**Abstract**

The harmonious contour and movement of the dorsal human form--male and female, youthful through senescent--has been observed, critiqued, and physically and surgically sculpted throughout human existence with the goal of producing a more functional, balanced and beautiful body. This chapter will explore variations and pendulum swings of desirable/beautiful/athletic posterior contours and how the cosmetic units of the upper back, bra roll, axilla, waist, low back, upper buttocks, vertical and horizontal buttocks folds, lateral hips and banana rolls are both independent and interdependent. The evaluation of the topography of the posterior torso and buttocks, at rest and in movement, will be reviewed, Invasive and non-invasive technologies, utilized alone and bundled together for sculpting and refining optimal outcomes with reduced risks will be discussed. Improving the elasticity and tightness of the tissues and enveloping skin will be considered.

**Keywords:** Buttocks, waist, posterior torso, bra roll, liposuction, tissue tightening, cellulite
