Patient presented desiring improvement in contour of her body. Specifically, she wanted improvement in the appearance of her back. As such, she underwent upper back lift along with suction-assisted lipectomy (liposuction) of the back. Sometimes, liposuction is not enough to improve the appearance of the back, especially when there is loose and stretched out skin. We often see this in the setting of weight loss. Liposuction alone will make this worse because she will be left with more loose skin. As such, a combination of upper back lift (skin excision and lift) along with liposuction will give her the best result.