Brachioplasty Abstract

Purpose Statement:

Arm rejuvenation presents a challenge to the aesthetic surgeon. Historically, various surgical techniques have attempted to minimize scar formation and complications in order to improve outcome. The addition of liposuction and superficial fascial suspension to the armamentarium has led to renewed interest in brachioplasty. Proper patient selection and meticulous surgical technique is mandatory for an ideal aesthetic outcome. This paper describes our approach to patient evaluation and presents our reproducible technique for arm rejuvenation that incorporates liposuction, fascial suspension, and brachioplasty. Methods and Materials: Patients are evaluated and selected for surgery using criteria such as the “pinch test” that stratify them into three groups. These groups employ liposuction, fascial suspension, brachioplasty or a combination of these. Summary of Results: The results of each procedure on appropriately selected patients are displayed photographically. Results are predictable and meticulous postoperative care minimizes complications. All patients are wrapped with compressive bandages. Seromas are drained if present and infection is monitored. Other complications include over/under resection, scar visibility/hypertrophy, and contour irregularities. Conclusions: The method described herein is a useful algorithm for upper extremity rejuvenation. The techniques employed are safe, predictable, and reproducible