What exactly is posterior trunk lipo? (Photo)

Question

Hi! Ok so I need advice! What exactly is “posterior trunk” lipo? One ps suggested TT with hips, flanks & bra roll lipo, another consult said TT with posterior trunk lipo. I told him I’d like obviously TT to get rid of lower and fat and get more contoured on my flanks and hips and get rid of bra fat area. Please help me with your expertise!!! Thanks in advance

Jason Emer, MD · Answer

unfortunately based on your photos you need liposuction with a tummy tuck to get a good result.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear ssrrmm,
posterior trunk liposuction is back liposuction. Based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

I typically view the torso as a single anatomic unit and treat all of the tour so when I do Liposuction.

A full torso technically includes upper abdomen, lower abdomen, love handles, waist, back and under arms.

Each surgeon is responsible for explaining exactly what is and what is not included with an atomic descriptions of Liposuction areas.

For that reason you should contact each of your providers and have them clearly explain exactly what is included and what is not included.

Alternatively consider scheduling more in person consultations.

Best,

Mats Hagstrom MD

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