Bra-Line Back Lift

Overview of the surgery: 

Bra-Line Back Lift, also known as a torsoplasty,  a cosmetic procedure that removes excess fat and skin of the upper back for a more contoured look. 

Anatomic sequelae of the upper back that occur with age or weight loss have been somewhat underserved in the plastic surgery literature. Zones of adherence in the upper posterior trunk create overhanging folds of skin and subcutaneous tissue, which are disturbing to the patient both functionally and cosmetically. These adherence points prove challenging in that they prevent contouring of the upper back with procedures such as traditional abdominoplasty or lower body lift. The bra line back lift provides a reliable and consistent method of addressing these issues by eliminating excess redundant skin and adiposity from the region. 

The goals of the bra line back lift are to consistently and safely eliminate the skin and subcutaneous fat from the posterior upper torso while correcting excess skin laxity. The well-accepted position of the scar beneath the bra line without the need for a drain enhances patient satisfaction and minimizes postoperative complications. Patients are able to achieve an ideal contour with relatively minimal morbidity and downtime. The procedure may be combined safely with other body contouring procedures, such as reverse abdominoplasty, mastopexy, and breast reduction, in order to maximize patient outcomes. 

Preparation Prior To Surgery: 

• Medical history assessment (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation. 

• Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. 

• Stop drinking alcohol, a week before the surgery and throughout your recovery period. 

• Taking any medications should be avoided such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery, and also avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding. 

Operation Time: 

The procedure usually takes 2-4 hours. 

During the procedure: 

Step 1: A bra-line back lift is almost always performed under general anesthesia either within the hospital or in an outpatient setting.  

Step 2: The bra-line back lift may be performed with other body contouring procedures such as an arm lift (brachioplasty) or breast lift (mastopexy) or body lift.  There is a limit to how many procedures can be performed at once safely.   

Step 3: The ellipse incision is made horizontally along the upper back and side chest to remove the maximum amount of excess skin, and “rolls” of the upper chest. The scar is kept within limits of the upper back to conceal the scar within a normal bra-line.   

Type of Anesthesia use: 

The surgery is done under general anesthesia 

Hospital/clinic stay: 

If Under General anesthesia need to stay in the hospital for 1 nights 

Days to stay in Thailand: 

7-14 days. 

Recovery Period:  

After the surgery, the upper back is supported with a garment.  Adhesive dressings are typically applied over the incisions to reduce infection and improve healing. Dr. Theerapong rarely uses drains for this procedure. 

When this procedure is done alone, this can be performed in a outpatient setting. If combined with other body contouring procedures, Dr. Theerapong may recommend that you spend your first night in the outpatient unit at the surgery center. This ensures that you can get intravenous pain medication and fluids to optimize the first 24 hours after surgery. 

There are typically no sutures to remove, as there are multiple layers of self-absorbing sutures below the skin.  Small outside suture tails are usually trimmed within seven to ten days.  

Once home, it is important that you get up and move around several times a day as recommended by your surgeon to help speed the recovery process and reduce the risk of blood clots forming in the legs. A clot preventing medication may also be prescribed in the postoperative period. Plan your initial recovery so that there is a friend or family member who’s with you at home for at least the first three to five days. You will need help with the basics. Each patient will recover in various ways and in varying lengths of time, though most patients find that they can go back to work within two to four weeks after surgery.   It’s important that you plan well so that you give your body time to heal in the best manner possible. 

Strenuous activity and heavy lifting will need to be avoided for about two months. It can take a few months for all of the swelling to clear up and the scars will fade over time.