly?
People often ask whether a soft stomach means subcutaneous fat and a firm stomach means visceral fat.
Unfortunately, it's not that simple.
A person's abdomen can feel different for many reasons.
Muscle tone, posture, abdominal pressure, body composition, bloating and anatomy can all influence how the abdomen feels.
You cannot diagnose visceral fat by touch alone.
If you have health concerns about abdominal fat, speak to your GP rather than relying on a cosmetic assessment.
What about "skinny fat"?
You may have heard the term "skinny fat" online.
It's not a medical diagnosis.
It's generally used to describe someone who appears relatively slim but has a higher proportion of body fat relative to muscle.
Someone in this situation may have little visible subcutaneous fat in some areas while still having higher visceral fat or lower muscle mass.
Again, the solution isn't necessarily more cosmetic fat reduction.
Improving overall body composition through resistance training, nutrition and physical activity may be more appropriate.
Can you have both visceral and subcutaneous fat?
Absolutely.
In fact, most people have both.
The issue is the amount and distribution.
You could have:
Visceral fat + subcutaneous fat + loose skin
all contributing to the appearance of your abdomen.
That's why looking at one feature in isolation can be misleading.
What about lower belly fat?
Lower belly fat is often predominantly subcutaneous fat, particularly when it's soft and pinchable.
That can make it a potential area for non-surgical body contouring in an appropriate candidate.
However, the lower abdomen can also be affected by:
- loose skin
- abdominal muscle changes
- posture
- bloating
- overall body composition
We've covered this in more detail in our article:
How to Get Rid of Lower Belly Fat When Diet and Exercise Aren't Working
๐ [Internal link to Blog #6]
What about love handles?
Love handles are generally located around the sides of the waist and lower back.
Because they are often composed of subcutaneous fat, they can sometimes be considered for non-surgical fat reduction.
But again, the area needs to be assessed.
We've also covered this in:
How to Get Rid of Love Handles: Can Fat Freezing Help?
๐ [Internal link to Blog #8]
Why Body Sculpt Clinic assesses before treatment
This is one of the biggest differences between simply buying a treatment package and having a properly planned body contouring treatment.
At Body Sculpt Clinic, we don't want to look at a photograph and say:
"Yep โ we'll freeze that."
We want to understand what we're actually treating.
During your assessment, we'll consider:
Your body shape
How does the area fit into your overall proportions?
The tissue
Is the fullness primarily subcutaneous fat?
Your goals
What are you hoping to change?
Skin quality
Is loose skin contributing to the appearance?
Treatment suitability
Can the area be appropriately treated with the available technology?
Expectations
Is the result you're hoping for realistic?
Sometimes the best treatment is no treatment
We know this isn't necessarily what someone searching for a body contouring clinic wants to hear.
But it's important.
If your abdominal fullness is primarily visceral fat, fat freezing isn't the solution.
If your concern is significant loose skin, fat reduction may not give you the result you want.
If your concern is abdominal muscle separation, you may need appropriate healthcare advice.
If the issue is bloating, cosmetic fat reduction isn't going to solve it.
Knowing when NOT to treat is part of good treatment planning.
Visceral fat vs subcutaneous fat after pregnancy
Pregnancy can create some very different changes in the abdominal area.
You may have:
- increased subcutaneous fat
- loose skin
- changes in the abdominal wall
- changes in body composition
- changes in posture
So when someone says:
"I have a mum tummy,"
that doesn't tell us exactly what the underlying issue is.
A proper assessment is important before deciding whether body contouring is appropriate.
If you're concerned about abdominal muscle separation following pregnancy, speak with an appropriately qualified healthcare professional.
Can you reduce subcutaneous fat without surgery?
For suitable localised areas, non-surgical fat reduction may be an option.
Cryolipolysis is one technology used for this purpose.
It is important to understand that:
Non-surgical does not mean risk-free.
Temporary side effects can occur, and rare complications such as paradoxical adipose hyperplasia have been reported.
A proper consultation should include discussion of suitability, risks and realistic expectations.
The biggest mistake people make with belly fat
It's assuming that every abdominal bulge is the same thing.
It isn't.
Your friend's stomach isn't your stomach.
Your body after pregnancy isn't the same as someone else's.
Your body after weight loss isn't the same as someone else's.
And a soft, pinchable pocket of fat isn't the same thing as visceral fat.
Before treating the appearance, understand the anatomy.
The bottom line: visceral fat vs subcutaneous fat
The easiest way to remember the difference is:
Subcutaneous fat
๐ Under the skin
๐ค Generally pinchable
๐ฏ May be suitable for certain cosmetic fat-reduction treatments
Visceral fat
๐ Deep inside the abdomen
โ Not pinchable
โค๏ธ More closely associated with metabolic health
๐ซ Not treated by cosmetic fat freezing
Both are normal components of the human body.
The important thing is understanding what you're actually dealing with.
Looking for fat freezing on the Sunshine Coast?
If you've been searching for fat freezing on the Sunshine Coast, cryolipolysis in Maroochydore or non-surgical body contouring near you, Body Sculpt Clinic can help you determine whether your area is suitable.
Our approach starts with assessment โ not automatically choosing a treatment.
With extensive hands-on experience and thousands of cryolipolysis treatments performed, we'll assess the area you're concerned about, discuss your goals and explain whether fat freezing is an appropriate option.
Not all fat is treatable.
And we'd rather be honest about that than promise you something a treatment can't deliver.
Ready to find out whether your belly fat is suitable for body contouring?
Book your consultation at Body Sculpt Clinic today.
Frequently Asked Questions
What is the difference between visceral fat and subcutaneous fat?
Subcutaneous fat sits directly underneath the skin and is generally pinchable. Visceral fat is stored deeper inside the abdomen around internal organs.
Can you pinch visceral fat?
No. Visceral fat is located inside the abdominal cavity and cannot be directly pinched from outside the body.
Can fat freezing reduce visceral fat?
No. Cryolipolysis targets suitable subcutaneous fat and is not designed to treat visceral fat.
Can fat freezing reduce subcutaneous fat?
Cryolipolysis can reduce suitable localised subcutaneous fat. Individual results vary and not every area or person is suitable.
Is subcutaneous fat unhealthy?
Subcutaneous fat is a normal type of body fat. Having some does not automatically mean that someone is unhealthy.
Is visceral fat worse than subcutaneous fat?
Higher levels of visceral fat are more strongly associated with cardiometabolic health risks than subcutaneous fat. However, body-fat distribution is only one part of someone's overall health.
How do I know if I have visceral fat?
You can't accurately determine your visceral fat level simply by looking at or pinching your stomach. A healthcare professional can assess your overall health and, when appropriate, use measurements or medical imaging.
Can exercise reduce visceral fat?
Regular physical activity can contribute to reductions in visceral adiposity and improve overall cardiometabolic health.
Can you have both visceral and subcutaneous fat?
Yes. Most people have both types, although the amount and distribution vary considerably between individuals.
What type of belly fat can be treated with fat freezing?
Cryolipolysis is intended for suitable localised subcutaneous fat, not visceral fat. An assessment is necessary to determine whether a particular area is appropriate.
References
National Heart, Lung, and Blood Institute (NHLBI). Metabolic Syndrome.
U.S. Food & Drug Administration. Non-Invasive Body Contouring Technologies.
Resende L, Noites A, Amorim M. Application of cryolipolysis in adipose tissue: A systematic review. Journal of Cosmetic Dermatology. 2022.When someone looks at their stomach and says: