Plastic surgery in the arms
Upper arm plastic surgery is a fairly popular procedure. This is due to the fact that the skin in the inner part of the upper arm is quite thin and lacking in elasticity. As such, it tends to loosen and sag more easily.
This operation may or may not be combined with liposuction. In general, a combination with liposuction has come to be seen as preferably in recent years.
HOW TO PERFORM STANDARD BRACHIOPLASTY
In order to correct sagging skin, a section of that skin must be removed. This requires that some incisions be made. The main disadvantage is that these incisions will leave some scarring. The quantity of skin that will need to be removed, and therefore the number of incisions made, depends on the degree of sagging.
Lower degrees of sagging may require only liposuction to be corrected. In such cases, liposuction will remove excess volume from the upper arm, without addressing the loosened skin. The reduction in weight, due to the removal of fat from the upper arm, means that the loose skin will be less discernible.
When dealing with greater degrees of sagging, liposuction in conjunction with skin removal from the armpit can yield satisfying results.
Greater degrees of sagging will require a lengthy incision, beginning at the armpit and ending at the elbow. This tends to leave markings in the inner part of the upper arm, which, because of its position will not be directly evident. Before the operation, a comprehensive discussion with the plastic surgeon is of course needed, in order to determine the type of incision that will be most acceptable to the patient.
COMBINING BRACHIOPLASTY WITH LIPOSUCTION
When the degree of sagging is not too large, one can combine liposuction technique or laser lipolysis with skin removal from the region of the armpit.
This, in cases of limited or even middle-degree sagging, is sufficient to produce a satisfying result without leaving visible incision scars.
In this case, the doctor performs liposuction upon the entire forearm, and then removes excess skin from the area of the armpit.
BRACHIOPLASTY AFETR EXTENSIVE WEIGHT LOSS
If the degree of sagging is particularly large, then the brachioplastic incision must be made beyond the armpit. Such a large degree of sagging is usually noted in people who have shed a lot of weight. These days, this is becoming an increasingly frequent phenomenon, due to the increasing number of surgical procedures whose aim is to reduce weight (bariatric surgery).
The increasing number of bariatric operations has led many patients to consult with plastic surgeons in order to correct the sagging in their upper arms, as well as other parts of their bodies.
The operation is performed simultaneously upon both upper arms; a general or regional anaesthesia may be administered.
Afterwards, a pressure garment, is applied to each upper arm, in order to keep the local tissues solidly in place for a few days.
The patient is usually required to remain at the clinic for a few hours, but is not required to spend the night.
A return to light activities can be made on the very next day after the operation; the patient may usually return to work 2-3 days after the operation, in the case of an office job. Heavier work requiring manual labour may need to be preceded by a lengthier period of recovery.
The pain is usually of a low degree, and quite bearable. It can be controlled fairly well through the use of painkillers.
The pressure garment must remain for approximately 20 days.
Brachioplasty upon the upper arm can yield very satisfying results, combined with a fairly limited recovery period.