I gather that the incision for a brachioplasty can be on the inner arm or the back of the arm. If the latter, is the scar dead centre down the back of the arm or more to the side where the inner arm meets the back of the arm
Arm Lift Scar
Doctor Answers (22)
Arm Lift Scar Location (Brachioplasty)
There is much controversy over the best place to put an arm lift scar. The two best positions are in the back of the arms and the other is in the inner portion of the arm (bicipital groove). In the back of the arms the patient will not see the scars, but anyone behind you will. In the inner portion of the arms no one will see the scars unless you raise your arms outwards. From El Paso, Las Cruces, New Mexico.
Arm lift scar location
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Brachioplasty incison locations
Brachioplasty Incision Placement & Scarring
When patients undergo brachioplsty surgery an incision is made from the elbow to the axilla. Through this incision excess skin and fat can be removed in both the transverse and vertical dimensions of the upper arm. The exact placement of this incision is dependent upon several variables.
In the majority of cases, the incision is placed on the inner arm between the biceps and triceps muscles. In this position the scars are well hidden when the arms are at the patient’s side. When patients raise their arms, the scars become more noticeable.
Occasionally, patients prefer scars that are more posteriorly located. In this position, scars don’t tend to spread as much, because the skin is thicker in this location.
It’s important to understand that scarring is inevitable with the procedure, irregardless of the incision placement. The most important variable in scar formation is the patients wound healing biology. This varies from patient to patient and for this reason incision placement needs to be individualized.
If you’re considering brachioplasty it’s important to discuss these issues with a board certified plastic surgeon before proceeding. This surgeon should be able to formulate a treatment plan that addresses this issue.
This depends on whether you have a hidden inner armlift where the incision is hidden in the top of the armpit. It is almost imperceptible. It is primarily for patients with a minimal amount of skin redundancy in the lower arm versus the posterior armlift scar which is more effective, but leaves a long scar on the back of the arm. Please visit a Board Certified Plastic Surgeon with experience and expertise in body contouring and armlifts.
Arm Lift Scar
Arm lifting surgery and scars
I have tried placement of the resulting scars in the bicipital groove (between the biceps and triceps muscles) as well as a long the inferior–lower aspect of the upper arm. I have found higher patient satisfaction with the latter approach. If the excision can be planned such that the scar falls along the frontal aspect of the lower arm, then the scar may be visible only when the patient raises his/her arms.
As with many plastic surgical procedures, the planning of the incisions and resulting scar line is critical. However, even with attention to detail, the resulting scars may not be ideal and revisionary surgery is often necessary to improve the appearance (for example, the width) of the scars.
Thank you for the question–I hope this helps.
Position of scar after brachioplasty
The usual position of scars after a brachioplasty is on the inner aspect of the arm. The other position is where the inner aspect meets the back of the arm (posterio-medial). Both scars tend to spread but I have found that the scarring on the medial aspect of the arm is usually more prominent. My patients prefer the posterio-medial scar because it is not in their direct line of vision.
Scars are the tradeoff in the arms
While brachioplasty is a common procedure I perform for patients who have had massive weight loss, it is the one in which we have longer discussions about the scars that may arise. Because the arms are round and exposed when wearing most clothes, the scars are the biggest tradeoff for the reduction in the excess skin. Most often, the scar is on the inner aspect of the arm where the biggest laxity in the skin is.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.