Upper Body Lift
Like other areas of the body, weight loss patients often experience upper body looseness and back laxity in both a vertical and/or horizontal direction. Vertical laxity shows as back rolls, while horizontal laxity shows as excess skin tissue under the armpits. Vertical upper body laxity appears as hanging tissue that drapes from the frontal rib cage to the backbones. Studies published in the "Plastic and Reconstructive Surgery" journal identified up to 5 typical chest and back rolls related to severe cases. The upper back roll goes from the breast tail, over the chest, and toward the spine. Mid back laxity may be comprised of 1 or 2 rolls. The lower back roll is horizontal and extends over the lower back and upper buttocks. It is waist level and reaches around to the frontal abdominal pannus.
Upper body lift surgery is a procedure that corrects for the upper body laxity, including the chest and back. The main strategy for treating upper body laxity is called the "bra-line upper body lift." This procedure includes removal of the rolls in the upper back by making incisions horizontally at the bra level. Though this particular technique can leave unsightly scars on the back, it is both effective and versatile for severe upper back laxity.
The "crescent upper body lift" technique is an effective treatment that we have developed for milder cases of upper body laxity or to correct for the horizontal chest laxity. The incisions are placed vertically from the armpit to the mammary crease.
For those who have both vertical back laxity as well as horizontal chest laxity, both a bra-line and crescent upper body lift procedures will be required in order to effectively tighten the upper body contour.
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