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

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.

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.

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.

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

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