This is a 58 year old woman who had come to our Tucson, Arizona office because she was displeased with the appearance of her arms. She had lost over 120 pounds from bariatric surgery and she had a significant amount of redundant skin in her upper arms. She was troubled by her arms because she did not feel the appearance of her arms was reflective of her new figure. During her consultation I learned that her weight had been stable for several months and her bariatric surgeon felt that her weight loss had plateaued. On physical exam she had minimal fat, but significant amount of redundant skin. In our discussion I felt that she was a good candidate for a brachioplasty. A brachioplasty is a surgical procedure performed as an outpatient where redundant skin and excess fat is removed from the arms from the armpit to the elbow. It is commonly performed after patients have underwent massive weight loss. I reviewed the surgical plan and I explained that we would remove the redundant skin from just above her elbow to the axilla, extending down on to the chest wall. I explained that there are different incisions that can be used for a brachioplasty; my preference is to use an incision that runs along the posterior aspect of the arm so the incision is well hidden and discreet. Her brachioplasty was performed at an outpatient surgery center. Her recovery involved avoiding any heavy lifting for 6 weeks until her incisions healed. She had an uneventful recovery. She is now one year out from her surgery. She is very happy with her results after her brachioplasty, and she loves the way her arms look in all of her clothes!
Dr. Arun Rao