Backplasty is a plastic surgical procedure used to address the excess skin of the upper to mid back usually seen in the massive weight loss patient. It is not commonly performed, but it does fill a need for those areas that do not flatten out after a circumferential abdominoplasty or lower body lift. Patients who require a backplasty often have a large fold of skin that extends from their upper back. The excess skin and fat can cause back pain, skin irritation, or rash, and makes it very difficult to fit into regular clothing.
Excess skin and fat are removed in a horizontal fashion, leaving a scar from side to side. In some cases, the incision may be a continuation of a breast lift (mastopexy) incision that extends around the side of the chest wall. Patients who require this procedure are happy with the freedom of movement that this procedure provides.