Hi Mocha Mammi of Long Beach, Thank you for your question regarding Is a back lift your only option for loose skin after lipo. Thank you for your history and your pictures. You have loose skin on your abdomen and your back. The ONLY way to remove excess skin is with an incision. FUrther back liposuction will make your back worse, not better. Yyou need a back lift. A back lift has several other names like a bra strap-lift, braplasty, horizontal torsoplasty, and vertical torsoplasty. A bra strap-lift, braplasty, and horizontal torsoplasty are essentially the same surgery. During a horizontal torsoplasty, a straight incision is under your bra strap and a large butterfly area of excess back and fat is removed. During your vertical torsoplasty, an incision is made from the top of your hip bone to your armpits. During a vertical torsoplasty, a large ellipse of excess torso skin and fat is removed from your sides. Both types of torsoplasty procedures are outpatient surgeries and are performed under general anesthesia. Your recovery will be about 2 to 3 weeks. I hope that I have answered your question regarding a back lift for loose back skin after liposuction. Good luck with your back lift or back reduction. Sincerely, Dr. J.T. Katzen.