Hello, and thank you for your question regarding a 50-pound weight loss and whether you need a back lift. Thank you for your history and pictures—great job losing 50 pounds. Keep up the good work. Keep on exercising and lifting weights. In your case, most plastic surgeons would suggest VASER back liposuction. Your skin has the potential for excellent skin recoil. Most plastic surgeons would suggest VASER liposuction because the VASER melts fat and maximizes back skin contractility. Traditional liposuction will not get as good results as VASER liposuction. The back lift is usually reserved for patients with more back skin rolls. Those patients have bigger back skin rolls than you. Good luck. I hope I’ve answered your question about whether you need a back lift, VASER, or horizontal back lift. If you have any questions regarding horizontal torsoplasty, bra straplasty, or bra-plasty, please get in touch with a specialist. Since the horizontal torsoplasty, bra straplasty, or bra-plasty, is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the horizontal torsoplasty. Do your research. Ensure they have performed many horizontal torsoplasty surgeries and have the before-and-after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, horizontal torsoplasty, bra straplasty, or bra-plasty plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (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, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)