When people think about body contouring, they often focus on the abdomen or thighs—but the back and lower torso are just as important for achieving balanced, natural results. After significant weight loss, pregnancy, or aging, excess skin and stubborn rolls can develop along the back, waistline, and buttocks. At SARA Surgery, we offer advanced surgical solutions designed to smooth, tighten, and restore contour in these often-overlooked areas.
Why the Back Changes
The back is particularly prone to skin laxity after weight loss or hormonal changes. Even with diet and exercise, loose skin and rolls along the bra line or lower back cannot be corrected non-surgically. While liposuction can reduce fat, it does not remove excess skin—making surgical intervention the most effective option when laxity is present.
Back Lift Surgery
A back lift is designed to remove excess skin and rolls from the upper or mid-back, often targeting the area around the bra line. This procedure creates a smoother contour that fits better in clothing and swimwear.
Incisions are typically placed within the bra line, allowing scars to be easily concealed. Liposuction is often used in combination to enhance contour before skin is removed.
Circumferential Tummy Tuck (Lower Body Lift)
For patients with significant skin laxity around the entire midsection, a circumferential tummy tuck, also known as a lower body lift, may be recommended. This powerful procedure addresses:
- The abdomen
- Love handles and flanks
- Lower back skin and rolls
- Buttock laxity
By removing excess skin all the way around the torso, this procedure restores definition to the waist and improves the overall silhouette. Scars are typically placed below the belt line to remain discreet.
Buttock Lift and Buttock Augmentation
Weight loss and aging can also cause the buttocks to appear flat or sagging. A buttock lift removes excess skin and elevates the tissue to restore shape and position.
For patients seeking more volume, buttock augmentation—often using fat transfer—can be combined with contouring procedures. Liposuction is used to harvest fat from areas such as the abdomen or back, which is then strategically placed to enhance projection and shape.
Scars and Surgical Planning
At SARA Surgery, careful planning is a priority. Incisions are thoughtfully placed in areas such as the bra line or below the waistband to help conceal scars. Advanced closure techniques and scar management protocols are used to support optimal healing and long-term results.
How SARA Surgery Can Help
Back and lower body contouring procedures are highly individualized. Dr. Sara Dickie takes a comprehensive approach—evaluating skin quality, fat distribution, and overall body balance—to determine the right combination of procedures for each patient.
If excess back skin, rolls, or lower body laxity are preventing you from feeling confident in your body, a consultation at SARA Surgery can help clarify your options. With expert surgical techniques and personalized care, we help patients achieve smoother contours and lasting confidence from every angle.