Do I need a 360 tummy tuck to get rid of the back rolls or will lipo fix this? (Photos)

Question

I am planning on getting a tummy tuck but I also have noticed I have back fat or loose skin. I lost 80lbs due to bariatric surgery and I want to make sure I get the right procedure not only for my stomach but my back. Please help me.

Richard J. Restifo, MD · Answer

Thank you for your question and congratulations on your weight loss. The area in your upper back where you see the rolls is really most skin as opposed to fat. Therefore liposuction will not be very effective in terms of smoothing this area out.  The only way is by excising it or removing the skin surgically.  This of necessity will leave you with a long scar across the back which will be difficult to cover. So consider carefully the tradeoff: smoother contour versus scar. You may decide it isn't worth it. Liposuction of the back may make the rolls a bit smaller without significant scars.  On the plus side, from your photos it seems as though you are an excellent candidate for a tummy tuck and the result should be dramatic. Best wishes.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and congratulations on your impressive weight loss.  Due to the amount of skin sagging and skin excess that your weight loss has caused I think you are an excellent 360 tummy tuck candidate. It will address all of the areas that you mentioned in your narrative except for your back and flank skin.  This would require a bra-line back lift to correct.  Be sure to see an ASPS board certified plastic surgeon in consultation, they can offer you the best advice.

Edwin C. Pound, III, MD · Answer

You look very similar to a patient I operated on last Thursday.  A complete body lift, which is an incision completely around your waist, is the best way to tighten up the loose skin of your abdomen, lower back, buttocks, and lateral thighs.  It's kind of like pulling your pants up except, in this case, it's skin.  To address the loose skin of the upper back, this would need a separate incision to remove this loose skin.  I would suggest that you schedule an appointment with a board-certified plastic surgeon who can examine you and review your options with you.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Congratulations on your weight loss.  Based on your
photograph, you are a great candidate for circumferential lower body lift with liposuction. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ellen A. Mahony, MD · Answer

If you're looking for complete contouring of your torso, a circumferential body lift aka 360TT will provide to you that result.You can do the procedure in stages:  the front area at one time and the back area at another time, or all at once.  The upper back area most likely will need a separate lift procedure and I often combine this with a breast reduction or aug/pexy.Congratulations on your success!In good health,Ellen Mahony, MD

Steven J. Rottman, MD, FACS · Answer

Thank you for your question and photos. Congratulations on your massive weight loss. You appear to be an excellent candidate for a 360 body lift. The circumferential skin excision will give you an excellent contour. Please see a board certified plastic surgeon with experience with massive weight loss patients for an in-person examination to discuss the specific details of the procedures. Ask to see before and after photos to get an idea of what can be achieved. Hope this helps!

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!
  
Looking at your photos I might say that you´ll be a great candidate to get an entire back, waist and flanks liposuction, with BBL, and tummy tuck, this is because all the extra skin located in this areas plus your abdominal muscle needs to be repaired. Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.
  
Have a great day! 
  
Dr. JPG

Craig Harrison, MD · Answer

Might consider liposuction of your back while you have your 360 degree lower body lift.  You lower lift will have virtually no effect on your back roll.  Aggressive liposuction may create enough change to preclude the more visible (in clothes) scars and satisfy your needs.  If tight is what you are after, then you will need to consider upper back skin excision to tighten loose skin.  This is a discussion is best done during this preop period with your surgeon.  Best wishes

Carlos Burnett, MD, FACS · Answer

Hello and thanks for the question. A total body lift, lipo, and excision of your back rolls is the indicated procedure for    treating your extra skin and fat. Good luckBest#drburnett#realself100

Ven Erella, MD · Answer

Thank you for your question. You need 360 which addresses front and your lower back(hips and buttocks) and upper back lift(Braline lift) which addresses your back rolls in the picture. Please consult with a board certified PS for evaluation and to discuss your goals.

Do I need a 360 tummy tuck to get rid of the back rolls or will lipo fix this? (Photos)

Answers (15)

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