This patient, in her 30s from Boston, Massachusetts, after losing over 200 lbs, presented with excess skin and laxity of the upper back. She underwent a bra-line back lift with Dr. Vickram Tandon to improve contour and remove redundant tissue. At four months post-operatively, she demonstrates a smoother, more contoured upper back. Incisions are healing beautifully and will continue to fade with time. She is very pleased with her results.