title: Improved double-fuse technique for post-bariatric brachioplasty.
abstract: OBJECTIVE
  To evaluate the use of modified brachioplasty, investigating in late postoperative complications and satisfaction with the outcome, in women previously submitted to bariatric surgery.
  
  
  METHODS
  The population (N = 18, age 49.2 ± 11.3 years), which had undergone brachioplasty 25.2 ± 11.9 months after the bariatric procedure, was contacted after 31.7 ± 38.8 additional months. Surgical complications and satisfaction with the operation were estimated by interviews, including a questionnaire designed for this purpose.
  
  
  RESULTS
  pre-bariatric body mass index (BMI) was 57.1 ± 11.1 kg / m(2), being 28.3 ± 6.0 kg/m(2) before the brachioplasty, without significant changes thereafter. Three minor surgical complications were recorded (3 / 18, 16.7%), namely, temporary paresthesia, seroma and small imperfection of the scar. The satisfaction rate was approximately 90%, with the three most rewarding results for the patients being the ease of dressing (P = 0.01), decreased weight of the arm (P = 0.03) and absence of edema (P = 0.04). There was a negative correlation between severe weight loss and degree of satisfaction, however, no patients regretted the procedure.
  
  
  CONCLUSIONS
  the modified brachioplasty was successful in cases with severe brachial ptosis with possible extension to the chest. The study confirmed functional and aesthetic benefits, and thanks to the technique applied, most of the complications and disappointments could be avoided.
authors.affiliation: Department of Plastic Surgery, Faculty of Medicine, University of Sao Paulo, Brazil. miguelmodolin@uol.com.br
authors.forename: Miguel L
authors.initials: ML
authors.lastname: Modolin
authors.forename: Wilson
authors.initials: W
authors.lastname: Cintra
authors.forename: Joel
authors.initials: J
authors.lastname: Faintuch
authors.forename: Maira M
authors.initials: MM
authors.lastname: Silva
authors.forename: Luciana B
authors.initials: LB
authors.lastname: Moraes
authors.forename: Rolf
authors.initials: R
authors.lastname: Gemperli
authors.forename: Marcos Castro
authors.initials: MC
authors.lastname: Ferreira
mesh_terms: D001132:Arm / Q000601:surgery*; D050110:Bariatric Surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D015431:Weight Loss