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Minimal-incision brachioplasty: a first-choice option in arm reduction surgery
Aesthetic Surgery Journal
|April 1, 2009
Summary
A new minimal-incision brachioplasty technique effectively reduces arm size and improves appearance. This procedure offers significant scar concealment, allowing patients to wear sleeveless clothing comfortably.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Body Contouring
Background:
- Patient dissatisfaction with upper arm aesthetics due to loose skin and excess fat.
- Reluctance towards traditional brachioplasty because of visible scarring.
Purpose of the Study:
- To introduce a novel minimal-incision brachioplasty technique.
- To reduce arm circumference and vertical height while minimizing scar visibility.
Main Methods:
- A cohort of nine patients (ages 25-75) underwent the procedure.
- Technique involved lipoplasty, wide-axillary and upper-arm skin excision, and dermal suspension.
- Pre- and postoperative arm circumferences were measured and photographed.
Main Results:
- Achieved 15% to 25% reduction in arm circumference.
- Resulting scars were smooth and flat, without hypertrophy.
- Positive patient reception to axillary skin removal and overall satisfaction.
Conclusions:
- Minimal-incision brachioplasty is a suitable first-choice procedure for arm reduction.
- Potential modifications may be needed for patients with extreme obesity or poor skin elasticity.

