We had a gal at work get lipo on the butt and hips and everyone thought she got a boob job later because they got huge. She didn't do anything to her diet and the fat still has to go somewhere. I've heard of specific ab sculpting procedures but don't know anyone who went through one.
If you look at a lot of pros, they have no fat but you don't always see a six pac. You still have to work them and you may just be a guy who has the handles. My bro-in-law is a bean pole who eats everything in sight, has no chest or butt, but still has some handles.