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Related Concept Videos

Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Rolling With Slipping01:14

Rolling With Slipping

Rolling with slipping is a physical phenomenon that occurs when a rolling object experiences both rotational and linear motion but also experiences frictional forces that cause slipping. This phenomenon can occur in various situations, such as when a tire rolls on a wet road or a ball rolls on a rough surface.
An object's rolling motion is characterized by its rotation around its axis, while linear motion refers to the object's translational motion along a surface. Frictional forces can affect...
Rolling Resistance: Problem Solving01:17

Rolling Resistance: Problem Solving

Rolling resistance, also known as rolling friction, is the force that resists the motion of a rolling object, such as a wheel, tire, or ball, when it moves over a surface. It is caused by the deformation of the object and the surface in contact with each other, as well as other factors like internal friction, hysteresis, and energy losses within the materials. Rolling resistance opposes the object's motion, requiring additional energy to overcome it and maintain movement. In practical...
Rolling Without Slipping01:09

Rolling Without Slipping

People have observed the rolling motion without slipping ever since the invention of the wheel. For example, one can look at the interaction between a car's tires and the surface of the road. If the driver presses the accelerator to the floor so that the tires spin without the car moving forward, there must be kinetic friction between the wheels and the road's surface. If the driver slowly presses the accelerator, causing the car to move forward, the tires roll without slipping. It is essential...
Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...

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Discussion: Patient-Reported Satisfaction and Health-Related Quality of Life in Patients with Breast Augmentation: A Follow-Up of 6 Months.

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Invited Discussion on: Objective Comparison of FDA Approved Breast Implant Products in the United States, 5-Year Update.

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Invited Discussion on: Extended Latissimus Dorsi Kite Flap (ELD-K Flap): Revisiting an Old Place for a Total Autologous Breast Reconstruction in Patients With Medium to Large Breasts.

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Abdominoplasty with Combined Surgery.

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Invited Discussion on: The Vacuum-Assisted Breast Biopsy System is an Effective Treatment Strategy for Breast Lumps After Augmentation with Autologous Fat Grafting.

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Related Experiment Video

Updated: Jun 27, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
07:12

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis

Published on: February 10, 2026

Management of back rolls.

Michele A Shermak1

  • 1Division of Plastic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. masherma@jhmi.edu

Aesthetic Surgery Journal
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

Massive weight loss patients can benefit from back roll excision. This procedure can reshape the back and use excess tissue for breast augmentation, improving outcomes.

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Last Updated: Jun 27, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
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Area of Science:

  • Plastic Surgery
  • Body Contouring
  • Reconstructive Surgery

Background:

  • Increasing prevalence of massive weight loss necessitates body contouring procedures.
  • Excision of upper back skin excess is often combined with anterior chest surgery.
  • Managing excess back tissue presents challenges and opportunities.

Purpose of the Study:

  • To describe a surgical technique for managing upper back skin excess.
  • To explore the use of excised back tissue for autologous breast augmentation.
  • To highlight the dual benefits of back reduction and breast volume restoration.

Main Methods:

  • Direct excision of upper back skin excess.
  • Potential for single-stage or multi-stage circumferential procedures.
  • De-epithelialization and anterior rotation of back tissue for augmentation.

Main Results:

  • Successful reduction of back skin excess.
  • Provision of well-vascularized autologous tissue for breast augmentation.
  • Tissue perfusion via intercostal artery perforators ensures viability.

Conclusions:

  • Excisional management of back rolls is a viable option for massive weight loss patients.
  • Utilizing excised back tissue for autologous breast augmentation offers a dual benefit.
  • This technique effectively addresses both aesthetic concerns and reconstructive needs.