The Bra-Line Back Lift

Investigating the Role of Radiofrequency in Back Contouring after Massive Weight Loss

“…Kenkel [17] defines the back roll after massive weight loss as loose skin overlapping through thin subcutaneous tissue transversely from the subdermis to the muscle fascia. Many plastic surgeons advise removing the rolls by either direct excision or superior excision, disentangling the roll, and suturing it to a superior anchor line [18][19][20][21][22]. Although excisional back lift is a powerful tool for contouring the mid and upper back, the complication rate and associated long noticeable back scar are a hindrance especially in dark-skinned individuals.…”

Deoxycholic Acid Injections for Bra-Line Lipolysis

“…Weight fluctuations and aging can lead to an altered distribution of subcutaneous fat and changes in skin elasticity. 1 In the posterior and lateral upper torso, this process may result in overhanging subcutaneous fat and skin, popularly known as bra-line bulging. This is cosmetically undesirable and, in most patients, unresponsive to dieting and exercise.…”

“…It is also difficult to treat by liposuction, heat, ultrasound, or cryolipolysis. Plastic surgery options such as the bra-line back lift 1 are the most appropriate for patients with a severe degree of bra-line bulging. Furthermore, surgical procedures are invasive, time consuming, complicated because of significant underlying anatomic structures, and may result in complications and scar formation.…”