A method of fabricating a semiconductor device includes forming a buried insulation region within a substrate by processing the substrate using etching and deposition processes. A semiconductor layer is formed over the buried insulation region at a first side of the substrate. Device regions are formed in the semiconductor layer. The substrate is thinned from a second side of the substrate to expose the buried insulation region. The buried insulation region is selectively removed to expose a bottom surface of the substrate. A conductive region is formed under the bottom surface of the substrate.