Brachioplasty in ex-obese patients: proposed classification
Introduction: Surgical treatment of morbid obesity has resulted in a greater demand for repairing procedures for sequelae caused by weight loss. Brachioplasty treats excess skin and localized lipodystrophy in the arm and armpit regions. Procedures for brachial deformity correction are incomplete and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2023-10-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3340/1983-5175-rbcp-38-03-e0737-en.pdf |
| _version_ | 1827608002362867712 |
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| author | Rodrigo Pinto Gimenez Erick Samuel Santos De Mello Raphaela Silveira Amaral Tatiani Cerioni Toth |
| author_facet | Rodrigo Pinto Gimenez Erick Samuel Santos De Mello Raphaela Silveira Amaral Tatiani Cerioni Toth |
| author_sort | Rodrigo Pinto Gimenez |
| collection | DOAJ |
| description | Introduction: Surgical treatment of morbid obesity has resulted in a greater demand for repairing procedures for sequelae caused by weight loss. Brachioplasty treats excess skin and localized lipodystrophy in the arm and armpit regions. Procedures for brachial deformity correction are incomplete and result in unsatisfactory scars. Therefore, we propose an objective classification that suggests surgical treatment intending to obtain an adequate brachial contour. The aim is to propose a classification to assess lipodystrophy and skin flaccidity in the arms and armpits in ex-obese patients and suggest adequate surgical treatment.
Method: Literature review and classification proposal that suggests a surgical treatment option based on the preoperative physical examination. This classification is objective and comprehensive, facilitating standardization among plastic surgeons.
Results: The LC classification is divided into 7 types. Type L - lipodystrophy without sagging; Type C1 - proximal flaccidity without lipodystrophy; Type C2 - sagging up to the middle third without lipodystrophy; Type C3 - flaccidity up to the distal third without lipodystrophy; Type LC1 - sagging in the proximal third with associated lipodystrophy; Type LC2 - sagging up to the middle third with lipodystrophy; Type LC3 - sagging up to the distal third with lipodystrophy. Based on the classification, those labeled “L” benefit from liposuction, while those labeled “C” suggest surgical dermolipectomy.
Conclusion: The classification aligns preexisting deformities with the respective surgical modality for correction in each case; therefore, an objective and practical classification facilitates communication and guides the best treatment, providing the patient with an adequate brachial contour. |
| first_indexed | 2024-03-09T07:03:55Z |
| format | Article |
| id | doaj.art-2be9804d86024f01b645e61f5249a687 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:03:55Z |
| publishDate | 2023-10-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-2be9804d86024f01b645e61f5249a6872023-12-03T09:45:29ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-10-0138031710.5935/2177-1235.2023RBCP0737-ENBrachioplasty in ex-obese patients: proposed classificationRodrigo Pinto Gimenez0Erick Samuel Santos De Mello1Raphaela Silveira Amaral2Tatiani Cerioni Toth3Santa Casa de Campinas, Serviço de Cirurgia Plástica Ricardo Baroudi, Campinas, SP, BrazilSanta Casa de Campinas, Serviço de Cirurgia Plástica Ricardo Baroudi, Campinas, SP, BrazilSanta Casa de Campinas, Serviço de Cirurgia Plástica Ricardo Baroudi, Campinas, SP, BrazilSanta Casa de Campinas, Serviço de Cirurgia Plástica Ricardo Baroudi, Campinas, SP, BrazilIntroduction: Surgical treatment of morbid obesity has resulted in a greater demand for repairing procedures for sequelae caused by weight loss. Brachioplasty treats excess skin and localized lipodystrophy in the arm and armpit regions. Procedures for brachial deformity correction are incomplete and result in unsatisfactory scars. Therefore, we propose an objective classification that suggests surgical treatment intending to obtain an adequate brachial contour. The aim is to propose a classification to assess lipodystrophy and skin flaccidity in the arms and armpits in ex-obese patients and suggest adequate surgical treatment. Method: Literature review and classification proposal that suggests a surgical treatment option based on the preoperative physical examination. This classification is objective and comprehensive, facilitating standardization among plastic surgeons. Results: The LC classification is divided into 7 types. Type L - lipodystrophy without sagging; Type C1 - proximal flaccidity without lipodystrophy; Type C2 - sagging up to the middle third without lipodystrophy; Type C3 - flaccidity up to the distal third without lipodystrophy; Type LC1 - sagging in the proximal third with associated lipodystrophy; Type LC2 - sagging up to the middle third with lipodystrophy; Type LC3 - sagging up to the distal third with lipodystrophy. Based on the classification, those labeled “L” benefit from liposuction, while those labeled “C” suggest surgical dermolipectomy. Conclusion: The classification aligns preexisting deformities with the respective surgical modality for correction in each case; therefore, an objective and practical classification facilitates communication and guides the best treatment, providing the patient with an adequate brachial contour.http://www.rbcp.org.br/export-pdf/3340/1983-5175-rbcp-38-03-e0737-en.pdfreconstructive surgical proceduresarmweight losslipodystrophylipectomyclassification |
| spellingShingle | Rodrigo Pinto Gimenez Erick Samuel Santos De Mello Raphaela Silveira Amaral Tatiani Cerioni Toth Brachioplasty in ex-obese patients: proposed classification Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures arm weight loss lipodystrophy lipectomy classification |
| title | Brachioplasty in ex-obese patients: proposed classification |
| title_full | Brachioplasty in ex-obese patients: proposed classification |
| title_fullStr | Brachioplasty in ex-obese patients: proposed classification |
| title_full_unstemmed | Brachioplasty in ex-obese patients: proposed classification |
| title_short | Brachioplasty in ex-obese patients: proposed classification |
| title_sort | brachioplasty in ex obese patients proposed classification |
| topic | reconstructive surgical procedures arm weight loss lipodystrophy lipectomy classification |
| url | http://www.rbcp.org.br/export-pdf/3340/1983-5175-rbcp-38-03-e0737-en.pdf |
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