Recent Brachioplasty - 2 Wks Post Op. Small 1' Opening Still Not Healing Quickly...

It is very normal to have small wound healing issues after surgery. Every patient heals at a different rate. Be patient. As for the garment, I use a compression garment if liposuction is performed for 4 weeks. If liposuction is not performed I tend to take off arm dressings after 2 weeks. Each surgeon has their own way of doing things - discuss your questions with your surgeon.

It's not unusual for patients to have wound healing problems following arm lift surgery. The problem typically occurs where the vertical incision meets the transverse incision. This location is at risk for wound separation for a variety of reasons. These include poor blood supply to the skin flaps in this location and high levels of bacteria that occur in the axilla. Both of these factors can contribute significantly to wound breakdown in this area.Once breakdown has occurred, wounds tend to heal by secondary intention. Tissue tends to form a layer of granulation and wounds contract. The skin grows over the top of the granulation tissue. In the initial phases of healing, there may be an intense inflammatory response that can make the wound look red and angry.For these reasons, these wounds should be monitored closely. If infection appears, antibiotics should be started immediately. In the interim, local wound care should be continued with dressing changes. When this approach is taken, wounds tend to heal nicely. Rarely, scar revision may be necessary as a secondary procedure. If you have questions or concerns about how your wound is healing, it's important that you discuss them with your plastic surgeon. Your surgeon should be able to address your concerns and alleviate your anxiety.

Thank you for your question regarding a small opening after brachioplasty.
It is difficult to answer your question without pictures or a thorough physical examination. Though not common, brachioplasty incisions can open. The physical examination of the wound determines what topical treatments should be done. If your arm wound is open, please visit your plastic surgeon weekly for treatment.
Arm compression garments are essential after an arm lift or brachioplasty. The compression garments help to minimize swelling or edema. Though rare, permanent hand and forearm swelling can occur after a brachioplasty. Compression garments help to minimize this. The compression garment also helps to flatten the arm lift scar. This leads to a better cosmetic result.
Good luck with your skinnier arms.
If you have any questions, please do not hesitate to contact my office.
Sincerely, Dr. Katzen