Liposuction of the Back

Touching shoulder

Back liposuction surgery helps alleviate any flabby, loose fat mass at the back. The problem of fatty back is common more in women than men and so is the treatment. These extra fat growths bulge out when wearing tight underwear.

Back Liposculpture Procedure

Liposuction of the back is usually performed along with that of the abdomen and buttocks to attain a proportionate torso shape. Usually, the tumescent liposuction procedure is preferred for it. However, now, some surgeons are trying it in combination with the VASER technique and the results obtained in many cases are quite encouraging. Overall, the outcome of back liposculpture is quite satisfactory.

Patient Eligibility

Along with standard liposuction qualification requirements, the ideal patients should be below 45 years of age, as they have high skin quality (especially elasticity). In addition, fat deposits can be dislodged better and safely.

The Target Areas

  • Infra Scapular Back (or Female Flanks): Primary site of fat deposit, the infra-scapular region is the area between the shoulder blades and the waist. That is, the region right below the bra strap. It has a single layer of dense, subcutaneous, fibrous adipose tissues without deep-seated cells. This causes loose fat bulges. Genetics coupled with obesity are the main reasons for fat deposits in flanks. The fibrous fat makes a large cannula difficult to penetrate. Therefore, microcannulae are used initially to break the fat compartments and then the large cannulae help suck out the fat.
  • Posterior Axillary Back: The area above the backside of the armpit is known as the posterior axillary back. Tumescent liposuction can easily remove the fat deposits in this region.
  • Posterior Waist: The area above the hips is known as posterior waist. The fat here is usually removed during liposculpture of the hips to achieve a proportionate shape of the body segment.
  • Lumbo Sacral Fat Pads: in the mid region of the lower back, right above the tailbone, are the lumbo sacral fat pads. The procedure here  is performed with added caution. A careful preoperative examination of the area should be carried out to check for any lower spine problems or tumors.
  • Cervico-Dorsal Hump: Also known as the widow’s hump or buffalo hump, cervico-dorsal hump is the upper back area. The fat deposit rests just below the neck.

Risks of Back Liposuction

  • Intense Liposuction: As the fat in the back is mostly fibrous and the cannula movement often needs to be rigorous to dislodge it, the skin is prone to injury. This may permanently discolor the area. Forceful liposuction can also lead to skin necrosis (skin death), making it dark and patchy.
  • Excessive Liposuction: Large amount of fat removal may lead to loose, dimpled, and sagging skin.
  • Hyper-Pigmentation of the Incision Site: Use of large cannulae to remove fibrous fat and too many incisions may cause hyperpigmentation of the skin. Using microcannulae and making lateral incisions reduces the risk.


Post Operative Facts

  • Liposuction Recovery: The postoperative care involves wearing absorbent pads over the incisions, which can be held in place with the help of compression garments. The degree of compression required after liposuction of the back is moderate.
  • Fitness Routine: A proper diet and regular exercise after plastic surgery can help retain the changes.