Can I get Liposuction on my back?

If you need a tummy tuck for your abdomen because of post-pregnancy changes and have some redundant fat in the flanks (ie a "muffin top"), it is possible to do some flank liposuction at the same time as the tummy tuck.

If you have more issues in the back than that and if you do not have significant extra skin in the back area, liposuction can be done to the back but it is safer to do it at a second procedure.

The only reason to "cut you all the way around" is if you have substantial extra skin in the back such as can occur with massive weight loss requiring that this skin be removed because it will not shrink with liposuction alone. This is still safer, in my opinion, to deal with at a second operation rather than at the same time as a tummy tuck.

If your doctor told you the only way to treat your back was to "cut me all the way around," then you likely have a significant amount of extra skin and rolls in the back area. Few plastic surgeons are going to do a circumferential abdominoplasty unless you really need it. I am basing this answer on this assumption.

Combined with a tummy tuck, liposuction is usually safe in the lower back/flanks but not in the upper bra fat area as the blood supply to the tummy tuck will come from here and can be damaged with liposuction. A circumferential procedure as you were offered is a very powerful way of eliminating all of the extra skin, fat, and rolls that many patients have.

I would stay away from Smartlipo for this issue just based on the fact that I do not find (in my practice anyway) that Smartlipo is anywhere nearly as strong as a procedure as the excisional technique you were offered. If you are looking for the strongest result, it will be from the excisional procedure.

The novel Smartlipo MPX platform combines the benefits of the 1064 nm and 1320 nm wavelengths with the unique patented MultiPlex technology.

Smartlipo MPX is also SmartSense™ ready to take advantage of the intelligent delivery system, enhancing safety and uniformity of energy delivery for superior aesthetic outcomes.

Safe and consistent distribution of thermal energy supported with extensive clinical studies and research
Reduce treatment time by blending the clinical benefits of the two wavelengths
Combine the properties of two wavelengths for effective lipolysis and tissue coagulation resulting in tissue tightening
Feature a unique intelligent delivery system for safe and uniform energy delivery
Features and Benefits

1064 nm Wavelength
Enhanced hemostatic effect for less surgical trauma and faster recovery
Skin tightening by heating collagen bundles in dermis
1320 nm Wavelength
Robustly absorbed by water resulting in high efficiency lipolysis
MultiPlex
Better control of total energy delivered for enhanced safety
Blended thermal and photomechanical effects for effective lipolysis and skin tightening

Worth checking into especially with the new extra skin tightening wavelngth added! 2 Laser treatments in 1 !