Back Lipectomy (Back Lift)

what is a back lift ...

A Back Lift is an excess skin removal procedure designed to remove excess skin and soft tissue from the upper and/or lower back. This surgery focuses specifically on addressing the redundancy of skin that can occur following major weight loss or as a result of a decrease in skin elasticity over time.

Unlike Liposuction, which is aimed at reducing fat deposits, a Back Lift is directed at excising excess skin that does not retract on its own, despite weight stabilisation or exercise. Following skin removal, the remaining tissues are repositioned and tightened to achieve a more defined physical appearance.

concerns a back lift may address ...

Persistent skin folds after weight loss: Even after achieving significant weight loss, some individuals find that their back retains excess skin, which can cause discomfort, hygiene difficulties, and aesthetic concerns.

Age-related skin laxity: As collagen and elastin levels diminish with age, the skin may lose volume in various areas, including the back, leading to a less defined shape even in individuals who maintain a stable weight.

Physical discomfort: Redundant skin can cause chafing, irritation, and restricted movement during exercise or while wearing certain clothing styles.

am I a suitable candidate ...

Not every individual experiencing excess back skin will require surgical intervention; however, for some, a Back Lift offers an appropriate and effective option. Suitable candidates for a Back Lift include:

  • Individuals with stable weight after major weight loss: The weight must stabilised for several months before surgery. Ongoing weight fluctuations can impact the durability of surgical outcomes and may increase the risk of complications.
  • Patients experiencing skin-related discomfort: Redundant skin can cause physical symptoms such as rashes, irritation, and difficulties during exercise. Surgical removal of the excess tissue can reduce these issues.
  • Patients in good overall health: Patients must be medically fit, non-smokers, and free from significant chronic illnesses that could impair wound healing or increase operative risks.
  • Individuals with realistic expectations: Every patient must be aware of what surgery can and cannot achieve.

Every procedure is tailored to each patient; however, the steps generally involve the following:

Marking and Planning

Before entering the operating theatre, your surgeon will meticulously mark the patient’s skin to indicate where incisions will be made and how tissue will be shaped. These markings are crucial for optimising scar placement, aiming to position scars in locations that can be concealed under clothing such as bras, swimsuits, or everyday attire.

Anaesthesia

Back lift procedures are performed under general anaesthesia for patient comfort and safety throughout the operation. Our surgeons operate at accredited hospitals in Melbourne, working alongside experienced anaesthetists to maintain high standards of care.

Incision Strategy

Depending on the distribution of excess skin, incisions may be placed across the upper back, often referred to as a “bra-line lift”, or across the lower back where skin redundancy is most pronounced. Your surgeon will select incision types that balance optimal skin removal with the most discreet final scarring possible.

Skin Excision and Shaping

Excess skin and underlying soft tissue are carefully excised. The remaining tissues are then repositioned and tightened to achieve a smoother, firmer appearance that suits the patient’s body shape.

Layered Closure Technique

Using layered sutures, your surgeon will close the incision sites in a way that reduces tension on the skin surface. This surgical technique supports wound healing, helps reduce scar widening and optimises overall recovery outcomes.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Recovery following back lift surgery is a phased process. Recovery timelines vary between individuals based on factors such as skin quality, extent of surgery, and overall health.

  • Support garments: Specialised garments are worn for several weeks post-surgery. These assist in controlling swelling, supporting tissue healing, and promoting recovery.
  • Wound care: Patients receive detailed instructions for caring for their incision sites. Regular wound assessments are conducted during follow-up appointments.
  • Physical activity: While light walking is suggested soon after surgery to aid circulation, strenuous activities, bending, lifting, and heavy exercise should be avoided for at least six weeks to protect healing tissues.
  • Follow-up care: Regular follow-up appointments with your surgeon to monitor the healing process. During these reviews, guidance is provided on resuming activities, scar management strategies, and any further necessary interventions.

As with any surgical procedure, a Back Lipectomy involves potential risks. Your surgeon will discuss potential risks and complications during your consultation as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Infection
  • Bleeding or haematoma
  • Scarring
  • Fluid accumulation (seroma)
  • Delayed wound healing
  • Asymmetry
  • Anaesthetic risks 

Surgical fees can vary between patients depending on the surgical plan and associated hospital and anaesthetic costs. A personalised quote is provided after consultation.

As a general guide, starting surgical fees are from $10,000 (excluding hospital and anaesthetist fees, where applicable).

Costs can vary depending on factors such as:

  • Whether the surgery focuses on the upper back (often referred to as a bra-line lift), the lower back, or both
  • How much excess skin and soft tissue needs to be removed (commonly after major weight loss or reduced skin elasticity)
  • The incision pattern required to address back rolls and achieve an appropriate contour
  • Hospital or facility fees (and the hospital selected)
  • Anaesthetic requirements and who administers it
  • Whether drains, dressings, garments, and follow-up appointments are included
  • Whether a back lift is combined with other procedures (which can change theatre time, anaesthetic needs, and overall costs)

In many cases, a back lift is considered cosmetic and is not covered by Medicare or private health insurance.

In some post-weight-loss cases, Medicare eligibility may be possible when surgery is being performed to remove significant excess skin, and there is a documented functional medical issue (not purely cosmetic). If you’d like help understanding whether Medicare may apply in your situation, please get in touch with Me Clinic, and our team can guide you through the usual steps.

FAQs ...

A back lift focuses on removing excess skin and tightening tissues, whereas liposuction primarily targets fat removal. In cases where patients have low amounts of fat but significant excess skin, a back lift is generally the more appropriate procedure.

Suitable candidates are adults who have stable body weight, significant excess skin on the back, good overall health, and realistic expectations about the outcomes of surgery and recovery.

Yes, scarring is an expected outcome of any skin excision surgery. Our surgeons carefully plan incisions, often positioning them along skin creases or under clothing. Scars will fade over time.

Initial recovery usually takes around two to three weeks, with a gradual return to activities.
Strenuous exercise and heavy lifting should be avoided for at least six weeks to allow proper tissue healing.

It is important to have achieved a stable weight for at least several months before considering surgery. Sudden weight changes can affect healing and surgical results, so stability is an essential factor in planning timing.

After a back lift, patients are typically fitted with a support garment that helps to reduce swelling and helps the tissues to settle into their new position. Wearing the garment as directed by your surgeon helps support the surgical outcomes.

why choose me clinic ...

With over 35 years of experience in plastic surgery, aesthetic cosmetic medicine, and skin rejuvenation, Me Clinic is built around a simple priority: patient-first care.

We take time to understand you as an individual and curate an approach that feels meaningful and appropriate for your needs. We listen, we care, and we support you through your journey — from consultation through to aftercare.

Our team of Specialist Plastic Surgeons can advise on suitable options to address your concerns. In an ever-evolving field, we focus on evidence-informed care and contemporary treatment options, with suitability always assessed on an individual basis.

Surgeons who perform Back Lift procedures at Me Clinic …

Book your back lift consultation ...

If you are considering Back Lift surgery, a consultation with a Specialist Plastic Surgeon is your opportunity to discuss your concerns, learn about suitable options, and understand what your personalised plan may involve.

For all surgical procedures, you will need a valid GP Medical Referral to have a medical or cosmetic consultation with Me Clinic’s Specialist Plastic Surgeons. To begin your journey, call 1300 852 050 or enquire via our contact form.

We look forward to hearing from you soon and answering any further questions you may have.

contact us ...

we will respond to your enquiry during business hours and generally within a 24 hour timeframe