Planning next round of body contouring after 150+lbs weight loss (gastric sleeve in 1/2017). I have consults scheduled with 3 board certified plastic surgeons. I am very happy with most of the results of my LBL with Fleur-de-Lis, including the width of my upper hips,. I feel like my saddlebags are too low, so will plan for lipo and lift of those later. But for now, I am considering lipo of my lower back. What will be the best procedure to eliminate that fold that is above my butt crack?
December 31, 2024
Answer: Eliminating skin creases many years ago when I was a resident I was working with a very talented but perhaps the most arrogant surgeon I have met to date. He specializes in nose jobs in orange county. He said something I will never forget. Actually he said a lot of things I'll never forget but one of them was only God can create creases. He said never make surgical incisions directly in the crease. Go to the side of it. He was absolutely right. The midline crease on your back is complex. It's a combination of skin and connective tissue that formed many years ago in utero when your body was the size of a giant shrimp. The body develops as two halves that seal it in the midline early during embryology. For some people the two sides don't seal together completely leading to things like cleft lips and spina bifida( failure for the skin to fuse leaving the spine exposed). Your body is unique in that this crease continues from your gluteal crease all the way up your back. It could've been addressed to some degree when you had your wraparound tummy tuck. Fleur-de-lis... by sewing the away from the midline on the back. Still, with the amount of skin laxity you have I don't think it would have eliminated the crease. The only way to make it go away is to cut it out and exchange it for a scar. You could put Z-plasty's in this car so it doesn't look like a straight line. Some people hate scars some people don't mind them it just depends on how important this is for you. There's no easy simple way to fix it I can assure you of that. In the big picture this seems like it should be a fairly low priority. Somethings bother some individuals to the point of requesting surgical intervention. For others it's a non-issue. Who am I to say what's important and what's not? Best, Mats Hagstrom MD
Helpful 1 person found this helpful
December 31, 2024
Answer: Eliminating skin creases many years ago when I was a resident I was working with a very talented but perhaps the most arrogant surgeon I have met to date. He specializes in nose jobs in orange county. He said something I will never forget. Actually he said a lot of things I'll never forget but one of them was only God can create creases. He said never make surgical incisions directly in the crease. Go to the side of it. He was absolutely right. The midline crease on your back is complex. It's a combination of skin and connective tissue that formed many years ago in utero when your body was the size of a giant shrimp. The body develops as two halves that seal it in the midline early during embryology. For some people the two sides don't seal together completely leading to things like cleft lips and spina bifida( failure for the skin to fuse leaving the spine exposed). Your body is unique in that this crease continues from your gluteal crease all the way up your back. It could've been addressed to some degree when you had your wraparound tummy tuck. Fleur-de-lis... by sewing the away from the midline on the back. Still, with the amount of skin laxity you have I don't think it would have eliminated the crease. The only way to make it go away is to cut it out and exchange it for a scar. You could put Z-plasty's in this car so it doesn't look like a straight line. Some people hate scars some people don't mind them it just depends on how important this is for you. There's no easy simple way to fix it I can assure you of that. In the big picture this seems like it should be a fairly low priority. Somethings bother some individuals to the point of requesting surgical intervention. For others it's a non-issue. Who am I to say what's important and what's not? Best, Mats Hagstrom MD
Helpful 1 person found this helpful
