Do I need lower back lift or will Vaser / skin tightening suffice? (photo)

Hello, and thank you for your question regarding whether you need a lower back lift or will VASER and skin tightening suffice. Thank you for your history and your pictures. Based on your pictures, you appear to have excess skin on your superior iliac crests (also known as love handles) and the lumbar region (also referred to as the lower back). From your pictures, you have more skin than fat. Liposuction is best suited for isolated areas of fat. Liposuction treats fat, not skin. Even with the best VASER, these procedures will only remove fat. Even with radiofrequency (RF) skin tightening treatments, such as Renuvion, the skin will be minimally tightened. You would do better with a lift. Typically, a lift would be a posterior buttock lift. The posterior buttock lift would be an incision that connects your tummy tuck to the top of your vertical buttock crease. Your resulting scar would be an incision like a belt, all the way around your body from the top of your vertical buttock crease to the top of your pubic region. During the posterior buttock lift, an incision is made in the upper portion of your buttock. Then, tissue dissection is carried down the buttocks. Excess lower back and upper 1/3 buttock skin is removed. The upper buttocks are raised and reduced. Most plastic surgeons would suggest you do not waste your money on VASER and Renuvion RF skin tightening in a case such as yours. Go with the posterior butt lift. Good luck. I hope I have answered your question about whether you need a lower back lift or will VASER and RF skin tightening work.
Sincerely, Dr. Katzen, MD, MBA. (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, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Thank you for your query. You seem to have a significant amount of saggy skin in the lower back. You will benefit more from a lower back lift which helps with lifting the buttocks as well. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

It's difficult to tell from the limited photos but you may have a reasonable result from liposuction combined with J-Plasma skin tightening. An in person exam with a board certified plastic surgeon is needed for the best recommendation. I've included a video I hope you find helpful.

Having a tummy tuck long ago and resulted in excess skin of the back, you will need surgical resection. I do not believe Vaser skin tightening will suffice.

Best Wishes,

Gary Horndeski, M.D.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a more detailed and personalized plan please discuss with your plastic surgeon in person.
From the limited photos provided it doesn't look like you might have enough skin to merit the extra scar of a body lift , using an energy device like renuvion with some liposuction will likely give you a satisfactory result , that being said , I would encourage yo to discuss with your surgeon as recommendations can change based on the physical exam.
I hope this helps, best of luck!