After a complete preoperative check-up, the patient should be showered with an antiseptic product and admitted to the hospital or clinic. The planning of the position and extent of the skin incision is done with the patient in an upright position and with the hands in abduction so that the problem is more obvious.
Brachioplasty is a procedure performed under general anesthesia. An incision is made on the inner surface of the arm and then a special technique is used to remove excess skin along with fatty tissue. The edges of the wound are stitched in such a way that no great tension is exerted on the wound, which can lead to a malformed scar. No drainage is used and a pressure dressing is necessary.
In many cases, in addition to the laxity, excess fat is often present in the arm area, so brachioplasty can be combined with liposuction. Performing classical liposuction in the arm area without simultaneous brachioplasty can lead to loosening and should be avoided as a monotherapy in major problems.
The postoperative course includes the immobilization of the upper limbs and the restriction of their mobility for a few days.
Suture removal is completed on about day 15. The results are satisfactory for well-informed patients, as there is a significant improvement in the appearance of the arms. Brachioplasty leaves a scar on the medial side of the arms which in some cases may be visible, which should be taken into consideration before deciding on surgery. Of course, even if a scar remains, then special, non-invasive treatments can be applied, mainly with laser to repair the scar.