PCOS cysters... HELP!!! (re: tummy!!!)

Okay ladies... I know that a lot of women with PCOS have the "PCOS shelf" the spare tire type roll of fat around the middle of the tummy, not the pannus but higher, like another one above the belly button...

I have it BAD... have since puberty really.  It is by FAR the last thing to even sort of think of starting to go. I am approaching onderland... I am smaller than I have been since probably 8th grade, but it is terrible!  I have this huge spare tire... it is like triple the size of my pannus... I hate it!!!

Is there any hope??? :-(

Obviously plastics will hopefully be in my future, but I have a long ways to go....

I know working out will totally help... but I really worry that this is beyond that...

 I have PCOS as well.  I also have the pannus and upper roll.  It does go down, but if you've been overweight for any length of time, I doubt it will go away completely.

I just accept it and started calling it my "wobble."  So now when my friends and I are dancing I make jokes about needing to control the wobble.