title: An outcome analysis of brachioplasty techniques following massive weight loss.
abstract: Body contouring following massive weight loss (MWL) has gained in popularity. The demand for upper arm contouring procedures has increased, and we elected to evaluate our results, complications, and patient satisfaction with brachioplasty techniques in MWL patients. A retrospective review was performed on all patients who underwent a brachioplasty procedure. Patient demographics and risk factors were queried. We evaluated surgical techniques and outcomes. Thirty-one patients underwent a bilateral brachioplasty, with an average follow-up of 16 months. The surgical technique included double ellipse n = 16, and L-shaped n = 15. The average weight loss before the procedure was 146 pounds, and the average body mass index at the time of the surgery was 30. Risk factors were present in 68% of the patients. The complication rate was 22%, including cellulitis, hematoma, infection, delayed healing, and lymphocele. The revision rate was 16%, most being minor scar revisions for contour improvement. Patient satisfaction scores included overall satisfaction 4.3/5, contour improvement 4.3/5, symptomatic improvement 4.9/5, and scar appearance 3.9/5. Most patients (94%) reported improved self-esteem, 94% being more comfortable wearing short sleeve shirts, and 94% would undergo the procedure again. Brachioplasty is a relatively safe and effective procedure for upper body contouring in the MWL patient. Complications are minor, and small revisions in contour are not uncommon. Patients report improvement in contour and self-esteem, and a high level of satisfaction with this procedure, despite the potential for an unfavorable scar.
authors.affiliation: Emory Division of Plastic and Reconstructive Surgery, Atlanta, GA, USA.
authors.forename: John D
authors.initials: JD
authors.lastname: Symbas
authors.forename: Albert
authors.initials: A
authors.lastname: Losken
mesh_terms: D000328:Adult; D001132:Arm / Q000601:surgery*; D015992:Body Mass Index; D002921:Cicatrix / Q000453:epidemiology / Q000523:psychology; D004954:Esthetics; D005260:Female; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology / Q000523:psychology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D015431:Weight Loss