Solution to the back fat above my lower body lift scar? I want a more defined transition. Is lipo the only solution? (Photo)

Question

Lower back / elongated butt crack after lower body lift.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding if there is a solution to the backfat above your lower body lift scar. There are two ways to address this area above the lower body lift. It can be addressed with liposuction or an incision. During liposuction, excess fat is removed. The concern is that your skin may not recoil, and you may be left with loose hanging skin. This is a valid concern because I assume you have lost significant weight. The other alternative that may give you more of an hourglass shape and permanently eliminates excess skin and fat in the love handle or superior iliac crest region is a vertical torsoplasty. During a vertical torsoplasty, an incision is from your armpit down your sides towards the body lift and sometimes even below. During the vertical torsoplasty, a sizeable elliptical area of skin and fat is removed from your armpit to the hip. The skin eliminates excess skin and fat in the posterior love handle region. Some surgeons also call this vertical torsoplasy a hourglassing procedure because the result is an hourglass figure. Vertical torsoplasty is not standard, so you must look for a specialist. I hope my answer suggests what to do with the back fat after a lower body lift.

Miguel Mota, MD · Answer

Congratulations on loosing the weight. Yes! Liposuction is your best option. Vaser Liposuction would be my preferred method of treatment. This will also help get rid of the elongated butt crack as well.

Lipo of your back and waist and stomach, if you’re interested, would be the perfect combination. I would avoid very aggressive lipo so as not end up with loose and sagging skin. But Vaser Lipo would be great on you!

Best wishes,
Dr. Miguel Mota

Daniel Barrett, MD · Answer

Dear berica,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Liposuction will be the best to help contour the lower back area.  The contour can be further improved with a second stage to address the scar which currently gives the illusion of an elongated buttocks cleft.  See a board certified plastic surgeon ear you to learn more.

Zoran Potparic, MD · Answer

Unfortunatelly, your buttock incision is placed too low; this takes much off the buttock shape and projection! Placing this scar higher on your buttocks, where it should be, will give a chance to take some of the tissue above current scar and place it underneath, in the form of viable flap, to increase bulk and projection of upper pole of buttock. This will also lift your butt. Agressive liposuction of flanks and lower back would further improve shape of back/buttocks area. Hope this helps.

Solution to the back fat above my lower body lift scar? I want a more defined transition. Is lipo the only solution? (Photo)

Answers (9)

Answer: Considering options

Answer: Considering options

Answer: Liposuction and true buttock lift

Answer: Liposuction and true buttock lift

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Solution to the back fat above my lower body lift scar? I want a more defined transition. Is lipo the only solution? (Photo)

Answers (9)

Answer: Considering options

Answer: Considering options

Answer: Liposuction and true buttock lift

Answer: Liposuction and true buttock lift

Browse related questions

Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.