Will I need lipo or skin removal for back after weight loss? (Photos)

Question

Female. 30. 5’9 and 190 lbs. Hey! So I’m in the middle of a weight loss journey, with my goal weight of 160-175. I have always been Insecure of my back fat and am wondering if what I see is just that or also loose skin? I’ve been putting in the hard work and trying my best to build good habits but am frustrated with the contours of my body. will my back potentially look worse once i do lose all the weight, and what procedures am I potentially looking for to smooth my back out? Thank you in advance.!

Yasemin Aydinli, MD · Answer

At your stage, back rolls are usually a mix of stubborn fat and some skin laxity. If your skin still has good elasticity, liposuction of the bra-line and flanks alone can give a nice, smooth contour as you reach your goal weight. If significant loose skin appears once you have lost the rest, a skin-excision procedure such as a bra-line back lift may be needed, though it does leave a scar. It is best to finish your weight loss and let your weight stabilize before deciding, since how your skin behaves at your goal weight is what determines which approach you truly need.

Conor Sugrue, FRACS · Answer

Congratulations so far on the amount fo weight you have lostLooking at the photos you can see you have excessive skin rolls bilateral this combined with adiposity above and below explains your back contouring.In general, patients who have lost large amounts of weight do not benefit from liposuction as the fat is also already lost and it is a just the remaining skin folds. The only solution for skin folds is surgery and what ever you pinch is what ever can be removed. You are swapping them for scars. Liposuction can play a small role in contour of stubborn fat areas but removing the skin fold through excision is the most effective way. As you loose more weight you find that this skin fold will become more prominent. Surgery should not be considered till you have reached your stable weight for 6 months I hope this help, good luck in your journey

Will I need lipo or skin removal for back after weight loss? (Photos)

Answers (2)

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