Following an incredible 210-pound weight loss through healthy eating, consistent exercise, and duodenal switch surgery, a 40-year-old woman was proud of her transformation—but left struggling with an unexpected challenge: loose, sagging back skin and stubborn fat rolls. These changes made her feel insecure and uncomfortable, forcing her to wear jackets year-round to conceal her back, even in hot weather. Bras fit poorly, and finding flattering clothing became a daily struggle. Wanting to complete her journey, she consulted Dr. J. Timothy Katzen, a board-certified plastic surgeon renowned for post-weight loss body contouring. He recommended a horizontal torsoplasty—also called a brastrap lift or braplasty—to remove the excess skin and contour her upper back. The four-hour outpatient procedure, performed under general anesthesia, included the placement of two drains to assist with healing. The results were transformative: her back became flat, tight, and beautifully sculpted, free from skin rolls and bulk. She returned to work in just one week and followed all post-operative instructions, including wearing compression garments for six weeks to minimize swelling. To improve scar healing, she applied silicone cream and silicone strips, which helped her horizontal torsoplasty scars fade significantly. Today, she confidently wears fitted clothes, swims without hesitation, and fully embraces her new body. Her only regret is not undergoing the procedure sooner. She’s incredibly thankful to Dr. Katzen for restoring her confidence and helping her feel truly at home in her skin.
Flat Back After 210lb Weight Loss with Horizontal Torsoplasty by Dr. Katzen*
Patient
- Age40 - 49
- GenderFemale
- EthnicityBlack
- Height5’ 6” - 6’ 0”
- Weight200 - 249 lbs
Procedure
- Torsoplasty (Back Lift)
- After Bariatric Surgery
- After bariatrics
- After bariatrics
- skin removal surgery
- after weight loss
- fat removal
- fat reduction
- back lift
- Body Tightening
- Upper Body Lift
- Saggy Skin
- Excess Skin
- After Weight Loss
- Back Rolls
- Back Fat
- Love Handles
- Excess Skin on Sides
- Horizontal Torsoplasty
- After Bariatric Surgery
- torsoplasty
- body contouring
- Sagging Skin
- Skin Tightening
- loose skin
- liposuction
- plastic surgery
- back reduction
- bra plasty
- brastraplasty
- upper bodylift
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After an astonishing 210-pound weight loss achieved through a combination of healthy eating, regular exercise, and duodenal switch surgery, a 40-year-old woman was thrilled with her progress—but left with a frustrating problem: loose, sagging back skin and stubborn fat rolls that wouldn’t go away. The excess skin made her feel extremely self-conscious, forcing her to wear jackets year-round—even in the heat—to hide her back. Wearing a bra became uncomfortable, and finding clothing that fit properly was nearly impossible. Determined to complete her transformation, she turned to Dr. J. Timothy Katzen, a leading specialist in post-weight loss plastic surgery. Dr. Katzen recommended a horizontal torsoplasty, also known as a brastrap lift or braplasty, to remove the sagging skin and contour her back. This four-hour outpatient surgery was performed under general anesthesia and required two drains for proper healing. The outcome was life-changing—her back is now flat, tight, and beautifully sculpted, with no visible rolls or sagging skin. She was able to return to work in just one week and followed Dr. Katzen’s post-op instructions carefully, including wearing compression garments for six weeks to manage swelling and support recovery. To further enhance healing and reduce scarring, she used silicone scar cream and silicone strips, which helped her horizontal torsoplasty scars fade nicely. Today, she wears fitted clothing and swims with total confidence, no longer hiding her back.