Brachioplasty.

The upper arm is a difficult area to manage after massive weight loss. The goal of the authors' new technique is to avoid complications in massive weight loss cases and simple cases because of aging. After analysis of the excess skin, the authors explain their markings. The main innovation is to preserve all the lymphatic vessels, both the deep and superficial ones, thanks to liposuction and very superficial resection. This eliminates effusions and maintains good vascularization of the wound edges. The suturing technique used to close the wound is very important for minimizing the risks of widening the scar.