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Brachioplasty in the Post-bariatric Patient-A Systematic Review
Pietro Susini1, Gianluca Marcaccini2, Giuseppe Diluiso3
1Plastic Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Policlinico le Scotte, Via Bracci 16, 53100, Siena, Italy. susinipietro@gmail.com.
Aesthetic Plastic Surgery
|July 21, 2026
Summary
This study introduces a new classification for post-bariatric brachioplasty (PBB) procedures. It suggests liposuction-assisted PBB is effective for most patients, but some may need more invasive options.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Arm remodeling surgery, particularly post-bariatric brachioplasty (PBB), is increasingly popular.
- PBB presents challenges due to technical factors and patient comorbidities, with limited evidence and debate on optimal treatment.
- A new classification system for PBB procedures is proposed to enhance patient management.
Purpose of the Study:
- To introduce a novel classification system for post-bariatric brachioplasty (PBB) procedures.
- To aid in selecting the most appropriate PBB technique based on individual patient needs.
- To improve the management of post-bariatric patients undergoing arm contouring.
Main Methods:
- A systematic review was conducted following PRISMA guidelines.
- Searched PubMed (MEDLINE) from December 2004 to December 2024 using keywords related to brachioplasty and arm contouring.
- Included original studies with a minimum of three clinical cases discussing PBB.
Main Results:
- The review synthesized data from 39 papers, encompassing 1972 patients over the last 20 years.
- Various surgical strategies and technical measures for PBB were identified and analyzed.
- Evidence of different PBB approaches and their outcomes was gathered.
Conclusions:
- The proposed classification system offers a comprehensive assessment of PBB techniques.
- Liposuction-assisted brachioplasty with a bicipital groove scar is effective for most post-bariatric patients.
- Selected patients may benefit from more invasive procedures, guided by a simple surgical algorithm.
