Discussion: Liposuction of the Arm Concurrent with Brachioplasty in the Massive Weight Loss Patient: Is It Safe?

New York, N.Y. From the Department of Plastic Surgery, Manhattan Eye, Ear & Throat Hospital/Lenox Hill Hospital/North Shore-Long Island Jewish Health System.
Plastic and Reconstructive Surgery (Impact Factor: 2.99). 02/2013; 131(2):368-70. DOI: 10.1097/PRS.0b013e318278d726
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    ABSTRACT: There has been a renewed interest in upper arm contouring given the recent advances and subsequent patient interest in weight loss. Patients undergoing bariatric surgery are often left with a significant amount of redundant skin and laxity of their upper extremity. Some patients within this group have excess fat in their upper arms with relatively good skin tone, while others have a paucity of excess fat with a significant amount of redundant skin. The optimal treatment for each patient can vary. A clinical algorithm is presented that is designed to select the best method for upper arm contouring based on the aesthetic analysis of the upper arm. Case examples are provided demonstrating results that were obtained by following this algorithm.
    Plastic and Reconstructive Surgery 08/2006; 118(1):237-46. DOI:10.1097/01.prs.0000231933.05534.95 · 2.99 Impact Factor
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    ABSTRACT: In performing brachioplasty, the authors have created a double-ellipse marking technique to avoid overresecting and leave adequate skin for closure. After resecting, they prevent the interference of soft-tissue swelling during wound closure by immediately closing each segment with temporary staples. Their technique is ideal for patients with massive weight loss.
    Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 01/2006; 26(1):76-84. DOI:10.1016/j.asj.2005.11.004 · 1.84 Impact Factor
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    ABSTRACT: Lipocontouring the arm has a lower degree of patient satisfaction compared to other regions since untoward sequelae such as sagging and wrinkled skin may result. Circumferential para-Axillary Superficial Tumescent (CAST) liposuction was offered as an alternative to traditional arm liposuction or brachioplasty to 59 patients. Fifty-three of 59 patients (89.9%) were satisfied or very satisfied with the procedure; six patients (10.2%) requested secondary procedures; four, further liposuction (6.8%); two, brachioplasty (3.4%). Although temporary untoward sequelae (15.3%) and minor complications (8.5%) were not infrequent and more vigorous postoperative care necessary, the final aesthetic result was rarely compromised and patient satisfaction was high.
    Aesthetic Plastic Surgery 01/1997; 21(4):225-9. DOI:10.1007/s002669900114 · 0.96 Impact Factor
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