It is very common for many women to have a fullness through the waist, especially after having children. This can often lead to a bunching up of some skin into folds at this level and just below the bra strap area. Liposuction can dramatically improve the waist, reducing the waist measurement by several centimetres (5-7 would be average) as well as significantly decreasing and sometimes removing completely the rolls of skin beneath the bra strap.

Liposuction of the female back can produce dramatic improvements. The fat on the back can be subdivided into several important areas:

• Infra-scapular fat (female flanks) is located above the waist and below the shoulder blades. This is the unsightly fat that bulges just below the bra strap.
• Posterior axillary fat is located on the upper-outer back near the armpit.
• Posterior waist fat is located above and posterior to the hips.
• Lumbo-sacral fat pad is located in midline of the lower back, just above the tailbone.

Posterior Waist

Posterior waist usually contains a significant fat deposit, however, it is often overlooked when the hips are treated by liposuction.

 

Who is a candidate for waist liposcupture?

If you can pick more than 2 centimetres of fatty tissue between your fingers at the side of your body at the level of the waist, you will probably achieve a real benefit from liposculpture to the waist

Risks of Excessive Liposuction

Because there is no deep compartment of fat on the back, but merely a thick layer of dermal fat, some surgeons have a tendency to do excessive superficial liposuction and injure the skin. The consequence of excessive liposuction that injures the under-surface of the skin is a permanent discoloration of the skin known as erythema ab liporaspiration. See figure 10. An injury to the skin caused by overly aggressive liposuction can also cause full thickness necrosis of the skin (the skin dies) that ultimately results in an ugly scar.