What is the best treatment to get rid of the extra skin underneath the bra strap region after major weight loss?

Congratulations on your weight loss. Excess skin at the side of your chest (bra roll) can often be corrected along with an arm and breast lift, because those areas are usually all saggy after weight loss.There is really no way to modify either an arm lift or a breast lift to get rid of significant bra roll skin. The operations just aren't designed to do that. This requires a separate procedure, even though they all can be done at the same time.  I was unhappy with the traditional scar that crosses the back, so re-designed the operation to have less visible scars.I put a link below so you can see some results.

Extra skin cannot be removed by liposuction - only extra fat can be removed using lipo. The best way to remove extra skin is to cut it out. Hard to say without a photo whether or not an extended brachioplasty will work or if it can be removed through a breast lift procedure. Please consider re-posting your question with photos.Best wishes,Gary Horndeski M.D.

I love VASER hi def liposuction for this to contour and tighten skin, but often will do this surgery and then have my partner remove skin after if needed.  We call it a hi def arm/back contouring.  I suggest pictures and a formal consultation.  Best, Dr. Emer.

Thank you for your question and congrats on the weight loss.  To help contour the body after this amount of weight loss usually entails removing skin as liposuction does not tighten.  Examples include:1)  brachioplasty for the upper arms, 2)  upper back lift for the bra rolls in the back3)  tummy tuck for the abdominal region4)  thigh lift for the excess skin of the thighs5)  lower back lift to lift the buttocks and remove skin laxity of the lower back6)  breast lift/augmentation to restore fullness and shape the to the breastIt is usually too much to consider all these at once, so it is careful planning coupled with addressing your areas of greatest concern.  I would visit with a board certified plastic surgeon who can go over the individual procedures and develop a surgical plan for you. 

This is a very difficult area as scars on this region can be unsightly even with perfect technique.  Unless the skin excess is severe I suggest doing ultrasound or laser assisted liposuction first to remove fat and tighten the skin. If after this is done there is still too much skin then direct excision would be the next logical step provided the scar   consequences are acceptable.

I agree with the surgeons' opinion that direct excision of fat and skin, or an extended braichioplasty is suitable for extra skin under the bra roll. Good luck. Dr. B

Thank you for your question and congratulations on your weight loss. upper  body lift  can be done to deal with your problem. excessive weight loss will get you lots of Saggy skin around your body. body contouring is required in this type of cases. upper body lift is one of the body contouring technique to take care of extra skin .

It requires Back bra line lift and a straight line surgical scar hides right under your bra strap. Brachioplasy would not be able to address this concern. 

What you describe is most likely a combination of skin and subcutaneous fat. Liposuction will give limited results. If you are contemplating having a breast lift or breast reduction, then that would be the time to have this skin and fat removed. It will simply be a continuation of your breast reduction scar that will go on towards your back or however long needed to get rid of all the loose skin. The area can certainly be treated by itself. It may leave a significant scar, though if designed correctly, this scar can be taken up into the armpit. I don't think this is typically done as part of a brachioplasty.  Without a picture or an examination, it's hard to give you an accurate assessment. I suggest following up with one of your plastic surgeons.Best of luck,Mats Hagstrom, M.D.

Usually direct excision and closure is the best way to eliminate extra skin after massive weight loss.  Sometimes an extension into the arms will help the tightening of the skin. Please see a board certified plastic surgeon to evaluate you and to discuss your options.