I have a lot of rolls on my back area. What is the best way to get rid of this? I cannot wear anything tight, it looks horrible.

The best treatment of backrolls to give you a smooth back contour depends on what your examination shows is causing the problem.  If your skin is fairly tight and elastic, but you just have concentrated fatty deposits , then liposuction alone might be enough to reduce the bulk and allow your skin to flatten out.  However, is your skin is pretty loose, stretched, and has poor elasticity, than you would probably need some type of surgical removal of both skin and fat to smooth the contour.  Otherwise, if the skin were quite loose and all you did was lipo, then the skin would fall inward and develop wrinkles and waviness because you would have too much extra skin for the reduced contour.  Frequently, the scars from skin roll excision can be place within a bra line.

Hi. I wish you would have shared photos with us. Without photos it's very difficult to give you an accurate assessment. Try and re-post. In any case, you may need to lose weight. I don't know your height or weight, BMI? I have found that the best way to deal with these unwanted rolls is Vaser liposuction.Vaser is a highly specialized type of ultrasonic liposuction and you need to select a surgeon with years of experience in Vaser. We are fortunate that one our senior associates is considered one of the leading authorities in Vaser having written countless articles, published books and perfoming it since its inception over 15 years ago. 
Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in tummy tucks and VASER liposuction. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? 
How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.
How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications. You owe this to your family.
In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.
Good luck, 
Dr. PG
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Hi Stambrose!
Bra and back rolls can be frustrating! We have had great results from liposuction. Though this is a stubborn area and difficult to remove the fat, an expert at lipo can get this area to flatten out and become smoother. Find an expert by looking at photos and checking their credentials! Good luck on your journey!
All the best,
Dr. Meegan Gruber

For most patients, the back or bra line roles can be handles using one of the many liposuction techniques.  In my experience the fat on the back is more fibrous than many other areas of the body and, therefore, requires either laser assisted or power assisted liposuction to get the optimum result. Every patient is different, however, and your question can best be answered by your own plastic surgeon after a complete history and physical examination.

Sometimes liposuction in this area can smooth out the back.  This is your best option as it avoids scars.  However, when the skin is excessive, a back lift can be done where an elliptical area of skin along your bra line is removed, leaving a horizontal scar.  

"Back Rolls" can be one of many areas.  It could be an extension of your breast, through the axilla and to your upper back, It could be in you mid back, or it could be an extension of your abdomen, through the hip rolls and into your back.Also, treatment depends upon your present height and weight.  If you are overweight - Diet and exercise are your best friend.  If you are in a normal weight, a board certified plastic surgeon can evaluate your skin tone, the amount of extra fat you have, and the amount of extra skin you have.  In each of these, their is a best answer that may include liposuction  alone, skin excision alone, or a combination of both.

Thanks for your questions. Back liposuction and possibly skin excision may be needed. I recommend you be evaluated by a board certified plastic surgeon to discuss your goals and review before/after pictures to give you an idea of what type of result you can expect to get. Good luck!

Back rolls can benefit from liposuction to reduce the size. This procedure alone may not completely eliminate the rolls if the skin is very adhered to the muscles underneath. In these cases, excising the roll with an incision along the bra-line can be beneficial.

    Liposuction of this area is frequently not enough and may require skin tightening or skin removal procedures.

Unfortunately you did not provide photographs and so this discussion needs to be a bit general.

If you are overweight, than the treatment, although simple to describe, is not easy.  Lose weight.  There are many ways one can go about this but the most effective is to change the way you eat.  Going on a diet is generally not effective long-term because it does not lend itself to maintenance of the new weight.

If you are at the body weight that you desire but you have areas of fullness, then liposuction may be the treatment for you.  Although you have control of your body weight, you do not have control of where the weight is stored.  Spot reducing by diet or exercise (or even those jiggling fanny belts of old) do not work to reduce spot bulges.  Liposuction does.

Liposuction is highly effective and does an excellent job at spot reducing.  Once the area fat has been removed, the way your body distributes your fat is permanently changed.  You will never have the same shape again.  Standard liposuction works well with no need to use add complicating high pressure water jets, ultrasonic, or laser which can have their own issues of damaging untargeted tissue like nerves, blood vessels, muscle, or skin.  Standard liposuction minimizes damage to tissue that is not fat.

Wish you the best.  Do search for a Board Certified Plastic Surgeon.