Thursday, July 19, 2012

The Elbow Lift in Body Contouring After ultimate Weight Loss

Sagging Skin After Weight Loss - The Elbow Lift in Body Contouring After ultimate Weight Loss
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The elbow lift, or removing excess skin from nearby the elbow (middle) area of the arm, is an uncommon course in body contouring surgery. Most of the time an upper arm lift ( in the middle of the elbow and the armpit) is sufficient to take care of one's arm concerns. But the extreme weight loss sick person can gift with loose skin that passes below the elbow area.

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When it is clear that a lot of excess skin sags beyond the elbow area with the arm horizontally extended, then an 'extended' upper arm lift can be done and the arm question can be solved in a singular operation. The distance of the scar, however, can understandably make some patients hesitant to enlarge the scar that long in a noticeable area even if it is clear that the shape of the arm can so benefit. Other times, the whole of loose skin in that part of the arm is not so clear or the sick person does not express concern until after an upper arm lift has been done.

The elbow lift removes skin nearby and beyond the elbow into the forearm area. The cut out of skin and the resultant scar can be done on the back of the arm or on the inside part of the arm. Like the medial (inside) upper arm lift, the scar continues over the elbow into the inside of the forearm. Because it is on the inside of the arm, it is less visible. Because it crosses the bendabale elbow area, however, it may design a tight scar. A small z-plasty can be done at the crease of the elbow to preclude this possible question although I have found this concern more theoretical than one I have nothing else but seen.

The elbow lift can also be done on the back of the arm crossing the thickened pad area with the important underlying elbow bone. (humerus) The concern about crossing this area with possible wound problems is a very real one. The skin is thick in this area for a reason, it is the one spot where the traction and sheering from elbow request for retrial is the greatest. And after surgery, patients must bend their arms putting a lot of stress on the wound edges, Wound disunion is a not uncommon question with wounds that cross this area. For this reason, I achieve a bilobed or figure-of-eight skin cutout, removing the least width of skin nearby the elbow area in the longitudinal cut out pattern.

The uncommon elbow lift is a simple course that is less in magnitude than an upper arm lift. It can be done on either the inside or back of the elbow area. Extra care of how much skin is removed nearby the elbow is important to avoid wound disunion when the back of the elbow arrival is used.

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