Back Contouring after Massive Weight Loss

Abstract

Management of excessive laxity of the abdomen, breasts, arms, thighs and buttocks following massive weight loss has received much attention, however little has been written about the surgical approach to the back rolls and folds. “Back rolls” can range in a number from one to four on either sides of the midline. In post-bariatric patients, the excess tissue must be excised. Liposuction is rarely indicated because the skin and subcutaneous tissue remains in excess in these patients. In addition, back tissue is dense and fibrous, making it less amenable to liposuction. Post-bariatric contouring of back-roll deformities requires an approach that allows for direct excision of the two lower folds (lower thoracic and hip rolls) during the circumferential lower body lift procedure and of the two upper folds.

Keywords: Back rolls, festoon curtain deformity, back contouring.

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