How do you know when you need a back bra lift and not just lipo of the entire back?

Please see an expert at body sculpting for an evaluation.  Most of the time this area can be treated with a hi definition procedure to get contouring and tightening.  Best, Dr. Emer.

If the skin on your back is very loose, liposuction will not be sufficient.  Even liposuction with heat, such as Vaser or Laser liposuction has limitations with very loose skin.  An evaluation by a board certified plastic surgeon is suggested to discuss the options that would give you the best results.

The short answer to your question is that if your skin is loose, you need a lift.  If you have good skin with adequate elasticity, liposuction may suffice.  This may be difficult for you to determine, but your plastic surgeon (board-certified, of course) would be able to assess which option would be better for you and explain the improvement you may be able to achieve.

Great question.  Usually you need this type of procedure when you have lost weight and have more skin than fat.  I recommend that you sit down with a board certified plastic surgeon for a consultation to assess the areas of concern.  Good luck

Great question.  I see a lot of patients who are concerned about excess "fat" in the braline area but on examination, there not much subcutaneous fat there and the problem is due mostly to loose skin.  I see this even in slender, fit patients.  Even if you can pinch a generous amount of fat, removing it with liposuction alone may not give you a smooth back unless your skin is very elastic and taut.  Your skin elasticity would need to be assessed in person.  A braline back lift will remove the excess skin and liposuction is sometimes done with it.  I recommend seeing a few board certified plastic surgeons in your area to better be able to direct you.  Good luck.