Revista do Colegio Brasileiro de Cirurgioes

1809-45463842011Jul-AugRevista do Colegio Brasileiro de CirurgioesRev Col Bras CirImproved double-fuse technique for post-bariatric brachioplasty.217222217-22S0100-69912011000400003To evaluate the use of modified brachioplasty, investigating in late postoperative complications and satisfaction with the outcome, in women previously submitted to bariatric surgery.The population (N = 18, age 49.2 ± 11.3 years), which had undergone brachioplasty 25.2 ± 11.9 months after the bariatric procedure, was contacted after 31.7 ± 38.8 additional months. Surgical complications and satisfaction with the operation were estimated by interviews, including a questionnaire designed for this purpose.pre-bariatric body mass index (BMI) was 57.1 ± 11.1 kg / m(2), being 28.3 ± 6.0 kg/m(2) before the brachioplasty, without significant changes thereafter. Three minor surgical complications were recorded (3 / 18, 16.7%), namely, temporary paresthesia, seroma and small imperfection of the scar. The satisfaction rate was approximately 90%, with the three most rewarding results for the patients being the ease of dressing (P = 0.01), decreased weight of the arm (P = 0.03) and absence of edema (P = 0.04). There was a negative correlation between severe weight loss and degree of satisfaction, however, no patients regretted the procedure.the modified brachioplasty was successful in cases with severe brachial ptosis with possible extension to the chest. The study confirmed functional and aesthetic benefits, and thanks to the technique applied, most of the complications and disappointments could be avoided.ModolinMiguel LMLDepartment of Plastic Surgery, Faculty of Medicine, University of Sao Paulo, Brazil. miguelmodolin@uol.com.brCintraWilsonWJrFaintuchJoelJSilvaMaira MMMMoraesLuciana BLBGemperliRolfRFerreiraMarcos CastroMCengporJournal Article