Back Lift or Laser Skin Tightening? (photo)

Question

I am 9 months post op from Lipo of back and waist (surgery was done in NY). The surgeon's portfolio showed great results for the same procedure n larger patients. The problem that I have now is excess skin in the bra area. it was recommended that I do a back lift. I want to have a sexy back not a skinny body with excess skin that looks like fat rolls. Please advise (photo included) if laser options would provide the contour sought. Also, provide quotes for your office.

Shahriar Mabourakh, MD, FACS · Answer

An upper back skin lift at the bra line would help improve the excess skin. But you will end up with a ling scar on you back at bra level. The procedure is reserved for people with severe weight loss with so much excess skin the the scar is acceptable.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding choosing between a back lift or laser skin tightening after liposuction on your back and waist. Given your history and existing conditions, I don't believe further liposuction or laser skin tightening, including J Plasma, will be beneficial. In my assessment, you are dealing with excess skin folds, which can only be addressed through a backlift or torsoplasty.

There are two main types of torsoplasty: vertical and horizontal. A vertical torsoplasty involves making an incision along your sides and removing an elliptical area of skin and fat, leaving a vertical scar. A horizontal torsoplasty involves an incision across your back and lifting the back upwards.

Based on your specific needs, I believe a vertical torsoplasty, sometimes called an 'hourglass tuck procedure,' would be the most beneficial. This procedure involves an incision around your waistline, allowing for a more tailored contour.

I hope this clarifies your options and provides insight into your situation's best course of action. Thank you again for your question regarding whether to proceed with a back lift, torsoplasty, or laser skin tightening after liposuction.

Sincerely,
Dr. Katzen

Kenneth Hughes, MD · Answer

Almost always this is additional fat that can be removed with liposuction, but you need an exam. Find the plastic surgeon with ELITE credentials who performs hundreds of liposuction procedures each year. Kenneth Hughes, MD Los Angeles, CA

Camille Cash, MD · Answer

An in person evaluation is the best way to determine if you have excess fat that would benefit from further liposuction or if the contour is from lax skin that would be addressed with a back lift.  This would remove the excess skin and smooth your back.  There will be an incision that will extend horizontally across the back near the bra line.  See a board certified plastic surgeon near you to learn more.

Matthew A. DelMauro, MD, FACS · Answer

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Based on your photos, upper back lift surgery (sometimes called a bra line back lift) may be a good option to improve the shape, contour, and overall appearance of your upper back, mid back, and waist. This surgery also helps improve the appearance of back rolls in those areas. If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Remus Repta, MD · Answer

Hello,

	Thank you for the photo.  A Bra Line Back Lift will eliminate the bra folds that you are showing in the photo.  In return you will have to accept an incision in the brassiere line.  The link below is from one of my patients before and after photos and shows a more significant amount of laxity and its correction at only 24 hours after surgery.  The final incision line will be concealed within her brassiere line.  Recovery from a bra line back lift is relatively straight forward.  There are no drains, sutures are dissolveable, and discomfort 1-2 out of 10.

	All the best,

	Dr Remus Repta

Aaron Stone, MD · Answer

It is impossible to tell from your posted photo if this is excess skin, excess fat or some combination of the two. There is no reliable non-surgical way to remove this amount of excess skin if it is excess skin. A frontal view would also be required in order to make any specific recommendations.
	
	Sufficient time has passed since your original surgery for you to undergo revision surgery and if it is mostly due to remaining excess fat your best/cheapest option is to have the original surgeon do more liposuction.
	
	I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
	
	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Steven Wallach, MD · Answer

Skin tightening lasers will not tighten your back enough to remove the rolls. A back lift if it is severely loose skin or further liposuction  may help, but an exam in person would be necessary.

Robert L. Kraft, MD, FACS · Answer

Laser will not correct this. You do not need a lift. Perhaps som lipo would be beneficial bur this can only be determined after a consultation.

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