Aggressive lipo or Bra line lift? (Photo)

The surgery that would definitely benefit you the most is a torsoplasty also known as upper back lift! this will help successfully remove all the excess skin and it will also help the waist area, it will help contour and create a smoother and more toned silhouette it also enhances the back profile, otherwise, just with Liposuction skin won’t fully retract and you will still be left behind with loose skin.

Thank you for your query. While you do have some fat in the middle and upper part of your back, the loose skin appears to be a bigger issue. A bra line lift will be more appropriate for you. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Hello, and thank you for requesting whether you should have aggressive lipo or a bra line lift. Thank you for your history and your picture. Most experienced board-certified plastic surgeons would recommend that you undergo aggressive back liposuction. The back fat is sometimes difficult to remove and is hidden underneath significant tight connective tissue. Therefore, most plastic surgeons use the VASER liposuction technique to get superior results with back liposuction. Most plastic surgeons would suggest you undergo VASER back liposuction. The bra line lift is also called a horizontal torsoplasty or an upper body lift. This is an excellent procedure; however, it leaves a visible scar across your back. Therefore, go with VASER back lipo; I think you will be happy. Good luck. I hope I've answered your question, whether you should have aggressive lipo or a brow lift.
Please get in touch with a specialist if you have any more questions regarding horizontal torsoplasty, bra straplasty, or bra-plasty. Since the horizontal torsoplasty, bra straplasty, or bra-plasty, is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the horizontal torsoplasty. Do your research. Ensure they have performed many horizontal torsoplasty surgeries and have the before-and-after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, horizontal torsoplasty, bra straplasty, or bra-plasty plastic surgeon in your neighborhood, consider traveling out of state if you must.
Sincerely, Dr. Katzen. (Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Liposuction only removes fat. You have excess skin and the skin will hang even more so after liposuction. You will need a bra line lift. However, I usually do this on patients who have had a breast lift. You have not shown us your breasts but it is possible that you would benefit from a breast lift using The Bellesoma Method. Your lower fat may be corrected by a posterior continuation of a tummy tuck or a back lift.

Best Wishes,

Gary Horndeski, M.D.

From the photo submitted the main issue appears to be skin laxity with some excess fat. The best option in those cases is a bra line lift. Liposuction alone may leave you with more loose hanging skin. The lift will leave a scar but will give you the best contour. See a board certified plastic surgeon to learn more.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and personalized plan please consult with your plastic surgeon in person.
It is hard to weigh in based on the limited photos provided , but you are young and unless you went through massive weight loss or if you have issues with connective tissue disease usually the back skin contracts well with liposuction especially if coupled with an energy device like renuvion or body tight .
I hope this helps, best of luck!