Brachioplasty outcomes: a review of a multipractice cohort.

Abstract:

BACKGROUND:Upper arm deformities secondary to massive weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures such as brachioplasty. METHODS:The records of all patients who underwent a brachioplasty procedure from a multipractice medical center were reviewed. Outcomes measured included patient demographics, operative interventions, and postoperative course. RESULTS:Ninety-six patients were analyzed. Fifty-three patients (55.2 percent) underwent a concomitant procedure, with 53.1 percent undergoing arm liposuction at the time of brachioplasty. Major and minor complications rates were 17.7 percent and 44.8 percent, respectively. Common complications included hypertrophic scarring (24.0 percent) and infection (14.6 percent). The total revision rate was 22.9 percent, with residual contour deformity (40.9 percent of revisions) and hypertrophic scarring (36.4 percent of revisions) representing the most common causes for revision. Patients who underwent a previous bariatric procedure were at an increased risk of developing a major complication (p = 0.02). Concomitant upper arm liposuction and concomitant procedures were not associated with a significantly increased complication rate. CONCLUSIONS:Brachioplasty, despite being an effective treatment for contour irregularities of the upper arm, is associated with significant revision and complication rates. Post-bariatric surgery patients should be informed of the potential for increased complications. Additional procedures performed at the time of brachioplasty do not significantly increase complications. Liposuction of the upper arm can be performed safely in conjunction with brachioplasty.

journal_name

Plast Reconstr Surg

authors

Zomerlei TA,Neaman KC,Armstrong SD,Aitken ME,Cullen WT,Ford RD,Renucci JD,VanderWoude DL

doi

10.1097/PRS.0b013e3182827726

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

883-889

issue

4

eissn

0032-1052

issn

1529-4242

pii

00006534-201304000-00043

journal_volume

131

pub_type

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