Hello, and thank you for your question regarding would a lower body lift can get rid of your back fat rolls. Thank you for your history and your picture. Regarding your picture and your desire to reduce back fat, most experienced plastic surgeons would agree that you need a horizontal torsoplasty, bra strap lift, bra-plasty, or upper body lift procedure. During a horizontal torsoplasty, an incision is made across your upper back, ideally underneath your bra strap. That is why it is called a bra strap plasty. After the incision is made, the tissue is dissected minimally over the backbone, and then more extensively over the middle of the back, and then slightly taped in the midaxillary line. A large, butterfly-shaped shaped of excess skin and fat is thus removed, and the middle and lower back is lifted. The back rolls that you depict in your picture would be lifted and eliminated. Another surgical option could be a vertical torsopasty with an incision from the armpit down your mid axillary line or your sides. Then, a large elliptical area of skin and fat is removed. Thus, the back is pulled to the side. The vertical torsoplasty would be a second choice for you because the horizontal torsoplasty will give you better results. A lower body lift would not help your upper, middle, or even lower back. A 360 circumferential lower body lift involves an incision that extends from where your previous tummy tuck left off to the top of your buttocks, joining at the vertical gluteal cleft. This would eliminate the love handles when the incision is made over the hips. At the top of the buttock, the dissection is carried down, sometimes to the infragluteal fold (banana roll), and the buttock is pulled up. Thus, the lower body lift pulls the buttocks up; the lower body lift does not pull the back down. The lower body lift will not affect the mid back or bra strap rolls that you depict in your pictures. Again, remember that the lower body lift pulls the buttocks up. The lower body lift does not pull the back down. I hope this answers your question about whether a lower body lift can help reduce back fat. I hope this information helps you in your search for answers regarding the 360 circumferential lower body lift. If you have any further questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please consult with an experienced, board-certified plastic surgeon. Since the body lift is a major procedure, it is recommended that you consult an experienced, board-certified plastic surgeon with significant experience in performing lower body lifts. Do your research. Ensure they have performed at least 100 circumferential lower body lift surgeries and have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced lower body lift surgeon in your neighborhood, consider traveling out of state if necessary. Sincerely, Dr. Katzen, MD, MBA (Aesthetic, Cosmetic and Reconstructive Plastic Surgeon), President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, , and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)