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.)