How to Reduce Lower Back (Flanks) Fat

The body’s ‘flanks’ refer to the areas of fat on the lower back, particularly the the fatty deposits on either side of the spine that often create a spill-over effect. For those interested in how to get rid of flanks and exercise doesn’t seem to be working, there are multiple body contouring procedures that may treat this condition.

SculpSure Treatment to Get Rid of Flanks

Procedure Overview

SculpSure is an FDA approved1, non-invasive body contouring treatment that has shown to be extremely effective in reducing the fat in the lower back (flank) area. Each treatment can reduce up to 24% of the fat in the flank area2.

It is harder to predict just how much fat reduction patients will see, because the procedure relies on the patient’s body to process and eliminate the disrupted fat cells.


WIFH recommends at least two treatments of SculpSure for optimal results. Patients typically begin seeing a change around 8 weeks post treatment. However, it can take 12 to 14 weeks to see final results. Patients can have a second treatment as early at 8 weeks following the first treatment, although some like to wait 10 weeks in between treatments to provide their bodies enough time to process the fat cells damaged by the first procedure before they inundate their bodies with more fat to process and expel.

Smartlipo to Get Rid of Flanks

Procedure Overview

Smartlipo is laser assisted liposuction. It is a minimally invasive surgical procedure. Smartlipo is much different from traditional liposuction. Smartlipo is done under local anesthesia, meaning the patient is awake and aware during the entire procedure. The area is thoroughly numbed by infusing a numbing solution of lidocaine, epinephrine and bi-carb.

Because the instruments are so small, only tiny punctures need to be placed in the skin. For the flanks, a small incision will be placed just below the rear pant line on both the right and left side. Through these openings the thin cannula housing a laser fiber will be inserted. The laser melts and liquifies the fat cells while delivering heat energy to the skin tissue to tighten it3. Once the fat is melted, aspiration (or suction) is applied and the fatty fluid is removed from the flank area.


Recovery is relatively quick for this procedure, with patients up and moving the same day. Patients will experience soreness, but the soreness should not interfere with normal activity. Patients are required to wear a compression garment for 3 weeks post treatment, and are told to expect swelling. The swelling will dissipate over the course of several weeks, with patients seeing initial results at 4-weeks and final results around 6 months.

Call or visit WIFH today for a free consultation to discuss the body contouring procedure that is best for you.

1. Stevenson, Jennifer. “Re: K17111.” Department of Health & Human Services, Food and Drug Administration. 13 June 2017. Letter.
2. Decorato, J. W., Chen, B., & Sierra, R. (2017). Subcutaneous adipose tissue response to a non-invasive hyperthermic treatment using a 1060 nm laser. Lasers in Surgery and Medicine, 49(5), 480-489.
3. DiBernardo, B., Reyes, J., (2009). Preliminary Report: Evaluation of Skin Tightening After Laser-Assisted Liposuction. Aesthetic Surgery Journal, Volume 29, Issue 5, September 2009, Pages 400–407, https://doi.org/10.1016/j.asj.2009.08.006 https://academic.oup.com/asj/article/29/5/400/199808

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