Loose skin on back can it be corrected? (Photos)

Question

I have a very muscular build, had fat removed from my lower back with skin tightening but I think too much was taken out so now it sags weird and creases. What can be done? If they take more out it would be worse or maybe take from the top back for a smoother transition. I rather have my love handles back so I'm open to have fat put back from my upper back to smooth the transition up to my butt so it looks normal. Any suggestion's ?

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to meet with you to discuss your goals. Depending on the amount of skin laxity, maybe a body lift.  You have some options.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Gerald Minniti, MD, FACS · Answer

The problem is that your back skin is loose and the surgeon told you that a energy based device could tighten skin. What's done is done, and replacing fat will never look good regardless of what you said about your regret. Your only path forward is ignoring it and moving on or an upper body lift, which will smooth it out completely; the resultant scar would be at the bra line.

Mustafa Aydinol, MD · Answer

Thank you for sharing your photos and detailed explanation.
The good news is: Yes, this can be improved.
✅ A revision liposuction session focused on smoothing the transition zones (especially between upper and lower back) can help greatly.✅ Fat grafting to the surrounding area may be needed to restore volume and soften creases.✅ Post-liposuction massage therapy (2–3 times a week) is also key in helping prevent fibrosis, mobilize tissue, and refine the outcome.
You’re not alone in this concern &mdash; and a customized secondary treatment plan can go a long way in getting you the smoother, more natural contour you’re after.
Best regards,Dr. M. Mustafa AydınolPlastic, Reconstructive & Aesthetic SurgeryIstanbul, Türkiye

Scott C. Lindsay, DO · Answer

Thanks for your question! Additional liposuction could be done below the crease to help soften it. You could also consider something like Venus Legacy for some moderate skin tightening. If all else fails, you may need skin excision surgery (but that seems extreme for your body). Good luck!

Cengizhan Ekizceli, MD · Answer

Thank you for sharing your photos and details. In cases like this, options may include fat grafting to restore volume and smooth the contour, or a skin excision (such as an upper or lower back lift) to address redundancy. Additional fat removal is unlikely to help and could worsen the issue.A consultation with a plastic surgeon experienced in body contouring would be the best next step to assess what approach suits you.

Loose skin on back can it be corrected? (Photos)

Answers (6)