Which Type of Lipo is Best for Back Fat

I routinely perform liposuction/body contouring procedures in conjunction with tummy tucks and I don't think you need any "fancy" type of liposuction technology.  I would look closely at the experience and body of work of the particular surgeon you are planning to schedule surgery with.  I agree that you should seek out a board certified plastic surgeon that has significant experience in body contouring procedures and does them routinely.  In our practice,  we employ a "tumescent" liposuction for all areas including the back rolls with very good success.  The skin of the back is thicker and there is less "fat" in this area.  Particular experience is helpful in this area because working over the ribs can be a more "risky" area to work in, and also can be a more "painful" area.  We use a different cannula shape to contour in this area and have found that it works well.  I personally  think that laser or ultrasonic liposuction techniques create more scar tissue over the back which affects the ultimate shape and result.  I would make sure you feel good about your surgeon and their experience in this area, and I think you will do great.  I hope this helps!

Sincerely,

James F.  Boynton, M.D., F.A.C.S.

Thanks for the question. 
In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

The back is a difficult area as the fat is more fibrous and difficult to remove.     For this reason, I like some type of power assisted liposuction device to facilitate removing the fat.    Body Tite is not really a liposuction method, but can be used in addition to provide some skin tightening, so combining the two would be reasonable.    Vaser and also be helpful in this area.      The most important thing, however, is the skill of the person doing the liposuction.    

Your picture suggests that you
would be an excellent candidate for liposuction of your back.Currently, a large number of liposuction
variants are available to accomplish your aesthetic goals.In the vast majority of patients, tumescent
liposuction is the procedure of choice.Tumescent
liposuction represents the gold standard that all other body contouring
procedures are judged against.This
procedure is associated with dramatic results and high patient satisfaction
rates.In the vast majority of patients,
liposuction is still the best option for treating localized collections of fat.
If
you’re concerned about upper back fat, consultation with a Board-Certified
plastic surgeon who has experience in this area is appropriate.This surgeon should be able to formulate a
treatment plan that addresses your anatomic findings and achieves your
aesthetic goals.

Generally, back fat is more fibrous. For this reason, it can be more challenging to remove. I often target this area with ultrasonic or power-assisted liposuction methods.

Back fat or brastrap fat can be hard to treat as the skin is fibrous, in other words it contains dense amounts of collagen and the back skin is thicker than abdominal and thigh skin. Thick skin areas don't retract as much after liposuction as thin skin areas and the weight of the thick skin makes the folds fall because of gravity.  Many times these folds are related to the lack of support that occurs with age and not because of an accumulation of fat. See a board-certified liposuction physician to evaluate your condition. If liposuction doesn't help as much as you would desire in this area, possibly a non-invasive treatment such as Thermage or Zeltiq Cool Sculpting may provide minimal to moderate (or no) improvement.