I have had several consults with ps and all have different opinions on how to get the best contouring of my back which will go along with an extended tt. Some say other lipo is needed others have said that the rolls are loose skin and will need to be removed. What would you recommend?
Answer: Back Rolls, Back Fat, Festoons - How Do I Get Rid Of Them? The rolls on your back are mainly fat covered by thick skin, and separated by thick membranes. If suctioned correctly, the rolls or festoons disappear leaving no loose skin needing resection.There is a specific technique for removing these rolls of fat on your back. Multiple midline incisions will allow your surgeon to liposuction each roll separately. Then turning the canula (the tube that suctions out the fat) in a diagonal direction will allow your surgeon to pierce the membranes between each roll. This allows the skin of each roll to flow into each other, therefore removing the possibility of loose hanging skin. Once the festoons are suctioned out and the membrane between each is fenestrated (the strength of the membranes is broken up), then this will allow the backside of a lower body lift to tighten your back and obviate the need for an upper body lift. The backside of the lower body lift will pull any loose skin on your buttocks and lateral thighs, and dovetail into the abdominoplasty incision lines, giving you a smooth, circumferential pulling of the tissue, both upward and downward, at the same time.Therefore, it is my opinion, based on years of experience at the Mommy Makeover Institute of Hawaii, that your best result would be a combination of a unique liposuction technique plus a lower body lift.
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Answer: Back Rolls, Back Fat, Festoons - How Do I Get Rid Of Them? The rolls on your back are mainly fat covered by thick skin, and separated by thick membranes. If suctioned correctly, the rolls or festoons disappear leaving no loose skin needing resection.There is a specific technique for removing these rolls of fat on your back. Multiple midline incisions will allow your surgeon to liposuction each roll separately. Then turning the canula (the tube that suctions out the fat) in a diagonal direction will allow your surgeon to pierce the membranes between each roll. This allows the skin of each roll to flow into each other, therefore removing the possibility of loose hanging skin. Once the festoons are suctioned out and the membrane between each is fenestrated (the strength of the membranes is broken up), then this will allow the backside of a lower body lift to tighten your back and obviate the need for an upper body lift. The backside of the lower body lift will pull any loose skin on your buttocks and lateral thighs, and dovetail into the abdominoplasty incision lines, giving you a smooth, circumferential pulling of the tissue, both upward and downward, at the same time.Therefore, it is my opinion, based on years of experience at the Mommy Makeover Institute of Hawaii, that your best result would be a combination of a unique liposuction technique plus a lower body lift.
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Answer: Staging Lower And Upper Back Lift Surgery Massive weight loss can impact almost any area of the body. When weight loss is severe, the upper back and lower back may both develop loose saggy skin. Your pictures demonstrate multiple rolls of fat and skin that involve both the upper and lower back. When this situation arises, a variety of treatment options are available. The choice of procedure will depend upon your anatomic findings and aesthetic goals.In this particular case, I feel it's appropriate to perform staged procedures to correct this problem. I would recommend a lower body lift as an initial maneuver. This procedure circumferentially removes excess skin and fat from the lower abdomen and back. It simultaneously lifts the buttocks and lateral thighs in an upward direction.Once recovered from this procedure, it would be appropriate to perform a bra line back lift. This procedure removes redundant upper back tissue and hides the scar beneath the bra strap area. It can be extended anteriorly and combined with a breast reduction procedure to optimize the result. All of these procedures are associated with excellent clinical results and high levels of patient satisfaction.If you're considering massive weight loss surgery, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic deformity and achieves your aesthetic goals.
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Answer: Staging Lower And Upper Back Lift Surgery Massive weight loss can impact almost any area of the body. When weight loss is severe, the upper back and lower back may both develop loose saggy skin. Your pictures demonstrate multiple rolls of fat and skin that involve both the upper and lower back. When this situation arises, a variety of treatment options are available. The choice of procedure will depend upon your anatomic findings and aesthetic goals.In this particular case, I feel it's appropriate to perform staged procedures to correct this problem. I would recommend a lower body lift as an initial maneuver. This procedure circumferentially removes excess skin and fat from the lower abdomen and back. It simultaneously lifts the buttocks and lateral thighs in an upward direction.Once recovered from this procedure, it would be appropriate to perform a bra line back lift. This procedure removes redundant upper back tissue and hides the scar beneath the bra strap area. It can be extended anteriorly and combined with a breast reduction procedure to optimize the result. All of these procedures are associated with excellent clinical results and high levels of patient satisfaction.If you're considering massive weight loss surgery, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic deformity and achieves your aesthetic goals.
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February 27, 2014
Answer: Upper Body Lift Thank you for your question and including several pictures.It appears that you would benefit from an upper body lift -- breast lift, arm lift and excision/closure of bra and back rolls.
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February 27, 2014
Answer: Upper Body Lift Thank you for your question and including several pictures.It appears that you would benefit from an upper body lift -- breast lift, arm lift and excision/closure of bra and back rolls.
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February 12, 2014
Answer: 360 lower body lift circumferential body lift upper body lift liposuction massive weight loss Based on your history and pictures, I would suggest an upper body lift. A 360 lower bodylift or circumferential lower body lift will not address your upper back rolls. The front portion of the 360 lower bodylift pulls the abdomen down. The back portion of the 360 lower bodylift pulls the buttocks up. The back portion of the 360 lower body lift does not pull the upper back down.Due to the significant amount of skin and fat rolls in your upper back, liposuction is not a good option. Liposuction will just result in a significant amount of sagging skin.Thus, the only way to address your upper back skin and fat rolls is with an upper body lift. There are two ways the upper bodylift can be performed. One is with an incision that goes across your back and follows your bra strap line. Another technique is to make an incision from the armpit to the hip; this scar is better concealed, but may not give you as good a result as the horizontal upper bodylift. I would suggest you undergo the upper bodylift with a horizontal incision. However, I would suggest you have the lower bodylift done before the upper bodylift. Good luck.
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February 12, 2014
Answer: 360 lower body lift circumferential body lift upper body lift liposuction massive weight loss Based on your history and pictures, I would suggest an upper body lift. A 360 lower bodylift or circumferential lower body lift will not address your upper back rolls. The front portion of the 360 lower bodylift pulls the abdomen down. The back portion of the 360 lower bodylift pulls the buttocks up. The back portion of the 360 lower body lift does not pull the upper back down.Due to the significant amount of skin and fat rolls in your upper back, liposuction is not a good option. Liposuction will just result in a significant amount of sagging skin.Thus, the only way to address your upper back skin and fat rolls is with an upper body lift. There are two ways the upper bodylift can be performed. One is with an incision that goes across your back and follows your bra strap line. Another technique is to make an incision from the armpit to the hip; this scar is better concealed, but may not give you as good a result as the horizontal upper bodylift. I would suggest you undergo the upper bodylift with a horizontal incision. However, I would suggest you have the lower bodylift done before the upper bodylift. Good luck.
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July 8, 2016
Answer: After weight loos surgery First of all I have to congratulate you for the decision of loosing weight!!!Your back rolls represent two different conditions: some fat and flaccid skin. If we remove only fat, the saggy skin will remain. If we only remove skin fat will remain.So my opinion is to fix both issues: I would recommend to do a thorough liposuction to your upper and lower back and then do a back lift (bra-line incision)You have to know that the skin attachments on the back have an upward position, that means that back skin can not be pulled down, that skin can only be pulled up to fix the back rolls.Your abdomen will need a Lower body lift (circumferential Tummy Tuck) in order to get rid of the saggy skin on your abdomen and sides (pull the skin down) and lift your butt area (pull it up).I do not recommend to do all in one single procedure for safety reasons.Be encouraged. You started a wonderful journey, you will be loving you results!!Dr. Cardenas
Helpful 1 person found this helpful
July 8, 2016
Answer: After weight loos surgery First of all I have to congratulate you for the decision of loosing weight!!!Your back rolls represent two different conditions: some fat and flaccid skin. If we remove only fat, the saggy skin will remain. If we only remove skin fat will remain.So my opinion is to fix both issues: I would recommend to do a thorough liposuction to your upper and lower back and then do a back lift (bra-line incision)You have to know that the skin attachments on the back have an upward position, that means that back skin can not be pulled down, that skin can only be pulled up to fix the back rolls.Your abdomen will need a Lower body lift (circumferential Tummy Tuck) in order to get rid of the saggy skin on your abdomen and sides (pull the skin down) and lift your butt area (pull it up).I do not recommend to do all in one single procedure for safety reasons.Be encouraged. You started a wonderful journey, you will be loving you results!!Dr. Cardenas
Helpful 1 person found this helpful
