back looks like close to what it did before - do I need another round of lipo? (Photos)

Question

Lipo 360 in May 2023. Wore faja & foams religiously &had massages. I wanted my bra fat, waist fat, and flank fat gone the most. Up until Sept 2023, my back looked great with and without clothes but around then I started feeling what felt like bulges in the area again. I waited until swelling is supposed to fully go down & my back looks like close to what it did before lipo. The bulges look worse with a bra on. Also, I'm prone to keloids and don't want to risk it with a back lift

Camille Cash, MD · Answer

You may have some improvement with liposuction and J Plasma to tighten the skin.  To best address skin laxity you would need to consider a bra line lift, but this would result in a scar across the back.  I encourage you to visit with a board certified plastic surgeon to further discuss your options.

Daniel Barrett, MD · Answer

Dear Bright834458,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

John Reilly, MD, FACS · Answer

Hello,
I'm sorry you haven't found satisfaction with your procedures.

The area beneath the bra strap and slightly below it is a skin problem not a fat problem. 
Liposuction can help reduce some of the fullness and I have had patients who responded to a special technique of releasing that deep crease and flattening of the skin. If liposuction was not effective then a skin excision is required to flatten the area and will give you  reliable results. There is no ability to completely prevent keloids but the scar can be treated with available modalities if a keloid starts to develop. Best of luck

Gerald Minniti, MD, FACS · Answer

Very common complaint. Another round of lipo might make the smallest of differences, with you going through the same rollercoaster of happiness then disappointment. There are no skin tightening devices that will help. The cold hard truth is you need a posterior upper body lift, that will leave a transverse scar across your back at the bra line.

Connie Hiers, MD, FACS · Answer

You appear to have residual loose skin and Renuvion in that area could be very helpful an examination is needed to see if additional liposuction would be helpful or if it is just excess skin.

back looks like close to what it did before - do I need another round of lipo? (Photos)

Answers (8)

Answer: It's mostly skin

Answer: It's mostly skin

Answer: Back

Answer: Back

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back looks like close to what it did before - do I need another round of lipo? (Photos)

Answers (8)

Answer: It's mostly skin

Answer: It's mostly skin

Answer: Back

Answer: Back

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Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.