Brachioplasty in the massive weight loss patient

The arm deformity encountered in most patients who have had massive weight loss is severe. The excess crosses the axilla as an extension of the posterior axillary fold. Surgical treatment requires crossing the axilla with the excision. The authors describe a surgical technique that they have found to be powerful and effective. The position of the final scar is on the posterior aspect of the arm and is more hidden when the person is animating.