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?
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.
Helpful 3 people found this helpful
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.
Helpful 3 people 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
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
