We spend a significant amount of time focused on facial and body rejuvenation, but an often overlooked area is our back. Both women and men alike often search for solutions to remedy concerns like back acne, pinches of unwanted fat, and loose skin under the arms and along the midback. Today we're reviewing skin treatments designed to improve every aspect of your back's appearance and contour.

Back acne, or "backne," can leave behind scars that are a source of self-consciousness for many. Uneven skin pigment, acne scarring, and pitting can limit clothing options and cause many to shrink away from baring their back. We've curated several treatments designed improve the skin's texture and appearance at the back.


1. HydraFacial for the Back: HydraFacial is a popular treatment that combines cleansing, exfoliation, extraction, and hydration, all in one procedure. For the back, this treatment can remove impurities and dead skin cells from the outer layers of skin, reduce breakouts, and provide deep hydration to improve skin texture and tone. Over time and with repeated treatments, patients will notice a reduction in post-inflammatory hyperpigmentation (brown spots) and age spots caused by acne and smoother, more even-toned skin.

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2. Fractionated Lasers: Fractional laser treatments, such as Fraxel can be used to improve texture irregularities caused by acne. Fractional skin rejuvenation treatments create micro-injuries in the dermis layer of the skin to stimulate collagen production and skin renewal. A series of fractionated treatments helps reduce the appearance of acne scars on the back, promoting smoother and more even-toned skin.

3. Microneedling: This minimally invasive procedure involves using fine needles to create tiny channels in the skin that triggers the body's natural healing process and collagen growth. After several treatments, microneedling effectively reduces the appearance of acne scars while improving overall skin texture and radiance.

It can be challenging to select the right treatment for you. We recommend starting with a complimentary consultation with Dr. John Burns or Laura Stelk, C-NP, to assess your back for a customized treatment plan.

Effectively Battling Back Fat

Back fat, especially around the bra line, can be a persistent problem that is difficult to address with diet and exercise alone. This area can be particularly troublesome because the fat is often resistant to traditional weight loss methods.

1. VASER Ultrasound-Assisted Liposuction: VASER (Vibration Amplification of Sound Energy at Resonance) is an advanced ultrasound technology that targets and breaks down fat cells, making them easier to remove. This procedure removes unwanted fat and tightens the skin, providing a smoother and more contoured back.

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Loose skin on the back is often caused by aging, significant weight loss, or genetic factors. Several treatments can help tighten and improve the appearance of loose skin.

1. BodyTite (Radio Frequency Assisted Lipolysis - RFAL): BodyTite is a minimally invasive procedure that uses radiofrequency energy to melt fat while simultaneously tightening skin. The procedure promotes collagen production, which enhances skin firmness and elasticity. It’s ideal for moderate skin laxity and fat reduction in the back area.

2. Bra Line Back Lift: Some patients with significant skin laxity after massive weight loss require surgical intervention. In cases like these, a bra line back lift is a viable solution. This surgical procedure removes excess skin and fat along the upper back, resulting in a more toned and smooth appearance. It involves a horizontal incision along the bra line that clothing can easily conceal.