Contour and lump after brachioplasty (Photo)

Question

Im concerned with the overall contour of my brachioplasty but more so with the LARGE lump. It's hot to touch but does not have much redness. I'm wondering if it's just localized swelling, considering gravity and the proximity to my elbow. Or if it is a seroma/hematoma that would need draining? How do I tell the difference? What are the thoughts of the overall contour? I feel like it's uneven and also much too large and droopy still. Thanks.

J. Timothy Katzen, MD, FACS · Answer

I appreciate your question regarding the lumps, bumps, and sensitivities you've been experiencing post-procedure. This lump, particularly if it's sensitive to touch, warrants immediate assessment by your plastic surgeon. Various conditions might explain its presence. It could be a collection of fluid such as an abscess, seroma, or hematoma. If the lump feels warm, it might indicate an abscess. All these conditions require professional attention, and often, drainage. In terms of contour irregularities, it's challenging to provide a definitive evaluation without your pre-procedure photos for comparison. However, once your primary concern about the lump is addressed, wearing post-procedure compression garments can significantly aid in reducing swelling and ensuring better scar formation.
Sincerely, Dr. Katzen

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I would advise you see your local board certified plastic surgeon who performed your procedure. If you did not choose a local or board certified plastic surgeon, then I would advise you to find one and be seen. The medial incision for brachioplasty has benefits, but in patients with significant excess, it often fails to address the distal (near the elbow) skin excess. It also is notorious for problems with seroma or lymphatic cysts, and this is potentially what is going on with you. Best to be seen by someone to be evaluated and treated. Best of luck!

Gary L. Ross, MBChB, FRCS · Answer

You are swollen at the end of the scar which is not uncommon following an arm lift. Best to see your PS for reassurance.

Edward I. Lee, MD · Answer

Thank you very much for your questions and your pictures. It definitely looks swollen on the picture but it is difficult to tell just from the pictures whether this is just localized swelling or something else. I would follow up with your surgeon to get this looked at. Swelling after brachioplasty is common and can last 6-9 months after surgery. I would wait at least that long to assess the overall contour/result.

Contour and lump after brachioplasty (Photo)

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