Can lower back liposuction be done under local anesthetic? Would it be useless with skin removal? (Photo)

Thank you for your question and photos. Your weight loss left you with excess fat above the buttocks proper, and a wrap around fat roll that continues to the sides. This created a long and square buttock with significant fat deposits in the lower back. As a Total Definer surgeon, my approach would be twofold. You need fat removal from the areas of excess and creation of definition and also fat transfer to the depressed areas of the buttocks to create a more hourglass shape from the present "violin" deformity. See a board certified plastic surgeon with extensive experience in body sculpting techniques who understands the normal proportions of beauty and can recreate it. Good luck.

Nicely psted photos. Yes I would offer lower back, flanks, coccyx liposuction with J-Plasma (to tighten skin) under IV sedation/local anesthesia or light general/local anesthesia at the Ambulatory Surgery Center. Fee $5,000. Best to virtual consult with......