Lower Back Fat Above the Buttocks

Getting Rid Of Lower Back Fat Above Buttocks

Lower back fat can accumulate in pouches above the buttocks sometimes known as ‘love handles’. These protrude above the waistline and can become an aesthetic concern, creating unwanted bulges in your silhouette. Liposuction and back lift surgery are procedures that can permanently remove excess body fat and skin respectively on the lower back. 

This article will explore the different fat loss options available for those in search of a solution to lower back fat above the buttocks, and will answer some of the most common queries patients have about the surgeries.

At the CREO Clinic, all of our liposuction and back lift surgeries are performed by our Medical Director, Dr. Omar Tillo, who is an experienced specialist and thought leader in the field of body contouring.

Discover the ways Dr. Tillo can remove your lower back fat for good.

Lower Back Fat Above The Buttocks Medically reviewed by Dr. Omar Tillo MD, MS, EBOPRAS, FRCS (Plast)

Options for removing lower back fat

Surgical options


Liposuction is a well-tolerated surgical treatment that uses a vacuum cannula to break down and remove targeted deposits of fat. The procedure is highly effective at permanently reducing fat deposits and helping improve the contour of the space above the buttocks.

Extracted fat can also be used as part of a fat transfer procedure to improve shape and volume in the buttocks, breasts, or hips.

The surgery generally lasts between 1-3 hours and is carried out under deep sedation or general anaesthetic. 

Back lift

A back lift surgically removes excess lax skin to get rid of ‘love handles’ that develop at the hips and lower back. Liposuction is also performed to provide the most dramatic transformation. Sometimes a complementary procedure called auto-augmentation is also performed – this reshapes the buttocks and helps to create an “hourglass” silhouette. 

A back lift involves a 2-5 hour (this can change due to the size of area treated) surgery performed under general anaesthetic. The surgery consists of one incision along the lower back, just above the buttocks, from which lax skin is removed as needed and the remaining skin tightened up and sutured into position. Auto-augmentation involves creating pockets of skin above the buttock muscles and rotating existing excess fat into position to fill them.

Nonsurgical lifestyle changes

Improve your diet

Making changes to the food you eat can help reduce your body fat percentage and BMI (you can use our BMI checker to discover your BMI) and decrease fat deposits above the buttocks. If you struggle to maintain a healthy diet, our dietician can help you organise a balanced diet that will gradually help to reduce visible fat around the lower back.

Begin an exercise regimen

While diet and exercise cannot always reduce pockets of fat, a regular exercise regimen can bring down overall body fat levels and effect weight loss. An exercise routine, if properly maintained, can be a vital step to lose weight and lose excess fat and get rid of lower back fat while improving overall health and well-being. Burning calories is a tried and tested solution.

Practise better posture

Slouching or stooping – poor posture – can cause lower back fat to appear more visible and can contribute to preventing a regular exercise routine that will lower body fat. Practising better posture can help you have a more streamlined silhouette and feel more comfortable doing regular exercise that helps keep back fat to a healthy minimum. However, improving posture alone will not reduce lower back fat.

Causes of lower back fat

Poor diet

Lower back fat can develop as a result of a high fat, unbalanced diet of excess calories, especially in combination with a lack of exercise. Try to eat a balanced diet of healthy fats, fibre, proteins and nutrient rich carbohydrates – they should keep your weight stable and minimise excess back fat.

Sedentary lifestyle

When we get out of the habit of exercising regularly, we can start to put on weight due to a surfeit of calories. A more sedentary lifestyle increases the risk of a higher BMI and therefore raises the possibility of excess fat padding around the waist and lower back. Getting up and getting moving regularly will improve your overall and more effectively manage levels of fat in the body.


High levels of stress can disturb the body’s natural hormonal balance, disrupting your ability to regulate eating and feel satiety. This can lead to weight gain, so try to keep stress levels manageable over the course of your working week to help prevent unnecessary snacking or cravings for high sugar, high fat foods.


It is a fact of life that as we age it becomes more difficult to maintain a healthy weight and harder to lose fat. This is because fat accumulates more easily in the body and muscle tone becomes harder to maintain – sometimes because we become more sedentary, but also because our body becomes less efficient and our hormones change. In women particularly, the distribution of fat changes during the menopause, meaning more fat can accumulate around the midsection.

Recovery expectations for surgical lower back fat removal

Liposuction recovery usually requires a week of time off work with a six-week break from strenuous exercise. In total, liposuction recovery will last around 12 weeks. 

A back lift may require between 1-2 weeks off work and six weeks abstaining from strenuous exercise. Full recovery from a back lift should take around six weeks.

How Long results may last

Liposuction results are permanent, as the fat cells that are removed will not return to the same area. However, the contouring effect of removing those fat cells can be lost if a healthy diet and regular cardiovascular exercises are not maintained. Likewise, the results of a back lift for lower back fat removal are permanent – its effects will remain visible as long as your BMI remains stable and serious weight gain does not occur.

Cost of lower back fat procedures

The cost of liposuction on lower back fat begins from £5,900 and varies depending on the size and number of areas you are treating. 360 Lipo – liposuction treating the full circumference of your lower abdomen – begins from £10,300.

The cost of fat transfer begins from £8,500.

A back lift to remove lower back fat begins from £9,900, and £13,500 if auto-augmentation surgery is included.

It is important to note that all procedures at the CREO Clinic are bespoke to your needs, which means a full cost breakdown will only be available after your initial consultation with Dr. Tillo. Should you wish to spread the cost of your lower back fat surgery over multiple instalments, our financing partner, Chrysalis Finance, offers an array of helpful financing options.

Talk with a Plastic Surgeon

Our experienced plastic surgeon Dr. Omar Tillo has performed many successful lower back fat removals and can help you understand which surgeries will benefit you the most and help you achieve the changes in the physique you desire.

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