High Definition Back Contouring

The aesthetic contour of your back can be perfected using our high definition liposuction protocol. Hi-Def back contouring requires knowledge of gender anatomic differences.

A well-experienced and knowledgeable surgeon must be able to sculpt the aesthetically ideal back for both males and females. For achieving optimum contour, a male back will demonstrate a strong V-line which is created by leaving bulk in the upper and middle back; in contrast, the female back should demonstrate a sleeker, more elongated presence achieved by debulking the upper and middle back region.

Another gender difference involves the lower back region; whereas the lowest portion of the back is cored out in the male to create a shelf above a squared off, and firm buttocks cheek, the lowest portion of the back is left generous in the females so that there is a smooth transition from the larger, rounder buttocks cheek up to the maximally narrowed mid-back waistline.

Traditional liposuction has always been restrictive in eliminating the mid-back and flank fullness, often referred to as the love handles. This is because this area is multilayered and highly fibrotic and does not allow for fat removal using conventional liposuction cannulas; instead, Vaser technology (Hi-Def) allows for the melting of the fat in these fibrotic areas thus making comprehensive fat removal feasible.

Finally, creating aesthetically superior back contours requires the management of skin redundancy. Upper and middle back skin redundancies translate into unwanted back rolls that must be eliminated to achieve superior contouring outcomes.

Fortunately, we can utilize a minimally invasive technology, called Renuvion subdermal coagulation, to tighten moderate skin redundancy without the need for cutting and subsequent scars. For more extensive skin redundancy, an upper body lift and/or lower body lift tucking procedures may be required.


  • Procedure: Ultimate elimination of excess fat and redundant skin that may have accumulated over the upper and lower back, and flanks.
  • Length: 1 to 2 hours dependent on the amount of fat excess and required skin tightening and reduction maneuvers.
  • Anesthesia: General anesthesia.
  • Place of Treatment: Outpatient surgical suite.

Side Effects:

Seroma formation is the most common side effect of back contouring since it is the most dependent position when you lay down. The seroma tends to pull over the central diamond, the name coined of the region just above the central upper buttocks and central lower back region. This fluid is easily removed during the first week following surgery at the time of your lymphatic messages. These messages are performed daily and once a day for the first 7 to 10 days. Compression garments that are worn over the first two weeks will also prevent most seroma formations.

Recovery: The recovery for high definition liposuction back contouring is tolerable with the return to full physical activity by 1 to 2 weeks following surgery. Routinely, patients are encouraged to return to the gym with full physical activity resumed no later than 2 weeks following surgery.

Duration of Results: Patients are universally pleased with high definition back and flank contouring since exaggerated curves are created by waistline narrowing. Waistline narrowing occurs because the flank and mid-back are comprehensively removed with the aid of VASER liposuction.

Frequently Asked Questions:

High definition back liposuction requires comprehensive removal of fat from the upper, middle, and lower back, as well as the flanks (lateral back region) that results in definitive elimination of all fat uniformly. When back rolls are present secondary to skin redundancy, Renuvion technology can be used to eliminate these undesirable prominences.

You are a good candidate for high definition back liposuction if you have a barrel torso such that your waistline has become blunted from unwanted weight gain and fat accumulation along the love handles. Patients also seek high definition surgeons to eliminate the back rolls that can become prominent and a nuisance when wearing tight fitting blouses. Finally, patients desiring exaggerated curves of the waistline to buttocks region are able to attain "jaw dropping" outcomes when back contouring is combined with fat transfer to the buttocks, i.e. Brazilian buttocks lift.

You can prepare for your high definition liposuction of the back by determining your desired waistline to buttocks width ratios desired. This is because the back and buttocks contours are intimately related and affect the overall aesthetic curvature of the female the silhouette.  You should also optimize your nutrition by taking in 150mg of protein per day that will help you expedite resolution of any postoperative swelling.

Postoperative contour will be exceptional right after surgery. Patients are typically seen at 24 to 48 hours following surgery for their first lymphatic message. At this unveiling, patients can expect superior back and buttocks contours with exaggerated curvature. The buttocks will be shaped optimally with mid buttocks fullness and central projection. The back waistline will be maximally narrowed creating a beautiful female silhouette.

Your high definition liposuction of the back will be performed at a surgical outpatient facility.

You will be able to return or work following your high definition buttocks contouring within one week. Patients undergo aggressive postoperative lymphatic messaging of  the back everyday for one week. Following lymphatic messaging, patients can usually return to work and will tolerated physical activity soon after.

Patient-Specific Questions:

The range of fat removed from the back averages between 1000 to 2500 cc of fat aspirate. The areas of fat removal may include the upper, middle, and lower back, the flanks, the back of the armpits (axilla), and the central lower back, coined the central diamond. This fat is then processed to remove all blood products that are pro-inflammatory and can cause fat death. In addition, the fat is irrigated with antibiotic solution prior to having the fat transferred to the buttocks.

The ideal female silhouette is created by having an exaggerated lazy "S" curve as depicted by the tilde sign "~".  To achieve this, your surgeon has to create a beautiful and smooth transition from the maximal fullness at the mid buttocks level to the maximally narrowed waistline. The actual curve created is determined by the artistic eye of your surgeon which is critical to achieving superior back contouring outcomes.

You can sleep on your back after back contouring and buttocks fat grafting as long as you don't lie in one position for more than two hours and you sleep on a soft mattress.

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