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Dr. Barry Eppley

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Archive for the ‘braline backlift’ Category

Postoperative Instructions for Braline Backlifts

Tuesday, February 12th, 2013


Braline backlifts eliminate back rolls that at or below the braline. The back roll is cut out, including skin and fat, and replaced with a horizontal scar that is designed to lay along or within the braline. This creates a flattening of the back for the trade-off of a scar.

The following are the typical postoperative instructions after the procedure:

1.  Most backlift procedures have  surprisingly little discomfort. The back may feel tight but not particularly painful. Patients usually only feel the need to use pain medication for just a few days after the procedure.

2. In all cases of backlifts, there will be a circumferential wrap around the area for the first night after surgery. You may remove this wrap the day after surgery. It does not need to be used thereafter unless it feels more comfortable to do so. You may wear a bra anytime after 48 hours.

3. The sutures used in the incisions of a backlift are all under the skin and will be dissolveable. The incisions will have glued on tapes that will stay in place until Dr. Eppley removes them. They require no topical care.

4. You may shower as normal within 48 hours of surgery. There is no harm in getting the back tapes wet.

5. Backlifts will cause some swelling and bruising around the incisions and usually lower in the back in most cases. This is normal. It is ok to lay on your back or on your sides.

6. In some cases, drains may be used in backlifts. They are usually removed in 1 to 2 days after surgery. Empty them directed. There is no need to record their output.

7. There are no limitations to normal everyday physical activities after backlift surgery. You may feel do what feels comfortable. You should not do any strenuous or exertional activities until three weeks after surgery.

8. You may eat and drink whatever you like right after surgery.

9.  You may drive the next day after surgery when you feel comfortable and are not on any pain medication.

10. If any incisional redness, increased tenderness or swelling, or drainage develops after the first week of surgery, call Dr. Eppley and have your pharmacy number ready.

Consent for Plastic Surgery: Braline Backlifts

Tuesday, February 12th, 2013


Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the braline backlift procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.


Alternatives for improving the appearance of braline back rolls instead of surgical  excision is liposuction.


The goal of a braline backlift is to eliminate (flatten) the horizontal/oblique rolls of skin and fat that exist either above or below the braline and are accentuated by its wear.


The limitations of the procedure are that only some much skin and fat can be removed and still obtain a competent wound closure. This may or may not completely flatten the back rolls.


Expected outcomes include the following: temporary swelling and bruising around the incisions, temporary numbness of the surrounding back skin, permanent horizontal braline scars and up to one month after surgery to see the final back result.


Significant complications from braline backlifts are extremely rare. More likely risks include infection, hematoma,  scars not completely within the braline, overcorrection or undercorrection of the back rolls, and asymmetry of scar placement. Any of these risks may require revisional surgery for improvement.


Should additional surgery be required for scar revision or further reduction of incompletely removed back rolls, this will generate additional costs.

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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