Hello,Thank you for your question regarding whether a lower body lift pulls down the back skin. This is an excellent question. During a lower body lift, 360 body lift circumferential, belt lipectomy, belt abdominalplasty, or belt dermolipectomy, the anterior abdomen is pulled down. 360 circumferential lower body lift, During a he lower back is not pulled down, rather the buttock is undermined and pulled up. If you want the upper and lower back skin pulled up, I would suggest a vertical or horizontal torsoplasty. some plastic surgeons call the horizontal torsoplasty a brastraplasty. During these torsoplasty procedures, excess upper and lower back skin is pulled either laterally during a vertical torsoplasty, or upward during a horizontal torsoplasty or brastraplasty. If you have any more questions regarding body lift 360 circumferential lower body lift belt lipectomybelt abdominoplasty, dermolipectomy, vertical torsoplasty, horizontal torsoplasty, brastraplasty, since the body lift is a big procedure, performing the body lift. Do your research. circumferential lower surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state or country if you must. Sincerely,Dr. Katzen(Certified by the American Board of Pla, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery and American Academy of Cosmetic Surgery.)