Back Contouring

The topic of back contouring refers to improving the overall aesthetical look of your backside.

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.

Back Contouring 4.0 BGOK

A 26-year-old female (Left) and a 33-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.

Back Contouring 7 BGOK

27-year-old had middle and lower back contouring and a BBL revision.

Back Contouring 3 BGOK

35-year-old female before and 3 months after her VASER high definition liposuction procedure and breast augmentation. BBL revision with fat transfer

Back Contouring 5.0 BGOK

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 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 following high definition liposuction of the upper and lower back, flanks, lower lateral thighs, and fat grafting to the lateral buttocks and lateral hips and buttocks implant augmentation to achieve optimal back contouring.

Back Contouring 1.0 BGOK

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.


33-year-old female - High definition liposuction of the flanks, lower back, middle back, upper back, medial thighs, and Renuvion of the medial thighs, flanks, and back.