Bra-line lift targets skin laxity and rolls that develop along the mid to upper back in lipoedema, often due to chronic stretching from abnormal fat or following volume loss. The excess skin forms horizontal folds that protrude under bra straps or clothing, causing irritation, restricted movement and aesthetic concerns.

The surgery excises this redundant tissue through incisions hidden within the bra line crease, then redrapes and sutures the skin for a taut, even result. When performed alongside water-assisted liposuction, residual fat is removed first to optimise tightening and prevent contour irregularities. Mr Vasu Karri focuses on preserving sensation, lymphatic flow and natural back contours while placing scars in the least visible positions.

The procedure improves both function - less chafing and better bra fit - and aesthetics, with skin quality assessment ensuring realistic expectations for scar maturation and tightness. Conservative measures like compression continue post-operatively to support healing.

The benefits of this procedure include:

• Removal of excess skin rolls for a smoother bra line
• Reduced chafing, irritation and discomfort under clothing
• Improved upper back contour and symmetry
• Better fit for bras, tops and dresses
• Increased confidence in clothing choices and posture