William Callaghan. MD (upper-body-lift Surgery)
Upper Body Lift/Back Lift
Patients who have lost tremendous amount of weight or just have very loose skin are candidates for an upper body or back lift.
The lift can include the anterior of the body, or abdomen, side of the trunk frame or the back. It is a surgical procedure(s) designed to tighten the body skin to avoid unsightly loose skin which often cause chronic skin infections and ulcerations.
Who is a Candidate?
Most are patients who have had massive weight gain and subsequent massive weight loss. With the massive weight loss comes a sudden deflation in the area of the upper trunk. This deflation, in turn, causes the skin to fold onto itself. The in folding of the skin can cause chronic skin infections, which are common in all those suffering from morbid obesity.
This can occur in the upper part of the abdomen, sides of the body, and the back.
When the loose skin folds occur in the upper part of the abdomen a reverse abdominoplasty is usually performed. The incisions are placed in the infra-mammary crease (below the breasts) in women, and in the same general area in men.
If the excess is noticeable in the sides of a person, then a vertical incision is placed along the side of the body and trunk is then tightened.
Very often, there are back “rolls” which are located below the shoulder blades. In females, the incisions are designed along the bra straps (so as to hide them). In men, they are in the same general area.
General guidelines to anatomic shape, and boundaries are critical to achieving good results. These procedures leave behind long scars and the patients are aware of them, but the benefits far outweigh the scar deformities.
- • Lifts the infra-mammary crease to its proper position
- • Eliminates upper back rolls/excess
- • Eliminates breast rolls
- • Eliminates upper arm excess (in those who need it)
The main risks are hematomas and infection. Since long scars are the norm it is not considered a complication; however, some will form hypertrophic scars (many physicians, and medical personnel refer to them, incorrectly, as keloids). These are real and may require serial steroid injections. Numbness and sensory changes may also occur around the area of the scars.