I've been wondering something similar. Since its all fatty tissue under the skin, couldn't we make a small incision, insert a scraper (or vacuum), and remove lots of the fat from under the skin? We couldn't remove it all without removing skin from the inside (lets pretend that we care about them living through the procedure), but we could probably get the majority of it. Probably 200 pounds worth in her case, maybe more. What does the body do if a big chunk of fatty tissue is suddenly removed, without touching any other organs?