Hi, I had multiple liposuction on my back resulting in having the unpleasant look and feel , I also had skin tightening procedures in attempt to tighten my back skin up but it didn't work. Do I need a back lift surgery in your opinion to fix it? Is it sever to get a long cut or "wing cut/scar" will do? Or it can be fixed with another lipo? Thank you!
October 12, 2023
Answer: Back lift surgery to fix prior back lipo Liposuction or back lift horizontal torsoplasty back skin rolls back fat lipo Dear N33_in Miami. Thank you for your question regarding whether you need a back lift surgery to fix prior back lipo. Thank you for your history and your pictures. Upper back excess skin is not uncommon after back lipo. It is even more common if you’ve had multiple liposuction sessions to your upper back. Now you’re left with excess upper back skin. The only way to get rid of excess upper back skin is with an excision of the upper back skin. This procedure is called a torsoplasty. There are several variations of the torsoplasty, including, the horizontal torsoplasty and the vertical torsoplasty. The horizontal torsoplasty has several other names including the bra-plasty and the bra strap-plasty. During a horizontal torsoplasty, an incision is made across the center of your back. Ideally, the incision is horizontal and hidden under your bra-strap postoperatively. During a horizontal torsoplasty, a large amount of upper back skin in the shape of a butterfly is removed. A vertical torsoplasty is different from a horizontal torsoplasty. During the vertical torsoplasty, a large elliptical area of skin and fat is removed from your sides. During the vertical torsoplasty, an incision is made from your armpit down to the hip region. A vertical torsoplasty is also called an hour-glassing procedure because it can significantly bring in your waist, especially when the incision is carried to the hip. The advantage of the horizontal torsoplasty is that a significant amount of upper back skin can be removed; more upper back skin can be removed with a horizontal torsoplasty than a vertical torsoplasty. Also, with the horizontal torsoplasty, you can hide your back lift scar under a bra strap. However, if you wear a low back dress without a bra, the horizontal scar may be visible. In that case, you may consider opting for the vertical torsoplasty where the scars are hidden by your sides. I would definitely not do the “wing cut/scar “. The "wing cut/scar" may seem easy and reasonable to perform. However, finding clothes to conceal the back scar is very difficult. If you wear a low-cut dress or even a one piece bathing suit, that "wing cut/scar" scar will be seen from the top. Therefore, most plastic surgeons do not perform the "wing cut/scar", and either perform the horizontal or vertical torsoplasty. Whether you undergo a vertical or horizontal torsoplasty, plan on a 2 to 3 week recovery. Both horizontal and vertical torsoplasties are performed under general anesthesia and are considered outpatient surgeries. Thank you for your question regarding whether you need a back lift after multiple liposuctions to your back. I hope that answers your question regarding how to fix your back after multiple liposuctions. Good luck with your back lift surgery. Sincerely Dr. J.T. Katzen.
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October 12, 2023
Answer: Back lift surgery to fix prior back lipo Liposuction or back lift horizontal torsoplasty back skin rolls back fat lipo Dear N33_in Miami. Thank you for your question regarding whether you need a back lift surgery to fix prior back lipo. Thank you for your history and your pictures. Upper back excess skin is not uncommon after back lipo. It is even more common if you’ve had multiple liposuction sessions to your upper back. Now you’re left with excess upper back skin. The only way to get rid of excess upper back skin is with an excision of the upper back skin. This procedure is called a torsoplasty. There are several variations of the torsoplasty, including, the horizontal torsoplasty and the vertical torsoplasty. The horizontal torsoplasty has several other names including the bra-plasty and the bra strap-plasty. During a horizontal torsoplasty, an incision is made across the center of your back. Ideally, the incision is horizontal and hidden under your bra-strap postoperatively. During a horizontal torsoplasty, a large amount of upper back skin in the shape of a butterfly is removed. A vertical torsoplasty is different from a horizontal torsoplasty. During the vertical torsoplasty, a large elliptical area of skin and fat is removed from your sides. During the vertical torsoplasty, an incision is made from your armpit down to the hip region. A vertical torsoplasty is also called an hour-glassing procedure because it can significantly bring in your waist, especially when the incision is carried to the hip. The advantage of the horizontal torsoplasty is that a significant amount of upper back skin can be removed; more upper back skin can be removed with a horizontal torsoplasty than a vertical torsoplasty. Also, with the horizontal torsoplasty, you can hide your back lift scar under a bra strap. However, if you wear a low back dress without a bra, the horizontal scar may be visible. In that case, you may consider opting for the vertical torsoplasty where the scars are hidden by your sides. I would definitely not do the “wing cut/scar “. The "wing cut/scar" may seem easy and reasonable to perform. However, finding clothes to conceal the back scar is very difficult. If you wear a low-cut dress or even a one piece bathing suit, that "wing cut/scar" scar will be seen from the top. Therefore, most plastic surgeons do not perform the "wing cut/scar", and either perform the horizontal or vertical torsoplasty. Whether you undergo a vertical or horizontal torsoplasty, plan on a 2 to 3 week recovery. Both horizontal and vertical torsoplasties are performed under general anesthesia and are considered outpatient surgeries. Thank you for your question regarding whether you need a back lift after multiple liposuctions to your back. I hope that answers your question regarding how to fix your back after multiple liposuctions. Good luck with your back lift surgery. Sincerely Dr. J.T. Katzen.
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October 2, 2023
Answer: Bra line lift From your submitted photos a bra line lift is recommended to address the excess skin. The scar will be a horizontal line approximately located where your bra line goes so that it can easily hidden. See a board certified plastic surgeon near you to learn more.
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October 2, 2023
Answer: Bra line lift From your submitted photos a bra line lift is recommended to address the excess skin. The scar will be a horizontal line approximately located where your bra line goes so that it can easily hidden. See a board certified plastic surgeon near you to learn more.
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