Liposuction is still the best surgical method used for fat removal today. However, patients who are candidates for a back tuck are dealing with loose skin, not excess fat. Liposuction cannot remove loose skin, only a skin removal process like a back lift will achieve this. A back tuck at Cosmetic Surgery Associates of Texas is the best way to attain a sculpted, toned back for patients with saggy skin by the bra line.