Brachioplasty after bariatric surgery: personal technique.

BACKGROUND

A review of the results of the standard technique for "batwing" deformity after massive weight loss led to the need to optimize the cost/benefit ratio in terms of maximal correction/less visible scars.

METHODS

Between 2001 and 2007, 29 patients were operated with a new technique based on a careful preoperative evaluation and markings, followed by an intraoperative skillful handling. This technique is not easy and needs plastic surgery experience and a long learning curve.

RESULTS

The esthetic results are far better then those obtained with other techniques, especially the arm lower profile.

CONCLUSION

The complication rate is similar to other techniques, even if a potential low risk for ulnar nerve damage is present.