Lift for Sagging Back Skin?

It sounds like you have mostly excess skin and not too much fat. Because there is not much fat, I would not suggest liposuction. Since you mentioned excess skin, therefore, a skin excision needs to be done. There are two types of back lifts  that I would suggest. One incision follows a bra strap line. Usually, this  incision can be hidden under a one-piece bathing suit or even a dress with a very low cut back. The incision is placed horizontally across  the back Typically, you would bring a bra or the top of your bikini to the preop consultation for your board-certified plastic surgeon would determine where the incision and resulting scar should be placed. The scar usually fades very well with time. Another incision pattern that can be made is a vertical backlift or vertical torsoplasty. This surgery is performed by making an incision from the armpits to the lower bra strap line. If you have love handles or excess of skin on the lower back, the incision can be extended from the armpit to the hipbone. This scar also fades over time. The benefit of this pattern of incision and resulting scar is that when your arms are down by your sides, the  scar is hidden. Also, this incision would avoid entirely a scar across your back. Good luck with your surgery. Please find a board-certified plastic surgeon with a significant amount of experience in upper body lifts and back lifts. Good luck. Sincerely, Dr. Katzen

Thank you for sharing your excellent question.  Patients with complaints similar to yours find a bra-line back lift to be very effective in treating mid-back skin excess.  This back lift hides the incision along where you would normally wear a bra or swimsuit and as a result patients find the improvement in shape and contour to be worthwhile.  Hope this helps.

Although it's difficult to formulate a treatment plan without a physical examination or pictures, your history suggests that your loose skin primarily involves your upper back. Under these circumstances, a Bra Line Back Lift might provide an excellent result. This procedure is designed to place the incision in the bra strap area. The procedure removes excess skin and lifts the back skin in an upward direction.If you're considering treatment of this condition, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to perform an evaluation and formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

The only way to correct sagging back skin is to do a
semi-circular back lift which will obviously leave you with scars, but will
improve shape and contour.

You sound like a perfect candidate for an upper back lift. The procedure was designed to accomplish exactly what you are asking about and is very effective. The scar is usually hidden in the back across the bra line. Obviously, you will need a consultation with a surgeon who is familar with this procedure who can guide you in your decision.