Dentists Plastic Surgery Health Care
     
Plastic Surgery
Plastic Surgery  

Tigh- and Armplasty

Thigh- and Arm plasty

About Arm plasty
About Thigh plasty

Arm plasty (Brachioplasty)
The skin redundancy is commonly located to the inner-sides of the upper arm.

Technique: The skin is incised on the inner side of the arm from the elbow to the axilla, from where it can go curvilinear across the axilla or angled to either side of the axilla. The skin is mobilized and redraped and tightened. The scar will run according to the incisions and not always be invisible!

Anaesthetic: Conscious sedation and local tumescent infiltration.

Operating time: 2-3 hours.

Arm plasty
After weight reduction the elasticity of the skin might be insufficient to redrape the skin over the new volume of the body. This is often seen in the face, on the neck, arms, abdomen and thighs.

The same sagging of the skin can occur with ageing. Sagging skin on the arms and on the thighs is often considered unaesthetic and embarrassing and skin redundancy can only be corrected by excision.

What happens afterwards?

Moderate pains, BUT Very strong feeling of tension.
The stitches are removed around the 10th day.
Prophylactic antibiotics are prescribed.
Using skintape across the scars for 2-3 months should relieve tension on the scars.
Car driving is forbidden for 10 days.
The arms should not be allowed to be lifted up-, out- or backward for 2 weeks.
Transient numbness on the upper arm is common for 1 - 2 months.

Complications: See below

Thigh plasty
After weight reduction the elasticity of the skin might be insufficient to redrape the skin over the new volume of the body. This is often seen in the face, on the neck, arms, abdomen and thighs. The same sagging of the skin can occur with ageing.

Sagging skin on the arms and on the thighs is often considered unaesthetic and embarrassing and skin redundancy can only be corrected by excision. The skin redundancy is commonly located at the inner sides of the thighs, in some cases all way around.

Principle: The skin is mobilised off the muscles and redraped upward like a stocking and shortened.

Anaesthetic: General anaesthetic.

Technique: If skin redundancy on the inner sides of the thighs is to be corrected, the incisions are placed high up in the buttock-thigh-fold going close to the major labium and somewhat upwards parallel to them. If the skin is very flaccid, a vertical incision down to the knees might be necessary. If the whole circumference of the thighs need stretching, the incisions go circular as well. The skin is mobilized and shortened. A circular compressing bandage is applied.

Operating time: 2 - 5 hours.

What happens afterwards?

Antibiotics are prescribed.
Annoying postoperative care because of the site of operation.
Uncomfortable feeling of tension, especially at change of position.
3 - 4 days of fatigue are common.
You should not sit normally during the fist 10 days (semisitting, lying and standing position is recommended)
You should shower daily.
The stitches are removed around 10th to 12th days.
Irritation around the scars is common.
Physical activities must be avoided for 5-6 weeks.

COMPLICATIONS FOR TIGHT- AND ARMPLASTY
Referred unwanted biologic events can occur with a certain low frequency and must be regarded as calculated risks. Other risks not mentioned can also occur. For patients this must be considered before a decision for plastic surgery is made.

Bleeding: All operations can cause postoperative bleeding. These risks increase by the intake of analgesics and Vitamin E. These should be avoided 2 weeks prior to the planned operation.

Infection: All operations can cause infections, which in case it happens will be treated with antibiotics. The placement of the wounds in surgical "unclean" areas increases the risk of infection.

Scars: The forces of gravity and the continuous movements of the area cause a constant tension on the scars. The scars can be broadened.

Nerve injury: Some of the sensory nerves to the skin on both arm and thigh will be cut and transient or permanent numbness is unavoidable.

Smoking: Smoking does compromise blood circulation and healing. Smoking should be abandoned prior to a planned operation

 

   
    Face      
    Breast     Good for : excess skin
    Body contouring     Operation time : 1-2 hours
      Thigh and Arm plasty     Type of anesthesia: general anaesthesia
      Abdominoplasty     Minimum days in Poland: 4 days
      Liposuction     Convalescence: 2-3 weeks
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