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Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique
Massive weight loss (MWL) brachioplasty is frequently requested for the improvement of the appearance and function of arms. Despite its diffusion, this procedure can be associated with significant complications. Liposuction-assisted brachioplasty (LAB) preserves the vascular, nervous, and lymphatic...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128150/ https://www.ncbi.nlm.nih.gov/pubmed/30210209 http://dx.doi.org/10.4103/JCAS.JCAS_102_17 |
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author | Di Pietro, Verdiana Colicchia, Gianfranco M. Cervelli, Valerio Gentile, Pietro |
author_facet | Di Pietro, Verdiana Colicchia, Gianfranco M. Cervelli, Valerio Gentile, Pietro |
author_sort | Di Pietro, Verdiana |
collection | PubMed |
description | Massive weight loss (MWL) brachioplasty is frequently requested for the improvement of the appearance and function of arms. Despite its diffusion, this procedure can be associated with significant complications. Liposuction-assisted brachioplasty (LAB) preserves the vascular, nervous, and lymphatic network and reduces the incidence of postoperative complications. This retrospective cohort study is aimed at analyzing two different modalities of arm contouring after MWL by evaluating the outcomes and complications. Of 31 patients (all females, average age 43.5 years), 20 were managed with standard brachioplasty represented by a swallowtail scar and monobloc resection and 11 with brachioplasty combined with aggressive liposuction. Evaluated parameters included age, body mass index, method of weight loss, and complications rate. No statistical analysis was used. Major postoperative complications (reoperation, bleeding, or thromboembolism) were not reported in both groups. The incidence of minor complications (wound separation, wound infection, and seroma) was globally 42%; the incidence of complications was significantly lower in the LAB group (9% vs. 60%). The incidence of hypertrophic scarring or keloid was higher in the control group (55% vs. 18%). Most patients were satisfied after surgery: in the LAB group, 81.8% of the patients expressed a high degree of satisfaction and 18.2% a good degree of satisfaction after 4 months of follow-up. In our experience, the LAB should be preferred in MWL patients because it has a lower rate of complications and a faster recovery than the standard technique. Proper execution requires considerable technical skill and experience. |
format | Online Article Text |
id | pubmed-6128150 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61281502018-09-12 Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique Di Pietro, Verdiana Colicchia, Gianfranco M. Cervelli, Valerio Gentile, Pietro J Cutan Aesthet Surg Original Article Massive weight loss (MWL) brachioplasty is frequently requested for the improvement of the appearance and function of arms. Despite its diffusion, this procedure can be associated with significant complications. Liposuction-assisted brachioplasty (LAB) preserves the vascular, nervous, and lymphatic network and reduces the incidence of postoperative complications. This retrospective cohort study is aimed at analyzing two different modalities of arm contouring after MWL by evaluating the outcomes and complications. Of 31 patients (all females, average age 43.5 years), 20 were managed with standard brachioplasty represented by a swallowtail scar and monobloc resection and 11 with brachioplasty combined with aggressive liposuction. Evaluated parameters included age, body mass index, method of weight loss, and complications rate. No statistical analysis was used. Major postoperative complications (reoperation, bleeding, or thromboembolism) were not reported in both groups. The incidence of minor complications (wound separation, wound infection, and seroma) was globally 42%; the incidence of complications was significantly lower in the LAB group (9% vs. 60%). The incidence of hypertrophic scarring or keloid was higher in the control group (55% vs. 18%). Most patients were satisfied after surgery: in the LAB group, 81.8% of the patients expressed a high degree of satisfaction and 18.2% a good degree of satisfaction after 4 months of follow-up. In our experience, the LAB should be preferred in MWL patients because it has a lower rate of complications and a faster recovery than the standard technique. Proper execution requires considerable technical skill and experience. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6128150/ /pubmed/30210209 http://dx.doi.org/10.4103/JCAS.JCAS_102_17 Text en Copyright: © 2018 Journal of Cutaneous and Aesthetic Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Di Pietro, Verdiana Colicchia, Gianfranco M. Cervelli, Valerio Gentile, Pietro Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title | Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title_full | Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title_fullStr | Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title_full_unstemmed | Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title_short | Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique |
title_sort | arm contouring after massive weight loss: liposuction-assisted brachioplasty versus standard technique |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128150/ https://www.ncbi.nlm.nih.gov/pubmed/30210209 http://dx.doi.org/10.4103/JCAS.JCAS_102_17 |
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