Brachioplasty (Arm Lift)
This surgical procedure aims to reshape and deliver perfected contours to the upper arms and the joined area of chest wall. In most cases brachioplasty is describing a exclusive procedure for the upper arms but the term can also be used to describe any surgical arm contouring. The procedure is regularly used to report matters such as extreme loose skin or extreme fat in the arms when it does not respond well to diet and exercise. This is a procedure that is frequently used on patients who have lost massive weight and are left with lots of excess skin.
Sometimes, in order to remove fat from the arms, Liposuction is performed during this operation. An arm lift is not a substitute for weight loss. Best results are seen when the patient is at target weight. The smoother, tighter contours that result from your arm lift are apparent almost immediately following your procedure, although there will likely be swelling and bruising.
An arm lift is a surgical procedure that:
- Reduces excess sagging skin that droops downward
- Tightens and smoothens the underlying supportive tissue that defines the shape of the upper arm
- Reduces localized pockets of fat in the upper arm region
- Fluctuations in weight, growing older, and heredity can cause your upper arms to have a drooping, sagging appearance. This is a condition that cannot be corrected through exercise.
In conclusion, arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose and full due to excess skin and fat.
Patients choosing Upper Arm Surgery often combine other body reshaping procedures like body contouring & body lift procedures. The most popular surgeries to be sequenced or combined with Upper Arm (Brachioplasty) Surgery include Breast Enhancement Surgery (Breast Reduction, Breast Lift or Breast Augmentation), Liposuction and Body Contouring and Tummy Tuck procedures.
There are different types of surgery available, your surgeon will decide together with you, which is best for your unique situation;
Hidden/Minimal incision brachioplasty
Under the right conditions such as adequate skin elasticity and minimal excess skin, the surgical incision for the brachioplasty can be placed under the arm. This allows for easy concealment of the scar. Minimal incision brachioplasty includes lipoplasty of the upper arm, wide axillary and upper-arm skin excision, and dermal suspension of the upper-arm skin to the axillary fascia.
The typical brachioplasty involves removing excessive loose skin via surgical excision, leaving a significant scar along the bottom of the upper arms.
If there is also a significant amount of loose skin that goes from the upper arms and continues along the chest wall, an extended brachioplasty may be called for. In an extended brachioplasty, the incision and excision of skin continues along the upper arm onto the area under the arm along the chest wall.
This method is used for patients with an enormous amount of soft tissue excess. Fish-incision brachioplasty uses mathematical measurements and anatomic marking that allows the preoperative marking of the incision in the shape of a fish.
Non- excisional brachioplasty
This technique is used to decrease the post- operative seroma formation and nerve injury. In this method liposuction is done for the arm with excessive liposuction under the area of excision to make it paper thin. Only the skin over the marked area is excised followed by invagination of the tissue and closure with dermal to dermal sutures and skin edge closure.
Superficial fascial system suspension
In this procedure anchoring of the arm flap to the axillary fascia is secured along with strong superficial fascial system repair of incisions. This method reduces the risk of widening or migration of scars and unnatural contours.
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