Do I need a back lift? (Photo)

Thank you for your question regarding whether you need a back lift. Upon reviewing your information, it appears that you have excess skin and fat on your back, leading to two separate rolls - one beneath the bra strap and another above the waist.

Given your situation, the best results would likely be achieved with a back lift, specifically a torsoplasty. There are two types of back lifts: a horizontal back lift and a vertical back lift.

In a horizontal back lift, an incision is made across your back along the bra strap line. This would likely provide you with the best results. If you're concerned about the visibility of the scar, you might consider a vertical back lift, also known as a torsoplasty. In this procedure, an incision is made on the sides of your chest, running from your armpit down to the waist.

If you're uncomfortable with the idea of scars, liposuction might be an alternative option. However, in my professional opinion, a back lift would yield more permanent and dramatic results.

I hope this information helps clarify the best course of action for your situation.

Sincerely,
Dr. Katzen

The choice of procedure largely depends on your skin's elasticity. While liposuction effectively reduces fat in the area, it does not tighten the skin unless your skin has sufficient natural elasticity. That said, I believe liposuction alone will still yield a positive outcome for you. However, if your goal is to achieve a smooth back contour without any rolls, an upper back lift would provide significantly more skin tightening than liposuction alone. While scars from this procedure can vary, achieving a good scar outcome relies on meticulous fascial closure before closing the skin—this holds true for both the abdomen and the upper back.

The correct recommendation will depend on what your goals are for surgery. Liposuction will remove the excess fat but likely will not give you a smooth back with no folds. If you are wanting the excess skin addressed then you will need to consider a bra line lift. I encourage you to meet with a board certified plastic surgeon near you to learn more.