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

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