Flaccid arms with intense skin excess over the inner and posterior regions can be corrected with brachioplasty (arm lifting), while an isolated adipose excess can be treated by only a liposuction of the posterior arm without skin resection. Flaccidity is related to hereditary aspects, the natural aging process and/or intense weight loss, more and more often as a consequence from bariatric surgeries.
The surgery aims at reshaping the arm circumference, but, in many cases, a scar is left, extending from the armpit to the elbow through its inner aspect. This scar tends to widen, and because of the frequent exposure of the limb it is quite visible. Careful assessment of each case is needed, in addition to the evaluation of the benefits of a better contour and of the resulting scar.
The dilemma shape versus scar, so present in our specialty becomes even more evident in this case.
The procedure is performed under local anesthesia and sedation. A 24-hour admission is usually necessary.