What procedure would fix the fat bulges on my lower back? (Photos)

Question

I have had significant weight loss (around 130lbs) and had an FDL TT done back in August. I am happy with the results of the front, but my lower back fat bulges out while wearing pants and seems unproportional to the rest of my body. I also have trouble keeping my pants up. My surgeon recommended fat grafts from my lower abdomen and love handles to my buttocks to help improve the contour my body and did not recommend extending the tuck all the way around. I'm 22, 5'10 and about 180lbs.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Charles Nduka, MD · Answer

It would be difficult to give an assessment based on the photo you provided. A physical examination is needed to determine the best procedure to help you achieve your goal. It doesn't seem though that fat grafting of the buttock can improve the contour of your lower body. Perhaps additional skin resection can tighten the abdominal area and make it flatter. The best course of action is to consult directly with your surgeon or schedule an appointment with another board certified plastic surgeon for second opinion.

Mark W. McClung, MD · Answer

In my opinion your residual posterior waistline laxity would be best treated with further resection and skin tightening. I dont think buttock fat grafting will improve your proportions as well or take away the laxity at the level of your waistline

What procedure would fix the fat bulges on my lower back? (Photos)

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What procedure would fix the fat bulges on my lower back? (Photos)

Answers (3)

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Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.