You don't need loopback aliases for > 64k sockets. You can have 64k connections to your server per ip address that connects.
EDIT: Formatting
EDIT: Formatting
(incoming ip, outgoing ip, standard port, ephemeral port)
So yes, you're limited to 64k connections to a single MySQL port, for example.
My current project makes 4 outbound requests for some pretty common pages. That'd limit me to ~15k simultaneous page creations, which even at 250ms response times (I'm aiming for under 50ms) implies a limit of ~60,000 page views per second. (or 240,000 page views per second at my target 50ms page render time). If my app is getting 5billion pages views a day, I don't think I'm going to be worried about limits of shared paas hosting...