I had brachyplasty 11 months ago and I have deformed dents in my arms. Left is much worse than right. Why did this happen? I did not have any liposuction when it was done. I am posting pictures from today and also the actual procedure.
Answer: 10 months post brachioplasty and I have dents in my arms. Why did this happen? Your surgeon-provided intra-operative photos show how the skin is removed and tightened, and then surgically closed with sutures. The "dents" you now see are constriction bands caused by localized areas of excessive tightening or scar contraction. It is easy to see how this can happen if you look at the closure photos.Surgical revision of the brachioplasty scars or selective liposuction are the two operations that may be of help. Your overall improvement is quite pronounced, especially given the degree of loose skin removed, so one option is to do nothing. Localized Z-plasty can also be an option. talk to your surgeon, for s/he has done a good job here, just not perfect. We all try for that, but rarely succeed. Best wishes! Dr. Tholen
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CONTACT NOW Answer: 10 months post brachioplasty and I have dents in my arms. Why did this happen? Your surgeon-provided intra-operative photos show how the skin is removed and tightened, and then surgically closed with sutures. The "dents" you now see are constriction bands caused by localized areas of excessive tightening or scar contraction. It is easy to see how this can happen if you look at the closure photos.Surgical revision of the brachioplasty scars or selective liposuction are the two operations that may be of help. Your overall improvement is quite pronounced, especially given the degree of loose skin removed, so one option is to do nothing. Localized Z-plasty can also be an option. talk to your surgeon, for s/he has done a good job here, just not perfect. We all try for that, but rarely succeed. Best wishes! Dr. Tholen
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CONTACT NOW Answer: Post-op of Brachioplasty with Indentations Thank you for your question regarding your brachioplasty ten months post and why you have indentations. Thank you for your pictures—most experienced board-certified plastic surgeons who specialize in arm lifts. Arm reductions and brachioplasties perform arm liposuction simultaneously with the arms reduction. If you scrutinize your pictures, especially the second picture to the left, you have an indentation on the upper arm during surgery. I wonder if it correlates to your current indentation. Either way, it could've been an indentation left during surgery or perhaps a suture broke after surgery. REgardless of what caused the indentation, you should probably be more concerned about the treatment.
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CONTACT NOW Answer: Post-op of Brachioplasty with Indentations Thank you for your question regarding your brachioplasty ten months post and why you have indentations. Thank you for your pictures—most experienced board-certified plastic surgeons who specialize in arm lifts. Arm reductions and brachioplasties perform arm liposuction simultaneously with the arms reduction. If you scrutinize your pictures, especially the second picture to the left, you have an indentation on the upper arm during surgery. I wonder if it correlates to your current indentation. Either way, it could've been an indentation left during surgery or perhaps a suture broke after surgery. REgardless of what caused the indentation, you should probably be more concerned about the treatment.
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March 9, 2016
Answer: Over-tightening It looks like the area of the dent was over-tightened, giving the constriction band appearance. This will have to be revised surgically. A little liposuction above & below the dent should help - but an in-person consult is needed to sort out the areas of fat or skin excess, before committing to a surgical plan.All the best,
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CONTACT NOW March 9, 2016
Answer: Over-tightening It looks like the area of the dent was over-tightened, giving the constriction band appearance. This will have to be revised surgically. A little liposuction above & below the dent should help - but an in-person consult is needed to sort out the areas of fat or skin excess, before committing to a surgical plan.All the best,
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February 27, 2016
Answer: Contour Deformity after Brachioplasty Hello,These are due to area of over tightening during the procedure. You will need a revision to improve the contour. The simplest way would be with liposuction reducing the volume above and below the dent, however the result may be less impressive than revision brahioplasty. Choosing the latter would not be as involved as the original surgery, but much of the incision would have to be reopened. Best of luck!
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Answer: Contour Deformity after Brachioplasty Hello,These are due to area of over tightening during the procedure. You will need a revision to improve the contour. The simplest way would be with liposuction reducing the volume above and below the dent, however the result may be less impressive than revision brahioplasty. Choosing the latter would not be as involved as the original surgery, but much of the incision would have to be reopened. Best of luck!
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March 9, 2016
Answer: Dents post brachioplasty Thanks for your question. It would be helpful to see a pre op photo to see what your arm contour was like before surgery. There are 2 possible reasons for the areas of contour difference. I have seen some patients have areas of banding in their arms preoperatively. Even with brachioplasty and contouring, these areas can persist. Thats possible, given that the areas of "dents" in your arms appear similarly located. More likely, unfortunately, is that the areas of contour difference are areas where skin was more aggressively removed. At 11 months, it is unlikely that thinks will change much more. I would discuss your concerns with your surgeon. Sometimes a revision can help. Best regards.
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CONTACT NOW March 9, 2016
Answer: Dents post brachioplasty Thanks for your question. It would be helpful to see a pre op photo to see what your arm contour was like before surgery. There are 2 possible reasons for the areas of contour difference. I have seen some patients have areas of banding in their arms preoperatively. Even with brachioplasty and contouring, these areas can persist. Thats possible, given that the areas of "dents" in your arms appear similarly located. More likely, unfortunately, is that the areas of contour difference are areas where skin was more aggressively removed. At 11 months, it is unlikely that thinks will change much more. I would discuss your concerns with your surgeon. Sometimes a revision can help. Best regards.
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