Hoyos Alfredo E, Stefanelli Matt, Perez Mauricio E, Padilla Mauricio
Department of Plastic Surgery, Total Definer Research Group Bogota, Colombia.
Colombian Society of Plastic, Aesthetic, Maxillofacial, and Hand Surgery.
Plast Reconstr Surg Glob Open. 2023 Jan 30;11(1):e4651. doi: 10.1097/GOX.0000000000004651. eCollection 2023 Jan.
Arm contouring usually represents a challenge for the surgeon due to zones with high risk of irregularities/asymmetries, the variable degree of skin laxity, and the differences between patient/gender preferences. In men, the bigger and muscular the arms the better, while women tend to prefer a slim and soft silhouette.
We performed arm cadaveric dissections and also searched our records for patients who underwent fat grafting of the arm in addition to HD2, from January 2016 to May 2022 at a single center in Bogotá, Colombia.
Two hundred eighty-nine consecutive patients (275 men and 14 women) underwent high-definition lipoplasty/HD2 plus fat grafting of the biceps (72 muscles), the triceps (46 muscles), the deltoids (426 muscles), or a combination of them. Mean age was 39 and 36 years for men and women, respectively. Range of the fat graft volume was 30-150 ml. No major complications were reported. Follow-up period ranged from 2 to 24 months. Most patients were satisfied with the results.
Men usually seek an overall well-toned and muscular extremity, while women tend to prefer a slim but also athletic contour. Such outcomes can be achieved through intramuscular fat grafting of the biceps, triceps, and deltoids. The proper recognition of the pedicles and a precise surgical technique will ensure both its safety and the reproducibility of the results.
由于存在高低不平/不对称的高风险区域、皮肤松弛程度不一以及患者/性别偏好差异，手臂塑形对外科医生来说通常是一项挑战。在男性中，手臂越大且肌肉越发达越好，而女性往往更喜欢纤细柔和的轮廓。
我们进行了手臂尸体解剖，并在2016年1月至2022年5月期间于哥伦比亚波哥大的一个中心，在我们的记录中查找除了高清吸脂术（HD2）外还接受了手臂脂肪移植的患者。
289例连续患者（275例男性和14例女性）接受了高清吸脂术/HD2加肱二头肌（72块肌肉）、肱三头肌（46块肌肉）、三角肌（426块肌肉）或它们的组合的脂肪移植。男性和女性的平均年龄分别为39岁和36岁。脂肪移植量范围为30 - 150毫升。未报告重大并发症。随访期为2至24个月。大多数患者对结果满意。
男性通常追求整体肌肉发达且线条优美的肢体，而女性往往更喜欢纤细但有线条的轮廓。通过对肱二头肌、肱三头肌和三角肌进行肌肉内脂肪移植可以实现这样的效果。正确识别血管蒂和精确的手术技术将确保其安全性和结果的可重复性。
