Back Contouring

The topic of back contouring refers to improving the overall aesthetic look of your back

In order to achieve optimum contour, knowledge of back aesthetics is crucial

One of the keys to back contouring is the narrowing of the waistline achieved through the removal of fat in the love handles and flanks. Removal of this fat is really difficult with traditional liposuction techniques because this fat is very fibrotic. The fat in the flank region is comprised of superficial, middle, and deep fat rather than just superficial and deep fat over the rest of the body; the middle and superficial fat of the back are very fibrous and tethered by retaining ligaments that make fat removal difficult with traditional techniques. Fortunately, 90+% of this fat can be removable with VASER high definition liposuction.

The creation of an exaggerated back arch characterized by the Tilde curve “~” is critical to achieving an aesthetically desirable result. Please review back curves created in patients presented to appreciate the transformations possible using the “Tilde” curve concept below:

Finally, superior back contouring requires management of upper, middle and lower back skin redundancy. When present, skin redundancy can cause “back rolls” that may compromise aesthetic results. Fortunately, VASER liposuction alone usually creates enough retraction of the skin to eliminate the above mentioned back rolls. If moderate skin redundancy is present, however, other steps need to be taken; in the case of moderate skin redundancy, Renuvion subdermal coagulation can be used to further tighten skin and eliminate back rolls. In the case of more extensive skin redundancy, an upper body lift and/or lateral thigh and buttocks tucking procedure may be required.

A 26-year-old female (Left) and a 23-year-old female (Right) following VASER high definition liposuction of the back and fat transfer to the buttocks (BBL). Please appreciate the “Tilde” curve created along the back arch of these patients.

A 47-year-old female following VASER high definition liposuction of the back, flanks, lateral thighs, and buttocks reshaping to achieve optimal back contouring.

A 38-year-old female 3 months following VASER high definition liposuction of the abdomen, back, flanks, and fat transfer to the buttocks. Please appreciate the created “Tilde” curves.

A 21-year-old female 3 months following VASER liposuction of the abdomen, arms, back, and thighs, as well as a BBL to achieve optimal back contouring.

A 29-year-old female demonstrating optimized Back Contouring following liposuction of the abdomen, medial thighs, lateral thighs, back, and flanks, as well as a BBL using VASER technology and skin tightening Renuvion® technology.

ideal buttocks shape

A 41-year-old female after high definition liposuction of the upper back, lower back, flanks, and fat grafting to the buttocks as well as lateral thigh and buttocks tuck to achieve optimal back contouring.

A 61-year-old female following HD liposuction of the back, lateral thighs, Renuvion® skin tightening and fat grafting to the buttocks to achieve optimal back contouring.

A 51-year-old female that shows optimal Back Contouring results following mini-abdominoplasty, high definition liposuction of the back, flanks, abdomen, medial thighs, and arms, as well as fat grafting to the buttocks.

High Definition Back Contouring

Although nothing has been published regarding your concern, augmenting your buttock with fat transfer can definitely take the pressure off of your sacral prominence. Please consider a virtual consultation with a buttock specialist to get me an accurate recommendation.
You could consider a butt lift as a means to reduce buttocks size; you may also want to get a medial thigh tuck to improve your leg and thigh contour.
Three weeks should be fine following buttock augmentation. Please note that you have to follow your recovery instructions very closely, as any postoperative issues will delay you. 
You look like a perfect candidate for HD Vaser Liposuction. This has revolutionized the plastic surgery industry due to its ability to reach 30-40% more fat than traditional Liposuction procedures. One of my favorite applications of this is waistline narrowing. With Vaser, we can contour that entire region and etch the flanks, abdomen, and thighs to accentuate an aesthetically pleasing hip ratio.
You are a great candidate for HD Vaser Liposuction. Vaser technology has revolutionized the plastic surgery industry. One of my favorite things to do with it is waistline narrowing. With Vaser, we can contour that entire region, reaching all the way down to the deep fat layers to maximize fat removal.
The photo you show involves using high definition liposuction with VASER, Power X Cannulas, and Cool helium plasma skin tightening to give the results shown. A consultation with a high definition liposuction surgeon is necessary.
If you want dramatic waistline narrowing and maximizing buttocks size enhancement you must consider high definition liposuction. This requires a) Vaser technology b) Power X liposuction cannulas c) Cool Helium Plasma skin tightening procedure.  Spending 3700 $ will not get you the results you deserve. FYI high definition liposuction of your back will take 4 hours and will cost 10K. I would save your money and do it right.
Currently, it is not possible to get your fat removed and stored based on FDA standards. Hopefully, this will change soon as it is medically possible to grow and save your fat for transfer at a later date.
You can travel back after liposuction as early as a few days; This is because liposuction does not have extensive incision lines that require postoperative management.
Your back can be liposuctioned for approximately 5K; you may want to consider transferring the fat into your buttocks region, i.e. Brazilian buttocks lift. Please see the examples below.
You would benefit from high defintion VASER liposuction of the back and flanks. Fat can also be transferred to the buttock. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full-body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of the degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome.
High definition liposuction requires attention to both fat excesses as well as skin redundancy. You should consider a high def tummy tuck to eliminate your skin redundancy. A virtual consultation with a high def provider would help you appreciate what is possible.
High definition VASER liposuction is very efficient at removing fat in areas such as the back, flanks, and thighs. The Gold Standard for superior liposuction results requires the use of the advanced technology of ultrasound-assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full-body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of the degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome.
Drainage is should be performed early on following VASER aggressively. Rarely, patients may need drainage past the initial two weeks. If you are having persistent drainage, you may want to consider increasing the protein in your diet, wearing compression garments, and maybe a short term course of antibiotics.
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