Brachial dermolipectomy (brachioplasty)

Because of dissatisfaction with the limited results attained with traditional brachial dermolipectomy, a new approach is presented. Placement of the incisions, as well as plane of dissection, are designed to avoid the most significant and frequently encountered complications. The dermolipectomy is outlined over three segments: axilla, arm and elbow. On the axilla, an elliptical excision, parallel to the local crease lines, is performed. Along the long axis of the arm, on the medial surface, excision is performed through an anteriorly convex incision. The axillary and brachial incision lines are united by a W-plasty at the posterior pillar of the axilla. No complications were observed in 14 patients treated. Better contour and inconspicuous scars were achieved.