Should I get a back lift or lipo? (Photo)

Thank you for your question and for those photos! Although my exam is limited, it appears from the photos you have a combination of both excess fat and loose skin. The most effective way to get rid of back rolls would be to perform liposuction of your back along with back lift (skin excision). However, if you are concerned with having a scar across your back, an alternative option includes liposuction along with skin tightening technology such as bodytite or laser (for a few examples). Liposuction alone would not provide optimal results, as you do have significant skin laxity to your bra rolls. Liposuction can provide some skin retraction, however it is very limited. I recommend you proceed with liposuction plus something to address the skin (excision vs skin tightening technology). The most effective plan can be determined once you are examined in person and the amount of skin excess you have is evaluated. Please make sure to consult with a board-certified plastic surgeon to discuss your options and good luck!

Hello, you can see that there is excess skin, which must be removed, but liposuction must also be done so that the back is flatter and also helps to make the cut of the excess skin easier and faster