Scar Location in a Brachioplasty Matters, Raleigh, NC*

Arm lift or brachioplasty is a procedure usually reserved for patients with significant weight loss or as a result of aging. The term "batwing" is used to describe this condition in which the upper arm is loose and often flabby. Unfortunately, surgical excision of loose excess skin and fat results in an incision which results in a scar. Unlike a breast reduction or abdominoplasty, the scar of a brachioplasty is never hidden since most patients are not wearing garments to hide the scar. Patients seeking this procedure want to wear sleeveless shirts and outfits. Many surgeons place the scar just below the bicipital groove which is right in the middle of the upper inner arm. A posterior approach is preferred by Dr Lyle. Although not " hidden" - it has the least chance of exposure in most social situations. This 62-year-old woman had gastric sleeve and lost 150 lbs. She underwent a brachioplasty with posterior approach. Her early result shows nice contour improvement. Care must be taken to avoid over resection which can result in spindly appearance and disproportionate outcome, like the Popeye character " Olive Oil". Scar management includes prolonged silicone taping, scar creams, compression sleeves and potentially even laser treatments or broadband light treatments to reduce the visibility of the redness in the healing incision.