In most cases, liposuction is necessary for great results in Brachioplasty. It is not safe to just cut away skin and fat, as the small nerves and lymphatics would be damaged at excision. Instead, we use liposuction to thin the tissues, and then brachioplasty to obtain the new contoured result.
This gentleman was successful in losing weight but remained afflicted with excess skin. Mastectomy and brachioplasty provided a good solution, and he was fortunate to form modest scars that were later hidden with tattoos.
Young people with good skin tone are more prone to prominent scars. This early result went on to improve greatly with silicone dressings.
Brachioplasty has become more popular as more people are shedding excess weight. Scars are an acceptable trade-off if skin excess is severe.
Some patients will not accept scars for better skin tone. Thermitight is a technique in which the deep surface of the skin is heated, often after liposuction. This produces increased skin tightening. It is very good at avoiding sagging skin, however skin shrinkage can create a 'raisin' appearance to the skin. For this patient, a great result.
A modest but significant correction in arm skin excess can be obtained with a brachioplasty that confines the scar to the armpit
when excess skin extends to the elbow, the excision must also extend to the elbow. These scars frequently thicken because of the tension of the closure, and we recommend silicone dressings to minimize scar hypertrophy.
Body contour procedures after major weight-loss require creativity, and customization to the patient's specific needs. In this case, we included a dermoilipectomy of the lateral chest to complete the improvement obtained with the brachioplasty.