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Lift for Sagging Back Skin?

I am pretty thin, never had any weight problem and never had any plastic surgery on my body. However, I have sagging skin on both sides of my middle back. I can even pull it up to under my arms. It is only skin without fat. Is there a type of lift for that? It really bothers me a lot. Thank you for your help.

Asked 35 months ago by sylphi in san clemente, California USA
Sort 25 expert answers by:
+2

Sagging upper back skin

The upper back skin has a tendency to sag following massive weight loss, but it can also sag with age in thin patients like yourself. There are lifts designed to improve upper back contour, but each type of lift involves a scar on your body. If you don't have much extra skin, the scar can be somewhat small. The upper back lift removes this extra skin while attempting to hide the scar within the bra line. There are different variations of this, and the pattern of... more
Anita Patel, MD
Beverly Hills Plastic Surgeon
+1

Excess skin on back

Thank you for your question. From your description, it sounds like a upper back lift could be an option for you. The best way to know for sure is to visit with an experiences plastic surgeon for advice. The tradeoff for this type of surgery would be the appearance of scars as a tradeoff for the better contour of the back and this should be something you are comfortable with. Best Wishes!
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Lifts for Excess Back Skin

There are a variety of approaches to deal with overhanging or excess skin of the back. "Zones of adherence" is a term for constricting bands where skin is attached to the underlyingh structures. Sometimes a release of tethering in these zones with a liposuction cannula can improve the appearance of skin excess. Lifts can be positioned in different ways to camaflauge scars, but the exact location would require planning with you to discuss your preferences... more
Mary Lee Peters, MD
Seattle Plastic Surgeon
+1

Lift for Sagging Back Skin

You sound like a perfect candidate for an upper back lift. The procedure was designed to accomplish exactly what you are asking about and is very effective. The scar is usually hidden in the back across the bra line. Obviously, you will need a consultation with a surgeon who is familar with this procedure who can guide you in your decision.
Paul Vitenas, Jr., MD
Houston Plastic Surgeon
+1

Upper body lfit

It sounds like you may be a candidate for an upper body lift that goes around the chest and back along the bra line.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Upper Body Lift

Your back laxity can be addressed with an upper body lift. This procedure produces significant results. I place my incision in the bra line across the back and remove the excess skin producing a contoured upper body. Be sure that you consult with an experienced board certified plastic surgeon that can show you before and after photos of this particular procedure. Dr. Bernard Shuster, Miami Florida
Bernard Shuster, MD
Hollywood Plastic Surgeon
+1

Sagging back skin requires surgical excision to tighten; nothing else works as well.

Of course, excess skin removal requires a scar for each side, so you must assess the degree and extent of skin laxity (sagging) to decide if a visible scar is worth the expense and choice to have this skin removed. Lasers (above or below the skin) don't give sufficient tightening to really recommend them, but they are always successful at lightening your wallet or purse! I have taught laser surgery for over two decades, so I do not say this lightly or without experience with these... more
Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
+1

Back skin removal or smartLipo

Taking out skin is often necessary but sometimes Smart Lipo actually does help skin to contract enough.
Josh Korman, MD
Monterey Plastic Surgeon
+1

May be encompassed by a buttock lift

Hello, Depending upon the tissue composition and location, a buttock lift or back lift (really an excision of skin plus or minus fat) would seem best suited for this area.   Best Regards, John Di Saia MD
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Body Lift

   If the problem is excess of skin, some kind of skin removal procedure need to be done.  The key is to planned well so the incision can be minimized  and the results be satisfactory to you.
Alejandro J. Quiroz, M.D.
Mexico Plastic Surgeon
+1

Body lifts, bra fat, back fat

This is a common area for patients to complain about. Exess skin can be removed along the bra line and back so that ii would be covered by most bras and swimwear. The scar is fairly long, but if positioned well, easily covered. Some patients deposit excess fat in this region, but have good quality skin. In that case, liposution alone can prove very beneficial. a board certified plastic surgeon with experience in body contouring will know which procedure is best for you.
Patti A. Flint, MD
Scottsdale Plastic Surgeon
+1

"Bra Line" lift for sagging back skin

Sylphi Although a picture would be beneficial, what you are describing would likely benefit from a 'bra line' lift, a procedure that removes excess unwanted skin on the back leaving behind a scar that should be located inline with your bra (so that when yo wear a bra it is not visible).  This surgery, however, is ideal for a patient who has lost a lot of weight and has a lot of loose skin.  If your skin excess is not that significant, you need to consider whether... more
Martin Jugenburg, MD
Toronto Plastic Surgeon
+1

Sagging back skin

There are several factors which must be considered prior to making a recommendation. Such factors include your health, type of scars you form (good quality or abnormally thick or discolored), age, etc. I would recommend a consultation with a Board Certified Plastic Surgeon. At that time your history would be reviewed and an examination performed to determine the options for your best results. If you are a good candidate for a lifting procedure, then based on you description, you... more
Andrew Lyos, MD
Houston Plastic Surgeon
+1

"Bra Strap" lift

There are a number procedures available to treat excess skin on upper body. You seem like an ideal candidate for a "bra strap" lift. The scar in this type of a procedure is hidden in a bra strap. Since there is different amount of tension, and different amount of excess skin above and below the bra strap, proper planning for this procedure is paramount. Discuss this with your surgeon, to make sure he has got this concept and experience to perform this procedure. more
Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
+1

Upper Body Lift

You will benefit form an upper body lift. There are two types: The bra-line upper body lift and the crescent upper body lift which is a newer procedure. If you have significant upper and middle back laxity, then the bra line upper boyd lift will serve you well.
Siamak Agha, MD, PhD
Orange County Plastic Surgeon
+1

Upper body lift for sagging back skin

The procedure that I've been utilizing for this correction is an upper body lift and involves the removal of the excess skin via an incision on the side of the chest area which, when combined with some liposuction, tightens the skin over the so-called bra area, chest and back. The incisions usually extend from just below the axillae down the side of the torso, beneath the hang of your arm. The scars can be significant, but will fade over time.
Deason Dunagan, MD
Huntsville Plastic Surgeon
+1

Management of excess skin on the back

Hi there- People who have lost a lot of weight will often experience the problem you describe. I would find a surgeon certified by The American Board of Plastic Surgery (being certified by THIS particular board is very important) and discuss your options with them. At its heart, your decision will involve a trade... you will need to be comfortable trading all of your excess skin for a smoother body contour, but with scars. If you need help finding a plastic surgeon you like and can trust,... more
Armando Soto, MD
Orlando Plastic Surgeon
+1

Removal of excess back skin

If you have sagging back skin, there is a surgical procedure to improve your contour. This involves a surgical incision (scar) which runs horizontally across your mid/upper back, usually concealed in the braline. Although this scar is by no means invisible, it is necessary in order to remove your excess skin and give you an improved contour.The skin on the back is quite thick, and can leave a dark or red colored scar, which may not fade as nicely as skin on other areas of the body. The... more
William Bruno, MD
Beverly Hills Plastic Surgeon
+1

Back Fat and Liposuction

The dermis of the back is very thick and thus these areas respond very well to energy adjunctive liposuction such as laser assisted liposuction or ultrasound assisted liposuction. This allows the skin to retract with minimal scarring.
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

An upper body lift gets rid of those bra rolls

What you describe is extra loose skin on the middle and upper back. The only way to reliably get rid of loose skin is to remove it surgically. Don't waste time or money on nonsurgical options for the type of problem you describe. An upper body lift will do the trick for you. You will be trading all that skin for a scar and an overall better contour. Be sure to see a surgeon who does a good number of body contouring procedures.
Carmen Kavali, MD
Atlanta Plastic Surgeon
+1

Removing excess skin leaves scars

To remove excess skin, the plastic surgeon must make scars. In patients with a lot of excess skin, the scars may be very worth it as the improvement in contour is so great. In patients with only a little excess skin, the scars may not be worth it as the improvement in contour is not that great. One suggestion is to have the plastic surgeon mark on you with a marking pen where the scars would be, and then "live" with these marks for a few days to see if you feel a similar scar... more
Susan E. Downey, MD
Los Angeles Plastic Surgeon
+1

Sagging back skin can be removed

This will require removal of the skin, leading to a scar. Consult with an experienced plastic surgeon with an interest in body contouring surgery (surgery done after weight loss). They will help you by showing you where the scars could lie. Good luck.
Sirish Maddali, MD
Portland Plastic Surgeon
+1

Upper back lift

Yes, this is an operation that is performed for both men and women following massive weight loss. It has been referred to as a posterior thoracoplasty or upper back lift. The pattern of skin incision varies depending on the pattern of laxity. In females, we generally attempt to conceal the scar beneath the bra strap. In men they tend to be more obliquely oriented like an upside down V. Scars on the back tend to be wide so attention to a layered repair is essential and limited activity to... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Upper body lift versus local excision or liposuction

An upper body lift refers to a procedure where the excess skin on the back is dissected and removed. The trade off is a scar on the back. This is usually well designed in the line of the bra. Smaller skin excess could be excised by a smaller procedure.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Excess skin can be removed

Excess skin can be excised at the expense of a scar to do it. Go to a plastic surgeon who has a special interest in treating patients after massive weight loss because that doctor will have the most options for scar placement available to you.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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