Background: Varied deformities of the upper arm are common after massive weight loss. Brachioplasty techniques have been successively modified to improve aesthetic outcomes and avoid complications, especially lymphedema and sensory damage. Objectives: The authors evaluated lymphatic drainage and sensory function of the upper limbs after brachioplasty performed with a double-ellipse marking technique, a medial incision, superficial undermining, and posterior arm liposuction. Methods: This prospective study included 12 women who underwent brachioplasty after bariatric surgery and massive weight loss. Lymphatic drainage was evaluated by forearm volumetry and indocyanine green lymphography of the entire limb. Cutaneous sensitivity thresholds were determined with Semmes-Weinstein monofilaments. Results: Patients received postoperative follow up for 12 months. Complications included a small dehiscence for 1 patient and hypertrophic scarring for 2 patients. Cutaneous sensitivity and forearm volumetry were unchanged after brachioplasty for all patients. Results of indocyanine green lymphography indicated that all patients had normal linear lymphatic patterns pre- and postoperatively. Conclusions: Results of the study support the belief that this type of brachioplasty does not disrupt sensory or lymphatic function of the limb.
Gentileschi, S., Servillo, M., Ferrandina, M. G., Salgarello, M., Lymphatic and Sensory Function of the Upper Limb after Brachioplasty in Post-Bariatric Massive Weight Loss Patients, <<AESTHETIC SURGERY JOURNAL>>, 2017; 37 (9): 1022-1031. [doi:10.1093/asj/sjx031] [http://hdl.handle.net/10807/133352]
Lymphatic and Sensory Function of the Upper Limb after Brachioplasty in Post-Bariatric Massive Weight Loss Patients
Gentileschi, StefanoPrimo
;Ferrandina, Maria Gabriella;Salgarello, Marzia
2017
Abstract
Background: Varied deformities of the upper arm are common after massive weight loss. Brachioplasty techniques have been successively modified to improve aesthetic outcomes and avoid complications, especially lymphedema and sensory damage. Objectives: The authors evaluated lymphatic drainage and sensory function of the upper limbs after brachioplasty performed with a double-ellipse marking technique, a medial incision, superficial undermining, and posterior arm liposuction. Methods: This prospective study included 12 women who underwent brachioplasty after bariatric surgery and massive weight loss. Lymphatic drainage was evaluated by forearm volumetry and indocyanine green lymphography of the entire limb. Cutaneous sensitivity thresholds were determined with Semmes-Weinstein monofilaments. Results: Patients received postoperative follow up for 12 months. Complications included a small dehiscence for 1 patient and hypertrophic scarring for 2 patients. Cutaneous sensitivity and forearm volumetry were unchanged after brachioplasty for all patients. Results of indocyanine green lymphography indicated that all patients had normal linear lymphatic patterns pre- and postoperatively. Conclusions: Results of the study support the belief that this type of brachioplasty does not disrupt sensory or lymphatic function of the limb.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.