Lower back lipoedema features abnormal fat accumulation in the lumbar region, often forming horizontal rolls or muffin-top-like bulges that extend from the mid-back toward the hips, leading to localised pain, easy haematomas and a sensation of tightness or coldness in the tissue. This fat resists reduction and can exacerbate back strain.

Water-assisted liposuction addresses it effectively by infusing tumescent solution first to provide anaesthesia and vasoconstriction, then using a specialised cannula to deliver a fan-shaped water jet that loosens fat cells with minimal disruption to surrounding structures. This lymphatic-sparing technique is crucial in the back to prevent fluid accumulation or prolonged swelling. Mr Vasu Karri performs the procedure with attention to even extraction, creating a smoother transition from mid-back to buttocks and avoiding contour irregularities.

Volume reduction in this area often improves posture, reduces pressure on the spine and eases discomfort during prolonged sitting or standing. Supportive compression and manual lymphatic drainage before and after help achieve the best possible outcome.

The benefits of this procedure include:

• Targeted removal of lower back fat rolls for a flatter lumbar area
• Decreased lower back pain, tenderness and bruising frequency
• Reduced heaviness and improved comfort when sitting or leaning
• Smoother back contours and better clothing fit
• Enhanced posture and reduced strain in the lumbar region