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Sean Hill, Kevin H Small, Ronnie A Pezeshk, Rod J Rohrich
Upper arm contouring is based on the location and amount of excess skin and fat. The short-scar brachioplasty addresses minimal to moderate skin laxity and lipodystrophy in the proximal arm in patients with appropriate skin tone and quality. This article highlights technical refinements of the senior author's (R.J.R.) approach to short-scar medial liposuction-assisted brachioplasty to maximize results and minimize incision length. To highlight this simple and safe approach with high patient/surgeon satisfaction, the authors discuss the following in this Video Plus article: patient examination, preoperative assessment, surgical pearls, and postoperative outcomes...
September 2016: Plastic and Reconstructive Surgery
Lyly Nguyen, Varun Gupta, Ashkan Afshari, R Bruce Shack, James C Grotting, K Kye Higdon
BACKGROUND: Brachioplasty is a popular procedure to correct upper arm ptosis. However, current literature on complications and risk factors is scant and inconclusive. OBJECTIVES: Using a large, prospective, multicenter database, we report the incidence of major complications and risk factors in patients undergoing brachioplasty. METHODS: Patients who underwent brachioplasty between 2008 and 2013 were identified from the CosmetAssure (Birmingham, AL) database...
July 2016: Aesthetic Surgery Journal
Michele A Shermak
No abstract text is available yet for this article.
July 2016: Aesthetic Surgery Journal
Michele Grieco, Eugenio Grignaffini, Francesco Simonacci, Donatello Di Mascio, Edoardo Raposio
Obesity is a growing socio-economic problem especially in the western population. Patients who are undergoing bariatric surgery after a significant weight loss have an altered body profile which may have an important psychological impact. These patients may be candidates for surgical body-lifting. The aim of body-lifting is to obtain a firmer, tighter, rejuvenated appearance for patients who have lax, ptotic tissues. In this paper we describe our experience with two techniques currently practiced by our team, brachioplasty and thigh lift, reporting the indications, the surgical technique and possible complications...
2016: Acta Bio-medica: Atenei Parmensis
Felmont F Eaves
No abstract text is available yet for this article.
September 2016: Aesthetic Surgery Journal
Harold Chatel, Yoni Madar, Patrick Leyder, Claire Bonneau, Christophe Barrat, Julien Quilichini
BACKGROUND AND AIM: Persistent postsurgical pain (PPP) has been reported by patients following various surgeries. Body contouring procedures are being performed more frequently, but no data are available regarding the effects of these procedures. Long-term disability occurring after performing "functional" procedures on healthy subjects is a particular concern. The aim of this study was to describe the risk factors, prevalence, characteristics, and effects of persistent pain after body contouring procedures...
May 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Marwan H Abboud, Nicolas M Abboud, Saad A Dibo
BACKGROUND: Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring. OBJECTIVES: The authors proposed a new classification system and treatment algorithm for brachial ptosis and described their experience with power-assisted liposuction and lipofilling to treat brachial ptosis without excisional surgery. METHODS: Ninety-five patients with grades 1, 2, or 3 brachial ptosis who underwent brachioplasty were evaluated in a prospective study...
September 2016: Aesthetic Surgery Journal
Sepehr Egrari
Brachioplasty has become one of the most rapidly growing operations in plastic surgery. There are a variety of arm presentations, due to either weight loss or other reasons, and the extent of the defect can carry into the lateral chest wall and the back. In this featured operative technique article, the author describes indications, patient selection, and criteria for classifying brachioplasty, and illustrates the surgical techniques of this procedure. Markings, scar positioning, and the various operative steps are described along with the intricacies of postoperative care, including scar control...
February 2016: Aesthetic Surgery Journal
M Griffin, M A Akhavani, N Muirhead, A N M Fleming, M Soldin
BACKGROUND: "Postbariatric" patients are at significant risk for increased postoperative complications. This study aimed to define the risk of venous thromboembolism following body-contouring surgery after massive weight loss. METHODS: A retrospective analysis was performed on all patients who had undergone all forms of body-contouring procedures after massive weight loss between January 2005 and August 2012 at St George's Hospital, South West London, United Kingdom...
2015: Eplasty
Giuseppe A Ferraro, Francesco De Francesco, Sergio Razzano, Francesco D'Andrea, Gianfranco Nicoletti
UNLABELLED: Brachial ptosis is one of the consequences of massive weight loss. At an early stage, brachial ptosis can be corrected by liposuction, dermolipectomy and liposuction, or minibrachioplasty while the most advanced stage requires extended brachioplasty. Since brachioplasty was first described, various techniques have been proposed in the management of upper extremity contour deformities. Modifications to the original technique were mainly made to shape arm contour, to obtain good morphological reconstruction with attention directed toward improving and refining the resulting scar...
April 2015: Aesthetic Plastic Surgery
Antoine de Runz, Thomas Colson, Christophe Minetti, Muriel Brix, Julien Pujo, Heloïse Gisquet, Etienne Simon
BACKGROUND: Brachioplasty frequently offers functional benefits but results in poor aesthetic scars and a relatively high complication rate. The authors describe the complications and risk factors inherent in liposuction-assisted medial brachioplasty and assess patient satisfaction with the functional and aesthetic benefits. METHODS: A 5-year retrospective study was performed that included all patients who underwent liposuction-assisted medial brachioplasty. Complications were reviewed and analyzed by aesthetic and nonaesthetic categories, and patient satisfaction was rated...
January 2015: Plastic and Reconstructive Surgery
Franz X Felberbauer, Soheila Shakeri-Leidenmühler, Felix B Langer, Hugo Kitzinger, Arthur Bohdjalian, Ronald Kefurt, Gerhard Prager
BACKGROUND: Paralleling the growth of bariatric surgery, the demand for post-bariatric body-contouring surgery is increasing and placing additional burdens on already strained health care systems. In Austria, medically necessary body contouring is covered by public health care. In a sample of 622 women, we assessed the proportion of patients that underwent post-bariatric surgery at least 2 years after gastric bypass. METHODS: Former bariatric patients were asked whether they had undergone post-bariatric surgery or were planning to do so by structured telephone interviews...
July 2015: Obesity Surgery
Andrew N Kornstein
Although the popularity of longitudinal brachioplasty has grown tremendously in recent years, dealing with the unpredictable scar remains a challenge for the surgeon and the patient. The scar often heals slowly and widens over time, perpetuated by the effects of gravity, body movements, and the thin nature of the superficial fascial system (SFS) of the arm. Scar widening may correlate with recurrence of the soft-tissue deformity as the repaired underlying SFS stretches. Therefore, techniques that support and stabilize the SFS are highly desirable for addressing the problematic scar...
July 2014: Plastic and Reconstructive Surgery. Global Open
Ahmad N Saad, Ralitza Parina, David Chang, Amanda A Gosman
BACKGROUND: The ability to study population-level outcomes of outpatient cosmetic procedures has been limited by a lack of longitudinal data. This study aimed to describe the rates of adverse events in patients who underwent an isolated cosmetic surgery procedure compared with those who had a combination of two procedures. METHODS: Retrospective longitudinal analysis was performed of the 2005 to 2010 California Office of Statewide Health Planning and Development Ambulatory Surgery Database...
December 2014: Plastic and Reconstructive Surgery
Michele A Shermak
BACKGROUND: The literature has witnessed an evolution in brachioplasty technique since the procedure was introduced by Thorek in 1930. Aesthetic refinements in brachioplasty have been increasingly described in the literature, and this has paralleled the rise in the massive weight loss population. The aim of this review is to share the plastic surgery experience with this challenging body region and present different approaches to achieve the best results for a broad spectrum of patients...
November 2014: Plastic and Reconstructive Surgery
Hamdy Elkhatib
BACKGROUND: The traditional long medial arm incision with its resultant scar is not acceptable. The author presents his long-term experience in performing the posterior scar brachioplasty with fascial suspension. The technique is a modification described by other authors. The aim of the author is to demonstrate the reasons for the choice of the posterior scar technique with fascial suspension. METHODS: Between 1999 and 2012, the posterior scar technique with fascial suspension was used to treat 205 patients with brachial deformities...
September 2013: Plastic and Reconstructive Surgery. Global Open
Spero Theodorou, Christopher Chia
BACKGROUND: Contouring of the arms that does not involve skin excision remains a difficult challenge due to the dependent nature and quality of the skin. Although brachioplasty remains effective, it requires a lengthy incision. Radiofrequency-assisted liposuction (RFAL) may improve skin retraction with a satisfactory aesthetic result without skin resection and the resultant scar. The purpose of this study is to present our experience of RFAL arm contouring under local anesthesia, detailing safety guidelines, the marking technique, operative technique, complications, third-party surgeon appraisal, and patient satisfaction survey...
August 2013: Plastic and Reconstructive Surgery. Global Open
Lawrence S Reed
There is a growing interest in upper arm aesthetic surgery but many patients do not accept the visible inner arm scar. Minimal incision brachioplasty using a shorter scar, concealed in the axilla, produces results equal to that of the traditional approach in comparable cases. Patients with massive weight loss may not meet the criteria for surgery. Patient selection and careful preoperative markings are critical to the success of the procedure. The author describes the technique he has been using for more than 30 years along with refinements...
October 2014: Clinics in Plastic Surgery
Dennis Hurwitz
This article contrasts the ideal appearance of the female upper arm, axilla, and upper midlateral chest with the sagging and/or oversized deformity. The constellation of postbrachioplasty aesthetic deformity is introduced. These aesthetic shortcomings are best avoided, because they are difficult to correct. The L brachioplasty with liposuction is described in a recent case and applied to a variety of deformities to show the range of applicability and quality of results. The role of liposuction in arm reshaping is examined...
October 2014: Clinics in Plastic Surgery
Jordi Vilà, José María Balibrea, Benjamí Oller, Antonio Alastrué, Jordi Vilà Poyatos, José María Balibrea del Castillo, Benjamí Oller Sales, Antonio Alastrué Vidal
BACKGROUND: Post-bariatric, body contouring surgery to treat the sequelae of massive weight loss is an undervalued topic by patients and in most of the literature. The objective of this study was to determine the mean cost per patient of this treatment in a public morbid obesity unit, and compare it with the perception by the patients. METHODS: Costs were estimated using a specific Diagnosis-Related Group-based method and a questionnaire in a sample of 100 patients who had completed body contouring treatment...
September 2014: Plastic and Reconstructive Surgery
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