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Four-Position Four-Entry Site Circumferential Arm Liposuction: Technique Overview and Experience
Vasileios Vasilakis1, Matthew H Isakson2, Feras Yamin3
1Hunstad Kortesis Bharti Plastic Surgery Center, Charlotte, NC, USA. v.vasilakis6@gmail.com.
Aesthetic Plastic Surgery
|July 10, 2020
Summary
The four-position, four-entry site circumferential arm liposuction is an effective technique for arm contouring. This method offers reproducible and predictable results for suitable patients seeking arm liposuction.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Body Contouring
Background:
- Arm contouring presents unique surgical challenges.
- Circumferential arm liposuction is a preferred method for select patients.
- The described technique aims to address these challenges effectively.
Purpose of the Study:
- To detail the four-position, four-entry site circumferential arm liposuction technique.
- To present the authors' experience with this specific liposuction method.
Main Methods:
- Retrospective review of consecutive circumferential arm liposuction procedures from January 2015 to November 2019.
- Detailed description of the four-position, four-entry site technique.
- Inclusion of visual aids such as photographs and videos.
Main Results:
- 35 female patients underwent bilateral arm liposuction using the technique.
- Average patient age was 43 years, with an average BMI of 28.4 kg/m².
- Average follow-up was 481 days, with no reported complications like infection, seroma, bleeding, or venous thromboembolism.
Conclusions:
- The four-position, four-entry site circumferential arm liposuction is efficient and reproducible.
- This technique yields predictable and aesthetically pleasing outcomes in appropriately selected patients.
- It is a valuable option for arm contouring surgery.

