Liposuction of upper back/bra rolls

Published on 23/05/2015 by admin

Filed under Plastic Reconstructive Surgery

Last modified 23/05/2015

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Chapter 15 Liposuction of upper back/bra rolls

Anatomical Aspects

The back and its extension towards the breast is a region of the body with its own characteristics in liposuction.

The thickness and the ratio between the lamellar and areal layers in the thin individual oscillate from 0.3 to 0.5 cm for the lamellar layer and 1.0 to 1.2 cm for the areolar layer, and may reach 0.5 to 0.8 cm for the lamellar layers and 1.5 to 2.2 cm for the areolar layer in obese individuals.

However, for morbid obesity these values may be higher, highlighting the increase in the lamellar layer.

In liposuction the dense connective tissue is very important because it is thicker in the upper back region, especially in the grooves formed by the excess skin that can result from both genetic inheritance (Fig. 15.1), obesity (Fig. 15.2A and D), sagging senile (Fig. 15.3A, B) or post liposuction (see Fig. 15.2 C and F).

Another important feature is the loose connective tissue (Fig. 15.4B) that grips the skin and subcutaneous muscle (aponeurosis) in this region making it easier to rip of the whole skin and subcutaneous tissue without detaching it surgically during resection flaps (Fig. 15.4C and D).