Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm

CPT4 code

Name of the Procedure:

Excision, Excessive Skin and Subcutaneous Tissue (includes lipectomy); Arm Commonly referred to as an Arm Lift or Brachioplasty.

Summary

An arm lift or brachioplasty is a surgical procedure to remove excess skin and fat from the upper arms to improve their shape and contour. This can help to provide a more toned and proportionate look.

Purpose

Medical Condition: Excessive skin and subcutaneous tissue on the upper arms, often resulting from significant weight loss, aging, or genetic factors.
Goals: To reduce sagging, improve arm contour, and enhance the overall appearance of the arms.

Indications

Loose, hanging skin on the upper arms.
Discomfort due to excess skin.
Difficulty with personal hygiene and finding appropriate clothing due to excess arm tissue.
Patients who have stabilized their weight and maintain a healthy lifestyle.

Preparation

Patients may need to fast for a specified period before the procedure.
Adjustments to medications might be required, especially if taking blood thinners.
Preoperative assessments like blood tests, medical history, and physical examinations.

Procedure Description

Anesthesia: General anesthesia or local anesthesia with sedation is administered.
Incisions: Incisions are made on the under or back side of the arm, typically from the underarm to the elbow.
Excision: Excess skin and fat are removed, sometimes involving liposuction.
Tightening: Remaining skin is tightened and sutured into place.
Closing: Incisions are closed with sutures, and dressings are applied.

Duration

The procedure typically takes about 2 to 3 hours.

Setting

Performed in a hospital or an accredited outpatient surgical center.

Personnel

Surgeon: Specializes in plastic or reconstructive surgery.
Nurses: Assist with the procedure and postoperative care.
Anesthesiologist: Manages anesthesia and monitors the patient's vitals.

Risks and Complications

Infection, bleeding, and adverse reactions to anesthesia.
Scarring and changes in skin sensation.
Temporary or permanent asymmetry.
Rare complications such as blood clots or deep vein thrombosis (DVT).

Benefits

Improved appearance and contour of the arms.
Increased comfort and range of motion.
Enhanced self-esteem and confidence.
Results are generally noticeable immediately, with full benefits realized after recovery.

Recovery

Post-Procedure Care: Dressings and compression garments to reduce swelling and support healing.
Recovery Time: Initial recovery in 1-2 weeks; complete recovery in approximately 4-6 weeks.
Restrictions: Avoid heavy lifting and strenuous activities.
Follow-Up: Regular appointments to monitor healing and remove sutures if necessary.

Alternatives

Non-Surgical: Options include exercise and non-invasive treatments like laser therapy, which may offer minor improvements but not the extent of surgical results.
Pros and Cons: Non-surgical options have less risk and downtime but also less dramatic results compared to an arm lift.

Patient Experience

During Procedure: No discomfort due to anesthesia.
After Procedure: Some pain, swelling, and bruising. Pain usually managed with medications.
Comfort Measures: Compression garments, prescribed pain medication, and proper rest aid in a comfortable recovery.

This markdown document provides a comprehensive overview of the arm lift procedure, addressing all aspects from preparation to recovery.