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A Personal Approach to Brachioplasty.

Amanda R Sergesketter1, Detlev Erdmann

  • 1From the Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, NC.

Annals of Plastic Surgery
|February 28, 2022
PubMed
Summary

Brachioplasty, or upper arm lift surgery, is increasingly popular following weight loss. This review details a posterior incision technique, addressing controversies and outcomes for arm contouring.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Body Contouring

Background:

  • Brachioplasty is a rapidly growing aesthetic procedure.
  • Rising rates of bariatric surgery contribute to increased demand for brachioplasty.
  • Controversies exist regarding optimal incision placement and the use of liposuction.

Purpose of the Study:

  • To outline indications, patient selection, and outcomes for post-weight loss brachioplasty.
  • To describe a posterior incision technique for upper arm contouring.
  • To review current controversies, complications, and patient-reported outcomes.

Main Methods:

  • Description of preoperative markings and scar placement for a posterior incision technique.
  • Surgical steps for brachioplasty with optional concurrent liposuction.

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  • Review of personal experience, literature, and patient-reported outcomes.

    • Main Results:

    • The posterior incision technique offers a viable approach for upper arm contouring.
    • Concurrent liposuction may be indicated in select patients.
    • Patient-reported outcomes and complication rates are discussed.

    Conclusions:

    • Brachioplasty is an effective procedure for improving upper arm aesthetics after significant weight loss.
    • The posterior incision technique provides a reproducible method for brachioplasty.
    • Further research into optimal surgical techniques and patient satisfaction is warranted.