Dr. Eric S. Schaffer is a board-certified plastic surgeon who is frequently named among the best in Texas and nationwide. Known for his one-on-one approach, Dr. Schaffer personally guides patients through every step, ensuring natural-looking results and a supportive, comfortable experience.
What Causes Back Rolls?
Back rolls usually develop for a few reasons, often working together:
Skin laxity (loss of elasticity). With time, skin produces less collagen and elastin, making it less able to “snap back.” This can lead to creasing and folding, especially in areas where skin is thinner or frequently compressed by clothing.
Weight fluctuations. Gaining and losing weight stretches the skin over time. Even after reaching a healthy weight, excess or loosened skin may remain, creating rolls that don’t improve with exercise.
Genetics and body structure. Some people naturally store more fat in the back and flank area, or have a body shape that makes folds more noticeable, especially when bending or twisting.
Hormones and lifestyle factors. Hormonal shifts, smoking, sun damage, and poor hydration can weaken skin quality, making rolls more prominent.
Why Exercise Doesn’t Always Fix Back Rolls
Strength training can improve muscle tone under the skin, but it can’t remove loose skin or fully reshape stubborn fat pockets. If back rolls are driven mainly by lax skin, especially after significant weight loss, workouts alone may not deliver the smooth contour you want.
How a Back Lift Helps
A back lift removes excess skin and tightens underlying tissues, creating a smoother, more contoured back profile. Depending on your anatomy and goals, your surgeon may recommend:
- Upper back (bra-line) lift: Targets rolls near the bra strap area and upper back.
- Lower back lift: Improves laxity around the waistline and can enhance overall torso definition.
- Back lift + liposuction: Liposuction may be added to refine contour when localized fat contributes to the rolls.
Say Bye to Back Rolls with a Back Lift in San Antonio, TX
The best way to know what will help is to call 210-227-3223 to schedule a consultation. Dr. Schaffer can determine whether your back rolls are mostly due to skin laxity, fat, or both, and build a plan that fits your body and your goals.