Back Lift – Bra Line Back Lift Surgery for Post Weight Loss Excess Skin

This surgery is also referred to as a Back Lift, upper back lift and a torsoplasty. People who opt for this surgery have usually undergone major weight loss and have been left with excess skin on the back. In some cases, the surgeon may also remove stubborn fat using Liposuction to improve a patients overall surgical result.

Are You a Suitable Candidate for Back Lift (Torsoplasty)?

This surgery is often sought by individuals who have experienced significant weight loss or age-related skin laxity. Ideal candidates for a bra line back lift generally exhibit certain characteristics and considerations, including;
  • Excess Skin and Fat: Good candidates typically have excess skin and fat in the upper and mid-back area, often accompanied by visible loose skin.
  • Weight Maintenance: While not necessary, candidates who have reached or are close to their ideal weight may achieve more predictable and satisfactory results.
  • Stable Weight: Significant fluctuations in weight can affect the outcome of the procedure.
  • Realistic Expectations: Candidates should have realistic expectations about the results of the surgery and understand that it can improve the appearance of the back but may not create a perfect outcome.
  • Overall Good Health: Being in good general health is crucial for undergoing surgery. Candidates should be free of underlying medical conditions that could increase surgical risks.
  • Non-Smoker: Smoking can impede the body’s ability to heal properly and increase the risk of complications. Ideal candidates are non-smokers or willing to quit for a specified period before and after surgery.
  • Commitment to Recovery: Recovery from a bra line back lift requires adherence to post-operative care instructions, including limiting physical activity. Candidates should be willing and able to commit to this recovery process.
The final determination of candidacy should be made during a consultation with a board-certified plastic surgeon. They will assess the candidate’s individual anatomy, goals, and overall health to determine if a bra line back lift is appropriate. During the consultation, the surgeon will discuss the procedure, potential risks, and expected outcomes, allowing candidates to make an informed decision about whether to proceed with the surgery.

Common Reasons Patients Choose Back Lift (Torsoplasty) Surgery

Below are some of the potential common reasons patients choose back lift (torsoplasty) surgery:
  • Shape: One of the primary reasons for a back lift (torsoplasty) is to alter the overall form of the upper and mid-back.
  • Addressing Body Proportions: The procedure may change the shape of the body’s proportions, particularly for individuals who have experienced significant weight loss.
  • Addressing the Posture: Excess skin and fat in the back can affect posture and overall comfort. After a back lift (torsoplasty), patients often report a change in the shape of their posture and reduced discomfort associated with excess skin.
  • Reduced Skin Irritation: Excess skin excess in the back area can lead to skin irritation, chafing, and discomfort. A back lift (torsoplasty) aims to eliminate this excess, reducing the likelihood of skin irritation and making daily activities less irritating.

Preparing for a Back Lift (Torsoplasty) Surgery

The procedure will begin with a consultation with a plastic surgeon. A surgeon, like Dr Patrick Briggs will discuss your eligibility for the procedure and the most suitable type of back lift (torsoplasty) for your particular case. He will also give you an extensive list of preparation tips. Below are a few steps that will help you prepare for a back lift (torsoplasty) surgery (should you meet the criteria):
  • Step one is to get a referral from a GP (as of 1st July 2023)
  • Only after this will you be able to have your first consult with a plastic surgeon (you will need two consultations and a 7 day cooling off period before you can commit to the procedure)
Once you have committed to the surgery you will need to:
  • Undergo a medical evaluation (You may also need to get lab tests) as your surgeon requires.
  • Quit smoking (if you are a smoker) at least a month before the surgery.
  • Quit drinking alcohol for four to six weeks before the Back Lift (Torsoplasty).
  • Adjust your medication as per your surgeon’s recommendations.
  • Avoid taking blood thinners and herbal supplements for at least a week before the surgery (your surgeon will discuss this with you).
  • You will also need to get leave from work so you can recover after surgery.
  • Arrange for someone to drive you home after the surgery.

Before Surgery

Before your surgery, prepare your resting space at home for your recovery. This may include, tiding your house, doing some grocery shopping and meal prep so you have healthy nutritious food during your recovery and organizing some books, magazines and/or TV subscriptions to help keep you entertained whilst you are recovering.

Back Lift (Torsoplasty) Procedure

If you are concerned about how the back lift (Torsoplasty) procedure is performed, below is a very brief outline of the procedure.
  • The surgeon will examine your back and mark it for incision placement. Surgeons ensure that the scars from the back lift (torsoplasty) can be disguised under a bra or a bathing suit (if you are a woman).
  • Next, your surgeon will put you under general anesthesia, this means you will be unconscious for the procedure.
  • Then, the surgeon will create incisions on your back and remove excess skin.
  • The remaining skin is stretched.
  • If you are having liposuction as a part of the back lift (torsoplasty), your surgeon will do it during this time.
  • The surgeon will close the incisions with sutures.
  • Finally, the will cover the area with gauze and protective bandages (they may also apply a compression garment)
  • The time of the surgical procedure will vary between 2 and 5 hours, depending on the technique and the extent of the surgery.

Recovery from Torsoplasty/Back Lift

It is important to have a clear understanding of the recovery phase after back lift (torsoplasty) surgery. Below is a rough guide on what the post-surgery phase may include.
  • Patients will need to wear a compression garment for the first few weeks post the surgery and if female avoid wearing normal bras till the surgeon gives you the green light.
    • The compression garment should be worn as directed by the surgeon and should not be removed without their approval.
  • Your surgeon will prescribe you painkillers and antibiotics to help manage the pain and avoid infection.
    • In addition to painkillers and antibiotics, patients may also need to take stool softeners to avoid constipation due to pain medication.
  • Patients should follow the surgeon’s instructions for wound care, including keeping the incision sites clean and dry.
  • It is important to avoid lifting heavy objects and strenuous exercise for several weeks after surgery.
  • Surgeons may advise patients to sleep in a specific position to avoid putting pressure on the incision sites.
  • Patients should eat a healthy diet and stay hydrated to promote healing.
  • Surgeons will also organise regular follow-up appointments to monitor the healing progress and address any concerns or complications.
  • It is important that you have someone to help you around the house for the first few days of your recovery. This is because it is practically impossible for you to do anything by yourself during this time.
  • Patients will need to limit physical activities for a while and take time off work (your surgeon will be able to give you a timeline for this once they evaluate the extent of your procedure) .
    • In most cases patients will need to rest for a week before they are able to slowly resume some activities.
    • Those with physically demanding jobs will need to take more time off before they resume work. 
Recovery can vary depending on the extent of the procedure and the individual patient’s health and healing process.

Back Lift (Torsoplasty) Post-Surgical Care Tips

Here are some of the tips that may help you recover after Back Lift (Torsoplasty) Surgery.
  • Sleep
    • Do not sleep directly on your back for at least the first week or two after surgery if you can.
    • Always wear a compression garment while sleeping for added protection and avoid swelling.
  • Garment
    • For the first few weeks post-surgery, you will be asked to wear a compression garment.
    • Once you are past that phase, wear a comfortable bra for a while.
    • Avoid anything that is too tight or contains wires.
  • Activity
    • For the first two weeks, limit your physical activity.
    • Avoid strenuous exercising, heavy lifting and sports.
    • Once your surgeon gives you the all clear, slowly ease yourself into exercise.
    • Don’t do to much too soon.
  • Medication
    • Take all the medications given by your surgeon on time to avoid unnecessary pain and post-operative swelling.
  • Bathing
    •  Do not take a bath, swim or go in hot tubs till your incisions are fully healed to minimize the risk of infections.
  • Avoid Stretching
    • Do not do yoga or stretch until your surgeon gives you the all clear, as it can put stress on incisions.
  • Follow-Up Visits
    • Attend follow-up visits as it allows the surgeon to examine your incisions and ensure everything is progressing well.
  • Incisions
    • Take care of incisions and keep them clean and dry at all times.
  • Blood Thinners
    • Do not take blood thinners for at least a month after surgery.
    • Its also important that you avoid taking herbal supplements.
  • Smoking/Alcohol
    • Avoid drinking or smoking for at least six weeks post-surgery.
  • Eat Healthily
    • Make sure to eat a healthy, balanced diet for the entirety of your recovery period.
    • Limit your sodium intake and include plenty of whole foods in your diet.

Risks and Complications of Back Lift (Torsoplasty)

Like any surgical procedure, back lift (torsoplasty) surgery carries some risks and potential complications. Some possible risks and complications of back lift (torsoplasty) surgery may include:
  • Bleeding: Bleeding is a possible complication during or after the surgery. Your surgeon will take precautions to minimize the risk of bleeding, but if it occurs, it may require further medical attention.
  • Infection: Infection can occur after surgery if bacteria enters the incision site. Your surgeon will give you instructions to help minimize the risk of infection, but if it occurs, further antibiotics and action may be necessary.
  • Scarring: Although scars are unavoidable after surgery and the location and size of the incisions will be carefully planned by the surgeon to minimize the appearance of scarring poor scarring is still possible.
  • Numbness: Numbness or a loss of sensation may occur around the surgical site. This is usually temporary.
  • Pain: Pain is a common side effect after surgery, but it can usually be managed with pain medication.
  • Seroma: Seroma is a collection of fluid that can occur after surgery. Your surgeon will monitor you for this condition and may need to drain any fluid buildup.
  • Skin necrosis: Skin necrosis is a rare complication that may occur due to insufficient blood supply to the skin. It may require additional surgery to treat.
  • Blood clots: Blood clots can form in the legs or lungs after surgery, especially if the patient is not mobile. Your surgeon will take measures to minimize the risk of blood clots and may prescribe blood-thinning medications if necessary.
Most of the side effects will subside within a few weeks. If you feel that something isn’t right, you should always contact the surgeon or their team. Never neglect any signs of complications. It’s important to discuss all potential risks and complications with your surgeon before deciding to undergo back lift (torsoplasty) surgery. 

FAQs about Bra Line Lift, Back Lift and Torsoplasty

How much does a bra line lift Cost?

  • The average cost of a bra line back lift is between approximately $6,000-$10,000. However, in order to give an accurate cost for the procedure you will need to attend a consult with a plastic surgeon so they can determine the extend of your procedure.
  • During your consultation, the surgeon will evaluate your case and provide you with a detailed estimate that includes all associated fees, such as surgeon fees, facility fees, anesthesia fees, and any post-operative care costs.

Where is the bra line?

  • The bra line is the line from the bottom of your left breast, all the way around your back to the bottom of your right breast.

Sleeping position – How do you sleep after a bra back lift?

  • It is recommended to sleep on your stomach or your side after the surgery.
  • Your surgeon will give you specific post-surgery instructions to follow after surgery, including recommended sleeping position.

Why is Liposuction Sometimes Combined With a Bra Line Back Lift?

  • Liposuction is not a weight loss alternative but can be used to remove localized fat deposits. Diet and exercise are needed for overall weight management.

How long does it take for a back lift (torsoplasty) to heal?

  • Most patients can return to their routine about six weeks after surgery, however this will vary depending on the patient and their body’s healing.

What is bra lift surgery?

  • The medical term for bra lift surgery is Torsoplasty, also known as a Back Lift. This procedure aims to reduce excess skin and fat on the mid and upper back area.

How long does back lift (torsoplasty) surgery take?

  • Most back lift (torsoplasty) surgeries can take anywhere between two to six hours. This will vary depending on the patient and the extent of their surgery.

Can you surgically remove back fat?

  • Bra line back lift (torsoplasty) surgically removes stubborn fat and excess skin from the upper back area, that is resistant to diet and excercise. However, it is not a substitute for weight loss.

Will I have scars after a back lift (torsoplasty)?

  • Yes, you will have scars on your back after the back lift (torsoplasty) surgery.
  • Women can mostly hide the scars under the bra or swimming suits.
  • Unfortunately, for men, the scars are harder to hide and can be obvious when shirtless.
  • There are options to help reduce the visibility of scars after surgery, however, these do not work for everyone.
  • Discuss these options with a registered healthcare provider

When can I go back to work after the back lift (torsoplasty)?

  • Most people are able to return to work approximately 10 to 14 days after the surgery.
  • Those with physically demanding jobs will likely need longer before returning to work.
  • It is always good to tap into how are you feeling and also take recommendations from your surgeon.

When can I start exercising after the back lift (torsoplasty)?

  • It is recommended to avoid exercising for at least four to six weeks after the surgery.
  • Always contact your surgeon before resuming workouts.
  • Start slow, steady, and gradually build up the intensity.


The information provided in this article is for educational and informational purposes. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article. The author and publisher of this article make no representation or warranties with respect to the accuracy, applicability, or completeness of the contents of this article. The information contained in this article is strictly at your own risk.