MedClinic > Blog > Plastic > Brachioplasty

Due to a genetic predisposition or a change in the quality of the skin, such as elasticity and turgor, age-related changes or weight loss, the thickness and volume of integuments can change. Gravity negatively affects our body, with time pulling the skin down, the tissues begin to sag and look not as aesthetically pleasing as we would like. Quite often, the problem of sagging skin on the shoulders appears with sudden weight loss, and neither sports nor massages can fix this defect. Today, there is a wide variety of procedures that will help make your shoulders more attractive and refined. And one of them is brachioplasty.

Brachioplasty (plastic surgery of the shoulders) – plastic surgery, the purpose of which is to remove excess skin and fatty tissue from the inner surface of the shoulders with a decrease in circumference. Brachioplasty is the only way to get rid of excess volumes in the shoulder area, because if there is already a fat layer on the shoulder, then it is almost impossible to get rid of it in other ways, since the skin is already stretched and the turgor is lost, and physical exercises affect only the muscular system, and not the skin.

Indications for brachioplasty:

– Dissatisfaction with the appearance, disproportion of the shoulders to the body

– Excess skin in the shoulder area, the appearance of the so-called “wings”

– Excessive amount of body fat in the shoulder area

Preparation for brachioplasty.

Before the operation, it is necessary to consult a doctor and inform him about taking medications and the presence of allergies. It is necessary to pass a number of laboratory and instrumental analyses:

  1. General blood test, general urine test;
  2. Blood test for Rh factor and group;
  3. Blood glucose;
  4. Blood test for coagulation (INR, PTI, APTT indices);
  5. Biochemical blood test (total bilirubin, total protein, ALT, AST, urea,

creatinine, c-reactive protein, electrolytes);

  1. Blood test for viral hepatitis B, C;
  2. Blood test for RW and HIV;
  3. Electrocardiogram;
  4. Fluorography or chest x-ray;
  5. Conclusion of the therapist;

How is the operation performed?

The operation takes place in a hospital, the duration of the execution is from two to three hours, depending on the technique and the amount of work. Brachioplasty is performed under general or combined intravenous anaesthesia. The surgeon determines the volume of tissue that must be excised, and then applies a marking to accurately determine the location of the incision, their size and direction. The necessary manipulation after this stage is the introduction of a solution of adrenaline and lidocaine into the marked area. Adrenaline is a vasoconstrictor drug, thereby preventing massive bleeding from the operated area. This solution helps improve tissue detachment. With a large amount of fatty tissue, liposuction can be performed.

The incision is located on the inner surface of the shoulder, longitudinally, starting from the axilla and to the middle of the shoulder. The doctor dissects the skin flap to the fascia, connecting the edges of the incision so that a neat outline of the hands is formed. After two weeks, the stitches must be removed. The term for removing stitches depends on the individual properties of your skin. A fix patch and an elastic bandage are applied to the stitch.


– Acute viral diseases

– Oncological processes

– Pregnancy

– Lactation

– Concomitant disease of organs and systems of a severe stage

– Diabetes

– Dysfunction of the blood coagulation system

After the operation, it is necessary to carefully monitor personal hygiene, since the surgical wound has not yet completely healed, and there is a chance of infection. Among the risks may also be: hematomas, asymmetric scars and oedema, which over time tend to disappear. There may also be a slight tension and a feeling of tension in the skin of the hands, this is normal, and passes through 7-10 days.

What is the rehabilitation going like?

After brachioplasty surgery, the patient spends another 1-2 days in the clinic. In the early days, local complications may occur, as well as a decrease in pain and tactile sensitivity, crawling, numbness and a temporary decrease in motor function.

After surgery, compressive garments must be used for two months.

For 2-3 months, give up physical activity and sports.

It is not recommended to visit saunas, pools and baths for 1.5-2 months.

It is not recommended to expose the scar to direct sunlight or tanning lamps.

Raising your arms above 90 degrees in the first 2 weeks is not recommended.

To improve regeneration at the site of the scar, the use of special ointments and physiotherapeutic manipulations is recommended.