Excess Lower Back Skin from Weight Loss. How to Correct It?

If you wish only for the lower back skin excess to be dealt with, a lateral thigh/buttock lift will do the job. Then, after you complete your recovery and return to work, the loose abdominal skin that you didn't think bothered you as much will start to drive you wild! Maybe not, but probably, and then you will question the wisdom of saving the money you would have spent on a beltlift (lower body lift), since now you will spend somewhat more in total cost, as well as have to take off work or social activities again. You see what I mean.

The real problem, I suspect, is finding plastic surgeons who do enough buttock/lateral thigh lifts or lower body lifts to give you good advice and a feeling of confidence about either procedure. Find one or more and seek their advice and recommendations about the pros and cons of either or both options. Make sure you are consulting with American Board of Plastic Surgery-certified plastic surgeons, first, as many "cosmetic surgeons" have neither the training nor the surgical capability to do either of these operations properly.

Also, realize that upper back excisions will NOT adequately correct excess skin laxity in the lower back. Each area requires its own surgical treatment--one operation will not "fix" both areas of concern. Good luck!

From what you have described, it sounds like you would benefit from a circumferential belt lipectomy. A belt lipectomy (or lower body lift), is a great operation for correcting excess laxity and redundancy of skin along the anterior abdomen and lower posterior back.