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Is the Lower Back Consider the Flank Area?

I had TT, BA, and lipo of the flanks. I was under the impression that my lower back was part of the flank area. When my PS drew the lines to where he was going to lipo, it went all the way toward my lower back. Its been 10 mos in and I still have the love handle effect on my lower back. I did asked my PS and he said that it is two different areas. Can someone please tell me where the flank area ends and the lower back begins.

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Liposuction of the Flank Areas May Leave Residual Love Handle Fat

Liposuction of the flank area may mean different things to different plastic surgeons.  Flank fat has no standardized meaning in the plastic surgery community.  If you chose a board-certified plastic surgeon, then I'm sure he or she, in good faith, removed that area that they believed to be covered by the term "flank fat".  I wrote an article in Aesthetic Surgery (Aesthetic Surgery Journal March 20, 1995 , 15: 1: 2, doi:10.1016/S1090-820X(05)80016-0).  This article may explain why there is still fat in that area after liposuction.  At any rate, there has been a miscommunication between you and your plastic surgeon.  At this point, an open and honest discussion should lead to a satisfactory resolution for both of you.  As I've often said, surgery doesn't end at surgery. It ends when both the surgeon and the patient are satisfied that the best possible results have been achieved.  

Mommy Makeover with Flank Liposuction

When we perform a mommy makeover, we use patient photographs at the consultation to show any 'flank' area needing liposuction. Since the patient lies on her back for the surgery, the posterior back fullness is not addressed at the time of her breast and tummy surgeries.

We always mark the areas to be liposuctioned, with the patient standing and unmedicated, just before her surgery.  This is done to confirm that the patient sees the borders of her 'flank' fullness being treated at this surgery.

With gentle patient rolling during surgery, some of the areas of the posterior flanks can be cared for with the liposuction, but not the low back.


Best Regards,


Douglas J. Raskin, MD, DMD
Colorado Springs Plastic Surgeon
5.0 out of 5 stars 30 reviews

Definition of lower back and flank areas

It is difficult without pictures or examination to tell exactly what you mean by lower back, is it lower back roll or excess skin a fat adjacent to midline. The flanks usually refer to waist area and stops before the back midline. Having the love handle on lower back may mean you required extended tummy tuck or lower body lift. You need to talk to your plastic surgeon about your concerns.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

"Flank” Area Definition?

Thank you for the question. Unfortunately, the definition of the “flank” area may differ from one surgeon to another.  I use the term flank to describe the area on a patient's side ( otherwise known as "love handle" or "muffin top”).  If you feel that there has been a miscommunication between yourself and your plastic surgeon, it would be best to address this in a calm and nonaccusatory fashion with him.

Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.