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

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.