Age 39, I've had a lower body lift and think I need upper body now? What treatment would you recommend? (photos)

Thank you for your question regarding what to do for upper body after a previous lower body lift. In regards to your back, you need a torsoplasty. There are two types of torsoplasties: horizontal and vertical. A horizontal torsoplasty is also called a bra-strap lift or bra-plasty. During a horizontal torsoplasty, an incision is made across your back in your bra-strap line. This gives the best type of back lift and back reduction for your case. The downside, however, is that there is a scar that goes across your back. The incision may be quite visible if not covered or concealed by appropriate clothing. The benefit is a substantial improvement of the back with elimination of back skin and fat rolls. An alternative is a vertical torsoplasty with an incision from the armpit to down the side of your chest. The advantage of this vertical torsoplasty is that the incision is hidden when your arms are by your side. The disadvantage is that the lift is not as significant as the horizontal torsoplasty. Either way, both of these procedures can be combined with a breast lift or mastopexy. During the procedure, the back is done first and then the breast. Please seek an experienced board-certified plastic surgeon who has performed many back-lifts or torsoplasties.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

I deal with most issues like this with aggressive liposuction and heating of the tissue with InMode to get focal tightening. You'll likely need to be flipped over during surgery so in our practice, we charge appropriately as this definitely adds time and requires expertise to get it done efficiently and safely. Any additional body contouring, such as lipo 360 can really give the body amazing contours after prior procedures like a bodylift. Best Wishes!!

It's difficult to tell from the photo if a back lift is needed. You may be a better candidate for liposuction with J Plasma for tightening. An exam with a board certified plastic surgeon should lead you in the right direction.