Clinical Presentation
Patients experiencing massive weight loss often develop severe arm deformity extending through the axilla and onto the chest, necessitating comprehensive surgical correction [PMID:18061807].
Management
Brachioplasty is highlighted as a successful procedure for contouring the arms in patients who have undergone massive weight loss, addressing key deformities such as redundant skin and fascial loosening [PMID:30447832].
Minimizing common complications in brachioplasty requires a meticulous surgical approach and a thorough understanding of the surgical anatomy [PMID:30447832].
More than 50 patients have been treated since 2002 using L brachioplasty, achieving esthetic reshaping of the upper arm with inconspicuous scars and only minor complications [PMID:18061807].
Complications
The paper suggests that integrating liposuction of the posterior arm with brachioplasty is both safe and effective without elevating the risk of complications [PMID:30447832].
Among the treated patients, eight scar revisions were necessary, including two cases requiring Z-plasties for contracture management [PMID:18061807].
References
1 Myers PL, Bossert RP. Arm Contouring in the Massive-Weight-Loss Patient. Clinics in plastic surgery 2019. link 2 Hurwitz DJ, Neavin T. L brachioplasty correction of excess tissue of the upper arm, axilla, and lateral chest. Clinics in plastic surgery 2008. link
2 papers cited of 4 indexed.