Would liposuction help minimize my bra rolls or should I consider a bra line back lift? 60 y/o in good health. (photos)

Back and lateral torso are totally Independent anatomical areas and must be treated differently.
You have excerpt skin on your back which means excess of length and the Back lift and liposuction will be both great procedures to create a thinner and smoother back.
Lateral torso is the sides of breast and anterior to back, you have excess of fat, and also doble vector of excess of skin: excess of length and excess of width. So you will need and inverted “T” incision to remove both.
The end result incision will be a 270 incision which starts underneath the inframammary fold all the way around towards the other side and a vertical incision both sides on The lateral chest.
As expert in the After weight loss surgery, this is a very common procedure.
Be encouraged.
Dr. Cárdenas

Hello, from the photos if it seems that you require liposuction of the arms, torso and back, and a cut in the bra line in the back but it does not seem that circular is required, with a cut in the middle of the back is enough to produce the lifting and improve the shape

Thank you for your question regarding whether you should opt for a bra line back lift or liposuction. Based on your pictures and age, I believe a procedure involving an incision, like a back lift, would be the most beneficial as your skin may not spring back effectively post-liposuction.

There are two types of back lifts you can consider: vertical and horizontal. A vertical back lift involves an incision from the armpit down the side of the chest, limiting the visibility of the skin rolls seen in your pictures. The benefit of this procedure is the relatively concealed scar.

On the other hand, the bra line back lift, also known as a horizontal torsoplasty, involves an incision from one outer breast corner, across the back, to the other outer breast corner. Ideally, the scar from this procedure is concealed under the bra strap, hence its name.

Therefore, my recommendation for your situation would be a bra line back lift, or horizontal torsoplasty, over liposuction. I hope this information helps clarify which procedure would be more suitable for your needs.

Sincerely,
Dr. Katzen