A woman in her later 60s shown before and again, 4 months after a bra line back lift performed at the time of a reduction mastopexy ( breast lift and reduction) Most patients with loose skin of the back will accept the tradeoff of a scar that is concealed under the bra for tighter skin and a better contour in this area.
A woman in her mid 40’s who is bothered by back rolls and looseness of the skin. She is shown before and again, 15 months after a bra line back lift combined with liposuction of the posterior shoulders. The bra line back lift trades a permanent scar that is hidden under the bra for better contour of the back. She is able to hold her arms at her side after the surgery.
A woman in her mid 40’s who has had liposuction on two occasions in the past by another plastic surgeon focusing on the flanks and abdomen, and then cool sculpting to the bra line. Her shoulders and the sides of her breasts have gotten larger as she has gained weight in those areas ( the weight has to go somewhere and when fat cells are removed in one area, weight gain can cause an increase in other areas). She is bothered by laxity of the back skin and rolls, but also having trouble putting her arms down at her side and fitting in tops because of he fullness of the upper back and shoulders
She is shown 8 months after a bra line back lift combined with S.A.F.E. power assisted liposuction of the shoulders and sides. This trades a scar that is hidden under the bra for a better contour. It is noticeable that at rest she now comfortably holds her arms closer to her sides.
An early ( 6 week ) follow-up on a woman in her later 50’s who is bothered by the weight of her 38 D cup breasts as well as looseness of the skin in her back. She had grooving and irritation of her shoulders from her bra straps, back pain and difficulty with her posture. She did not have enough breast tissue to be removed to be covered by her insurance company but decided to proceed on a cosmetic basis. She is shown just 6 weeks after bilateral breast reduction combined with a bra-line back lift. She had 219 gms of tissue removed from her right breast and 313 gms from her left breast to bring her down to a c cup. Her shoulder and back pain have resolved, and she loves her new shape and size. A bra-line back lift places the scar directly under the bra strap area. Scars are at their reddest and thickest at 6 weeks and will now start to fade and improve over the next 2 years or longer. I have recommended topical silicone to help the scars fade.
A woman in her early 70’s who is bothered by laxity of the back skin. She asked about liposuction but this does not tighten loose skin and as we age the skin becomes less elastic. The most reliable way to tighten loose skin is to remove a piece. She is shown before and again, just 6 weeks after a bra-line back lift. With a bra line back lift, the back skin is lifted and the scar is hidden under the bra line. The skin in the flank area is pulled up as well.
A mother of 2 in her early 50’s who is bothered by laxity and rolls of the back around her bra area. She had a breast augmentation/ lift elsewhere 20 years before, and an abdominoplasty elsewhere 10 years before. She was seen by another plastic surgeon who had recommended liposuction but I did not feel that this was likely to be helpful in her specific case as the skin calipers showed just 3 cm of pinch in her back, the same as the skin thickness in her abdomen. This is a normal pinch and because this grasps a double layer of skin shows that the actual thickness of the skin and fat is just ½ that or 1.5 cm. Her issue is laxity of the skin, not excess fat and can be demonstrated by a “lift” maneuver. When the skin is manually lifted the rolls go away. The only way we know to reliably tighten loose skin is to take out a piece- in this case the incision is carefully hidden under the bra strap. A “bra-line back lift”. The results as seen here at just 6 week after surgery are dramatic. The scar will continue to fade over the next 2 years but is hidden under the bra. She is already thrilled with her new contour. EXPAREL was used at her request and she did need to take any narcotics after surgery. Tattoos are blurred for her privacy.