I've tried Usana, Golo and Optifast and my waist is still large. What are some ways to remove visceral fat? Would liposuction work?

I am 60 years old. How much younger can plastic surgery make me look?

Cut out carbs (bread, crackers, chips, pancakes, waffles, potatoes, etc.) and anything with sugar in it. Try this for two weeks and see what happens. And don't cheat!

Looking does not matter, if the inside is still the old non healthy.

And how many thousands do you have to spend, nose, face neck and so on, all need done to look younger.

A thick waist could be a health issue. When was your last check up with your doctor ?

I'm old school, about your age, and lost a lot of weight with a few lifestyle changes, a healthy diet, amped up the physical activities, no diet fads, no expensive procedures, or over advertised gimmick products. Get a plan and stick to it. Why just LOOK younger when you could BE younger. Your wallet will love you.

Start with a routine check up just for expert suggestions and make sure you are healthy enough for such a rejuvenation.