UPPER ARM SURGERY (BRACHIOPLASTY, BRACHIAL LIPOSUCTION)
UPPER ARM SURGERY CONSULTATION, Continued
It is always encouraged to bring a friend or significant
other with you to be present during the discussion and the question-and-answer
phase. After this, Dr. Vogt will perform a focused physical examination
addressing important issues such as the amount of skin looseness
of the upper arm, the amount of fatty tissue of the upper arms,
and the amount of skin looseness and fatty tissue in the area around
the armpit as well.
Family history can play a very important role in determining whether
to perform liposuction or not. If there is a family history of
large upper arms, often liposuction at an earlier age will result
in nice skin contraction and long-term reshaping of the upper arm.
Dr. Vogt has taught numerous courses on upper arm surgery since
1989. He has published several chapters and also articles on this
most-difficult area to treat. He developed a hypothesis in 1995
that “If liposuction is performed at a young-enough age,
the chance of prolonged reshaping is excellent.” This has
proven to be the case in numerous patients over the past 20 years.
In other situations where there has been massive weight loss, either
by diet and exercise or through gastric bypass surgery, some form
of skin excision may be necessary. This will often lead to visible
scars that will take a long time to mature and become less visible.
A detailed discussion is held with the patient at the time of
the initial office consultation as to medications that need to
be avoided, time required from work, and level of activity following
the upper arm surgical procedure. The patient will also meet with
the surgical and scheduling director who will outline cost of the
operative procedure, which will be all-inclusive of the operative
procedure, the garments, postoperative massage and ultrasound therapy,
anesthesia, and the surgical fee. |