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Circumferential Lipobrachioplasty Is a Safe Procedure.
- Source :
-
Plastic and reconstructive surgery [Plast Reconstr Surg] 2021 Feb 01; Vol. 147 (2), pp. 337-344. - Publication Year :
- 2021
-
Abstract
- Background: Excess fat and skin in the upper arms have become troublesome with aging and especially after the advancement in methods of weight reduction. Arm contouring procedures can be divided into three groups: those dealing with skin redundancy, those dealing with the lipodystrophy, and a combination of both. This study tries to find an answer to the debate about the safety of simultaneous circumferential liposuction and brachioplasty.<br />Methods: Sixty-two patients (49 women and 13 men) were operated on by simultaneous circumferential suction-assisted lipectomy followed by brachioplasty. Preoperative and postoperative arm circumferences and outcomes (including complications and patient satisfaction) were evaluated starting at least 6 months after the procedure.<br />Results: Only two patients (3.2 percent) developed small areas of wound dehiscence that healed after repeated dressing and an extended period of compression garment use. One patient (1.6 percent) complained of hypertrophic scarring, which was managed by local compression and silicone sheets. The average reduction in mid arm circumference was 9 cm (range, 5 to 14 cm). Approximately 95.2 percent of the patients in the study are highly satisfied, and 4.8 percent reported a mild degree of satisfaction.<br />Conclusions: Simultaneous circumferential arm liposuction followed by brachioplasty addresses both the lipodystrophy and arm ptosis in a single hospital admission. This combination does not increase the complication rate. The results are highly satisfactory to the patients. According to the results of this study, circumferential arm lipobrachioplasty is considered to be a safe, efficient, reliable, and feasible procedure.<br />Clinical Question/level of Evidence: Therapeutic, IV.<br /> (Copyright © 2021 by the American Society of Plastic Surgeons.)
- Subjects :
- Adult
Feasibility Studies
Female
Humans
Lipectomy methods
Lipodystrophy etiology
Lipodystrophy physiopathology
Male
Middle Aged
Patient Satisfaction
Reproducibility of Results
Surgical Wound Dehiscence etiology
Surgical Wound Dehiscence therapy
Treatment Outcome
Weight Loss physiology
Young Adult
Arm surgery
Gastroplasty adverse effects
Lipectomy adverse effects
Lipodystrophy surgery
Surgical Wound Dehiscence epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1529-4242
- Volume :
- 147
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 33565824
- Full Text :
- https://doi.org/10.1097/PRS.0000000000007430