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Body Lift in Los Angeles and Beverly Hills

Upper Body Lift After Massive Weight Loss

In weight loss patients, upper body laxity can present in a vertical direction as back rolls or a circumferential direction as excess tissue under the arm pits. The vertical upper body laxity often presents as hanging tissue drapes extending from the rib cage in front to the vertebral column in the back. Recent studies by Dr. Siamak Agha (submitted for publication in Plastic and Reconstructive Surgery) identify up to five typical chest and back rolls in severe cases. The upper back roll extends from the breast tail over the chest toward the vertebral column. Midback laxity can present as one or two rolls. The lower back roll spans horizontally over the lower back and upper buttock at waist-level and extends to the abdominal pannus in the front. The upper body lift is a procedure to correct for upper body laxity, including that of the chest and back. The mainstay treatment method for correction of upper back laxity is “transverse thoracoplasty. ” This method involves removal of upper back rolls through incisions that are placed horizontally at the bra level. Although this method is versatile and effective for severe upper back laxity, it exhibits unsightly back scars.


46 year old patient who weighed 330 pounds before gastric bypass surgery in Los Angeles. She was able to drop over 160 pounds. She visited Plastic Surgery California with multiple back rolls requiring a transverse thoracoplasty.

Markings for the J-thoracoplasty. 43 year old patient of Dr. Siamak Agha who weighed 270 pounds before gastric bypass surgery. She was able to drop over 130 lbs.

For milder cases, a “J-thoracoplasty ” method will produce effective correction with a well-hidden scar. This method developed by Drs. Siamak Agha and Hurwitz involves incisions that are placed vertically from the arm pit to the inframammary fold. Through this incision, mild to moderate cases of upper body laxity can be effectively treated.

Same patient as above: before and after photos of upper body lift via the J-thoracoplasty technique