Excess Lower Back Skin from Weight Loss. How to Correct It?

If there is excess skin, it must be excised to improve the contour. A lower body lift will address the excess skin in your entire trunk, including the abdomen, lateral thighs, flanks, back, and upper buttocks. SOme of this extra skin and fat can be used as a flap to augment your buttocks at the same time. From El Paso.

It's always difficult to make a treatment recommendation without pictures or a physical examination. In this case, your history suggests significant amounts of redundant abdominal and back tissue.Under these circumstances, you would probably be an excellent candidate for a lower body lift. This procedure would remove excess abdominal and back tissue. It would also lift your buttocks in an upward direction.If you're considering lower body lift surgery, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings while achieving your aesthetic goals.

Congratulations on your weight loss! After massive weight loss, it is not uncommon to have excess skin and fat of the lower back. To remove excess skin and fat of the lower back, you may require a posterior lower body lift. This would entail an incision from one hip to the top of the buttock, and extending to the other hip. Your resulting scar follows the top of the buttocks. Typically, the scar is underneath your belt line. Through this upper buttock incision, excess skin and fat of the lower back is removed and the buttocks are raised. If you are concerned about a small buttock, this excess fat can be reinserted. To augment the buttock, the fat can be injected as a fat transfer to the buttock or can be rotated as a flap on top of the buttock.
If your abdomen bothers you, the posterior body lift can be extended anteriorly. The resulting surgery is a 360 lower body lift. This procedure would not only eliminate lower back skin and fat, but it would also eliminate excess skin and fat of bilateral hips and abdomen.
I hope this answered your question regarding the removal of excess lower back skin after weight loss.
Good luck with your weight loss journey. If you have any questions, please contact my office. Sincerely, Dr. Katzen

If you wish only for the lower back skin excess to be dealt with, a lateral thigh/buttock lift will do the job. Then, after you complete your recovery and return to work, the loose abdominal skin that you didn't think bothered you as much will start to drive you wild! Maybe not, but probably, and then you will question the wisdom of saving the money you would have spent on a beltlift (lower body lift), since now you will spend somewhat more in total cost, as well as have to take off work or social activities again. You see what I mean.

The real problem, I suspect, is finding plastic surgeons who do enough buttock/lateral thigh lifts or lower body lifts to give you good advice and a feeling of confidence about either procedure. Find one or more and seek their advice and recommendations about the pros and cons of either or both options. Make sure you are consulting with American Board of Plastic Surgery-certified plastic surgeons, first, as many "cosmetic surgeons" have neither the training nor the surgical capability to do either of these operations properly.

Also, realize that upper back excisions will NOT adequately correct excess skin laxity in the lower back. Each area requires its own surgical treatment--one operation will not "fix" both areas of concern. Good luck!

From what you have described, it sounds like you would benefit from a circumferential belt lipectomy. A belt lipectomy (or lower body lift), is a great operation for correcting excess laxity and redundancy of skin along the anterior abdomen and lower posterior back.