Background: Massive weight loss generates body deformities.
Therefore, the demand for body contouring surgery is
increasing steadily. The aim of this study is to evaluate the use
of liposuction-assisted brachioplasty technique in achieving
better arm contouring and to describe the complications and
patient satisfaction through the analysis of functional and aesthetic
criteria of medial scar versus posterior scar brachioplasty.
Methods: A total of 14 patients were recruited during
2015 at Tanta University Hospital and were randomized into
2 groups Group A: (7 patients) underwent medial scar technique
and Group B: (7 patients) underwent posterior scar technique.
Results: The study included 14 female patients in which
the posterior scar technique had an average operative time of
90 minutes which is shorter than medial scar technique which
had an average operative time of 118 minutes with lower
complication rate with posterior scar technique but more arm
reduction with medial scar technique.
Conclusion: Brachioplasty operation is a good method to
treat patients with arm obesity or post massive weight loss
skin ptosis. Medial scar technique showed significant more
reduction in arm circumference than posterior scar technique.
However posterior scar technique demonstrated significantly
shorter operative time, better scar quality and more patient
satisfaction with less incidence of complications than medial
scar technique.