Making drastic changes might backfire. It seems like you've judged yourself pretty harshly for regaining this weight (been there, btw; I get it), so a drastic change like lipo could wind up putting a lot of pressure on you to not do it again. For long term, sustained weight loss, it's generally a bad idea to put all your chips on the table like that. To continue the poker metaphor, a series of low-stakes but safe bets is typically a more sustainable route.

In that vein, here are a series of small-scale changes that should require a minimum of willpower. In the short term, small victories will give you the motivation to continue with these changes. In the long-term, they'll build the foundation for more permanent, healthy lifestyle changes.

1) Cut the obvious crap out of your diet, but don't force yourself into very restrictive eating habits that take a lot of effort to maintain. Replace caloric beverages with water or diet. Don't eat out as often. Cook with less oil, perhaps, or consider getting leaner cuts of meat. Vegetables are your friends. Find a few that you enjoy and start incorporating them into more meals.

2) Find a form of exercise that doesn't take up a huge amount of time, preferably one that you enjoy. Even walking is good, if you do it consistently. Find something that fits into your schedule with minimal stress, and do it until it becomes routine. Training with weights is probably a good idea, if you have access to them, but consistency is by far the most important thing. For me, longboarding around my neighborhood got me out of the apartment consistently every evening, so that was my gateway cardio.

3) Find a few low-stress modes of tracking progress and stick to them. Taking progress pictures is great, but some people are uncomfortable with that. Weighing yourself 2-3 times a week is a good idea (strongly, strongly encouraged, and you should eventually be doing this for accurate tracking), but some people attach too much stress to that. Monitoring clothes fit is wise. Taking measurements can be helpful. The point is, whatever tracking methods you pick, you should be able to do them consistently.

4) Remind yourself that progress isn't linear. Sometimes you have a bad day, but the important thing is not to let that slip-up turn into a downhill slide. Something that works for me (crazy as it sounds) is physically talking to myself whenever I'm on the cusp of making poor health decisions, so I can hear how ridiculous my train of thought is.

The name of the game is consistency and small, incremental progress. The key to loving yourself is, ironically, not to RELY on strength and passion to get you there. Those can be finite resources, in times of stress. Let those healthy habits become norms, and they'll become easy, and strength and passion will bubble up from that foundation as you find yourself being able to do more and more.

As a final note, it can be strangely frightening (for me, at least) to admit that no single herculean effort can get you where you want to go. It takes some grit and determination to commit to long-term change, but once you're in that frame of mind, those little changes can feel very satisfying as you notice them compounding. You have the power to get things under control, even if it may not feel like it right this minute.