How common are serious complications like necrosis after a full brachioplasty (armpit to elbow)?

As with any surgical procedure, there are always risks; but with a brachioplasty, they are much lower. The major complications are infection and hematoma, not necrosis.  Higher risks are associated with patients having a BMI over 30 and smokers.Infection risks can be lowered by following appropriate wound care protocol provided by your plastic surgeon and taking antibiotics.  Eating a diet rich in protein (including protein shakes) will enhance the healing process.  The use of post-operative drains and wearing the compression sleeve minimize the chance of a hematoma forming.The recovery period following the brachioplasty procedure can be slow; however, the return of normal function of the arms and hands are seen within a couple of weeks. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Serious complications are quite rare after a brachioplasty. More common are smaller complications like excess scarring and sometimes small areas of wound breakdown in the armpits.  You should definitely see a board-certified plastic surgeon to discuss the range of complications, but also give you an idea of the excellent results you may expect.

Hi Poetsjasmine.It's not very common, but it is a risk of most operations. In the arms, I rarely see necrosis now with linear incisions. To reduce the risks, the tension must be set appropriately, and not overly tight. Good planning and good markings are also helpful. You can view samples of before and afters in  the links below.Best wishes, Dr. ALDO :)

Necrosis is a scary word. Losing a small piece of skin is not usually significant after a large skin surgery. It will typically heal just fine with proper wound care. Extensive necrosis is another issue. You haven't mentioned the extent of your problem. Limit healing problems by staying warm, avoiding pressure, preventing infection with proper wound care and eating well to encourage proper healing. 

Having skin necrosis after a skin resection procedure can happen but fortunately is not frequent.  For most,  it happens when there is a large undermining of the skin compromising the blood supply to the area or if it is closed on extreme tension.  Is more common to see superficial necrosis along the wound but for most wound care should take care of it. Once healed,  it can be re evaluated for revision of the scar if necessary. Hope this helps