Bra rolls and stubborn back fat can make even well-fitting clothes look unflattering, and no amount of lat pulldowns or rowing will shift them. Back liposuction precisely removes these resistant pockets through tiny incisions, smoothing the upper and lower back to create a sleeker, more streamlined silhouette that looks as good from behind as it does from the front.
What Is Back Liposuction?
Dorsal liposuction targets stubborn fat deposits across the upper and lower back, eliminating bra rolls, flanks, and bulges that resist diet and exercise. These fat pockets are often fibrous and particularly resistant to traditional weight loss, making liposuction one of the most effective solutions for a smoother rear profile.
Our partner surgeons use advanced techniques to sculpt the back with precision, delivering natural-looking contours that look as good from behind as they do from the front. Multiple zones can be treated in one session.
Common Concerns Back Liposuction Can Address
- Bra rolls and bulges visible beneath clothing
- Stubborn back fat that won't respond to diet or exercise
- Excess fullness around the flanks and lower back
- Uneven contour or asymmetry across the back
Are You a Good Candidate?
- Within 30% of your ideal body weight with good skin elasticity
- Non-smoker or willing to stop at least 4 weeks before and after surgery
- Realistic expectations about outcomes and committed to maintaining results through a healthy lifestyle
Techniques & Options
The back contains varying fat densities and fibrous tissue, particularly around the bra line and flanks. Your surgeon will assess the depth and distribution of deposits, skin quality, and your desired outcome to recommend the best approach. The procedure can address a single trouble spot or sculpt the entire back in one session for a balanced, streamlined result.
There are two main techniques:
Tumescent Liposuction
The proven gold-standard technique using infiltrated tumescent fluid to numb the area, facilitate fat removal, and minimise bleeding. Reliable and effective for moderate back fat deposits.
- Reduced bleeding and post-operative bruising
- Can be performed under local anaesthesia for smaller areas
- Excellent precision for sculpting bra rolls and flanks
VASER Liposuction
An ultrasound-assisted technique that selectively breaks down fat cells whilst preserving surrounding nerves, blood vessels, and connective tissue. Particularly effective for the fibrous fat commonly found across the back.
- Superior results in fibrous areas like the upper back
- Promotes skin retraction for smoother post-operative contours
- Less bruising and faster recovery than traditional methods
Recovery Timeline
Days 1–3
Mild to moderate swelling, bruising, and tenderness across the back are normal. You'll wear a compression garment and begin gentle walking from day one. Your care coordinator will check in daily to monitor your progress.
Week 1
Swelling begins to subside and bruising fades noticeably. Most patients feel comfortable returning to light activities and desk work after 5–7 days. Sleeping on your side or front may still be more comfortable.
Weeks 2–4
Most swelling resolves and you can gradually resume normal activities including light exercise. Back contours become increasingly visible as residual swelling diminishes and the skin settles.
Months 2–6
Final contours emerge as all remaining swelling resolves and skin fully retracts. Tiny incision marks fade to barely visible lines, with full results typically apparent by 3–6 months.
What to Expect
Safety & Risks
Back liposuction is a safe procedure when performed by an experienced surgeon, but like all surgeries, it carries some risks.
- Contour irregularities or asymmetry
- Seroma or fluid accumulation
- Temporary numbness or altered sensation
- Infection at incision sites
- Skin laxity or poor retraction
- Fat embolism (rare)
Back fat is often fibrous and more resistant to removal than fat in other areas, which affects technique selection and healing. Your surgeon will assess the density of your deposits, explain how VASER or tumescent approaches differ for fibrous tissue, and discuss realistic expectations for skin retraction across the upper and lower back.
How Much Does Back Liposuction Cost in Thailand?
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Back Liposuction
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Back Liposuction
Everything you need to know before your procedure
Dr. Pichaya Suwanprasert
MEDICALLY REVIEWEDDr. Pichaya Suwanprasert
MEDICALLY REVIEWEDPlastic Surgeon · Bangkok
Last reviewed: February 18, 2026
Medical References
Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice. Individual results, recovery times, and suitability vary. Always consult a qualified surgeon before making decisions about treatment.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Ready to Get Started?
Speak with our care coordinators for a free, no-obligation consultation and personalised quote.
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