Q: Dr. Eppley, I was interested in knowing if you perform the backlift bra line procedure? I can’t seem to get rid of these backrolls along my braline no matter what I do. I don’t think they are fat but just rolls of skin. I am also interested in a facelift. Can these be performed at the same time?
A: The Braline Backlift is a procedure that I am not only familiar with but have performed numerous times. It is usually done in most cases in the extreme weight loss patient but may occasionally be done in someone of normal weight or has lost a more modest amount of weight. It is an excisional skin and fat procedure which is done along the braline on the back through a double ellipitical excisional pattern. (it is important to not remove tissue across the midline spine due to adverse scarring) It is a tremendously effective procedure for eliminating those pesky back rolls and providing a bit of a ‘backlift’. Think of it as a facelift for the back so to speak. It does result in a fineline scar that sits along the braline, hence the name the Braline Backlift. One has to determine if this scarring is a good tradeoff for the improvement/elimination of the backrolls.
There is no problem combining the Braline Backlift with a facelift at the same time.
Dr. Barry Eppley