Abstract
Brachioplasty has risen in popularity as a safe and effective method to address upper arm contour, particularly as increasingly common bariatric procedures have generated a large population of massive weight loss (MWL) patients. Surgical decision-making is guided by physical examination which will reveal excess of skin, adiposity, or both. Patients must be carefully selected and counseled to manage their expectations, as brachioplasty results in a conspicuous scar. Minimally invasive options may provide satisfactory results in some patients, but do not adequately contour the arm and chest in patients who have had loss of skin elasticity as a result of massive weight loss. Brachioplasty can be safely and effectively provided alone or in combination with most other upper body contouring procedures, including mastopexy and upper body lift.
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References
Centers for Disease Control and Prevention. Adult obesity facts, 13 Aug 2018. www.cdc.gov/obesity/data/adult.html.
American Society for Metabolic and Bariatric Surgery. New study finds most bariatric surgeries performed in northeast, and fewest in south where obesity rates are highest, and economies are weakest, 20 June 2019. asmbs.org/articles/new-study-finds-most-bariatric-surgeries-performed-in-northeast-and-fewest-in-south-where-obesity-rates-are-highest-and-economies-are-weakest.
American Society of Plastic Surgeons. Plastic surgery statistics report. 2018. https://www.plasticsurgery.org/documents/News/Statistics/2018/cosmetic-procedure-trends-2018.pdf. Accessed 3 Jan 2020.
Song AY, O’Toole JP, Jean RD, Hurwitz DJ, Fernstrom MH, Scott JA, Rubin JP. A classification of contour deformities after massive weight loss: application of the Pittsburgh Rating Scale. Semin Plast Surg. 2006;20:24–9.
Reed LS. Brachioplasty with limited scar. Clin Plast Surg. 2014;41:753–63.
Hurwitz D. Brachioplasty. Clin Plast Surg. 2014;41:745–51.
Dayan E, Chia C, Burns J, Theodorou S. Adjustable depth fractional radiofrequency combined with bipolar radiofrequency: a minimally invasive combination treatment for skin laxity. Aesthet Surg J. 2019;39:S112–9.
Shermak MA. Aethetic refinements in body contouring in the massive weight loss patient: part 2. Arms. Plast Reconstr Surg. 2014;134:726–35e.
Bossert RP, Rubin JP. Evaluation of the weight loss patient presenting for plastic surgery consultation. Plast Reconstr Surg. 2012;130:1361–9.
Chen W, James IB, Gusenoff JA, Rubin JP. The constriction arm band deformity in brachioplasty patients: characterization and incidence using a prospective registry. Plast Reconstr Surg. 2018;142:856–861e.
Gusenoff JA, Coon BA, Rubin JP. Brachioplasty and concomitant procedures after massive weight loss: a statistical analysis from a prospective registry. Plast Reconstr Surg. 2008;122:595–603.
Bossert RP, Dreifuss S, Coon D, Wollstein A, Clavijo-Alvarez J, Gusenoff JA, Rubin JP. Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe? Plast Reconstr Surg. 2013;131:357–65.
Sisti A, Cuoma R, Milonia L, Tassinari J, Castagna A, Brandi C, Grimaldi L, D’Aniello C, Nisi G. Complications associated with brachioplasty: a literature review. Acta Biomed. 2017;88:393–402.
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Brower, J.P., Rubin, J.P. (2022). Brachioplasty. In: Zienowicz, R.J., Karacaoglu, E. (eds) Atlas of Whole Body Contouring. Springer, Cham. https://doi.org/10.1007/978-3-030-94755-2_20
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DOI: https://doi.org/10.1007/978-3-030-94755-2_20
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