Will body lift (flanks) help with loose lats skin? (Photo)

Congratulations on your weight loss.The image you shared demonstrates the difference between an abdominoplasty and a lower body lift. The flank fullness persists and in fact is exaggerated by the abrupt ending of the abdominoplasty incision. The completion operation is called a transverse thigh body lift and will continue the incision from the abdominoplasty and meet at the buttock crease. You will love the abdomen and waist contour. This operation will not completely address the excess skin of the chest and back. This will most likely require what is called a bra line back lift which begins just in front of where you are pinching and ends in the mid back depending on how much laxity there is. There are lesser variations of this procedure but a consultation would be necessary to determine that.Seek out a board certified plastic surgeon with experience in body contouring after significant weight loss.Good luck and I hope this was helpful.

Thank you for your question regarding what to do with loose skin around the lats. Congratulations on your weight loss. This is a common problem for patients who have undergone massive weight loss. The only way to remove the skin is to have the skin excised. Liposuction will not remove the skin. It only removes fat. In your situation, I would suggest a torsoplasty. A torsoplasty is a plastic surgery procedure that removes excess skin and fat from the torso. There are two types of torsoplasty horizontal torsoplasty and vertical torsoplasty. I would suggest, in your case, a vertical torsoplasty. In a vertical torsoplasty, an incision is made from the armpit down the side of your torso.
A large elliptical area of skin and fat is removed. The result is a scar that goes down your side that is usually hidden when your arms are at your side. The only disadvantage of this procedure is that the nipple is pulled to the side or laterally. During the procedure, the nipple must be relocated as a sliding or free graft. Your plastic surgeon will discuss this with you at length. Another option is a horizontal torsoplasty. In a horizontal torsoplasty, the incision starts underneath the breast and extends across your back. The disadvantage of this procedure is that there is a noticeable scar across your back. In women, this scar is easier to hide. In men, this scar is more challenging to hide. Either way, I do not think you need a horizontal torsoplasty. In my opinion, you need a vertical torsoplasty. Thank you for your question regarding what to do with loose skin around your Latissimus Doris after massive weight loss.
I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the panniculectomy, extended lower body lift, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please contact my office. Since the panniculectomy or lower body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the panniculectomy or lower body lift. Do your research. Make sure they have performed at least 100 panniculectomies or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, panniculectomy or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

The flanks saggy skin will be improved greatly after a Lower Body Lift and the combination with liposuction. Unfortunately the lower body lift will NOT improve or tighten the upper body skin. The lateral torso flaccid skin will be removed performing the Lateral torsoplasty ("crecent"  how some call it) or a back lift, depending on the excess of your back.Be encouraged.Dr. Cardenas