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Dergabuzova N.V.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Bordan N.S.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Manturova N.E.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia

Ganshin I.B.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Verbo E.V.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Pirogov Russian National Research Medical University, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Safiulaev R.E.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Lebedeva D.I.

Tyumen State Medical University, Tyumen, Russia

Galiy M.I.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Results of various brachioplasty options after massive weight loss

Authors:

Dergabuzova N.V., Bordan N.S., Manturova N.E., Ganshin I.B., Verbo E.V., Safiulaev R.E., Lebedeva D.I., Galiy M.I.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2026;(1): 49‑55

DOI: 10.17116/plast.hirurgia202601149

Read: 557 times

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Table of contents

RESULTS OF VARIOUS BRACHIOPLASTY OPTIONS AFTER MASSIVE WEIGHT LOSS
RESULTS OF VARIOUS BRACHIOPLASTY OPTIONS AFTER MASSIVE WEIGHT LOSS

To cite this article:

Dergabuzova NV, Bordan NS, Manturova NE, et al. Results of various brachioplasty options after massive weight loss. Plastic Surgery and Aesthetic Medicine. 2026;(1):49‑55. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202601149

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To compare the results of various brachioplasty options in patients after massive weight loss.

MATERIAL AND METHODS

The study included 97 patients after massive weight loss divided into two groups depending on extent of surgery: group 1 — 44 patients after excisional brachioplasty; group 2 — 53 patients after brachioplasty and liposuction of shoulders. The incidence of early (30 days after surgery) and late postoperative complications was assessed. Patient satisfaction with aesthetic and functional outcomes was assessed using subjective Likert scale.

RESULTS

In group 1, wound edge divergence (19.0% and 0%), seroma (19.0% and 0%) and hypertrophic scarring (28.6% and 4.3%) were significantly more common in grade 3 ptosis compared to grade 2 (p<0.05). In group 1, patients with grade 3 ptosis were more likely to have wound edge divergence (19.0% and 3.4%) and hypertrophic scarring (28.6% and 3.4%) compared to patients with grade 3 ptosis in group 2 (p<0.05). Positive ratings of shoulder contour and location of postoperative scars were more common among patients with grade 3 ptosis in group 2 compared to group 1 (48.3% and 19.0%, respectively; p<0.05).

CONCLUSION

Brachioplasty is safe and effective for correction of shoulder deformities in patients with grade 2 and 3 ptosis after massive weight loss. In grade 3 ptosis, brachioplasty combined with liposuction contributes to significantly lower incidence of postoperative complications (wound edge divergence, seroma, hypertrophic scarring) and higher satisfaction with shoulder contour / location of postoperative scars after massive weight loss compared to excisional brachioplasty.

Keywords:

brachioplasty
liposuction
complications
effectiveness

Authors:

Dergabuzova N.V.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Bordan N.S.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Manturova N.E.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia

Ganshin I.B.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Peoples’ Friendship University of Russia, Moscow, Russia

Verbo E.V.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
Pirogov Russian National Research Medical University, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Safiulaev R.E.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Lebedeva D.I.

Tyumen State Medical University, Tyumen, Russia

Galiy M.I.

Institute of Plastic Surgery and Cosmetology, Moscow, Russia;
FSBEI FPE RMACPE MH Russia, Moscow, Russia

Received:

13.10.2025

Accepted:

17.11.2025

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References:

  1. Zelenchenkova PI, Manturova NE, Del Pino Roxo C, Bordan NS, Yashkov YuI, Orlova AS, Awala M. Plastic-corrective surgery in patients after massive weight loss as a result of biliopancreatic diversion. Plastic Surgery and Aesthetic Medicine. 2022;(3):51-60. (In Russ., In Engl.). https://doi.org/10.17116/plast.hirurgia202203151
  2. Myers PL, Bossert RP. Arm Contouring in the Massive-Weight-Loss Patient. Clin Plast Surg. 2019;46(1):85-90.  https://doi.org/10.1016/j.cps.2018.08.011
  3. Labardi L, Gentile P, Gigliotti S, Marianetti M, Colicchia GM, Pascali M, Brinci L, Cervelli V. Medial thighplasty: horizontal and vertical procedures after massive weight loss. J Cutan Aesthet Surg. 2012;5(1):20-25.  https://doi.org/10.4103/0974-2077.94330
  4. Haddad Filho D, Kafejian-Haddad AP, Alonso N, Perez Mdel C, Castiglione M, Fukutaki MF, Anger M. Lymphoscintigraphic appraisal of the lower limbs after liposuction. Aesthet Surg J. 2009;29(5):396-399.  https://doi.org/10.1016/j.asj.2009.03.009
  5. Bertheuil N, Chaput B, Berger-Müller S, Ménard C, Mourcin F, Watier E, Grolleau JL, Garrido I, Tarte K, Sensébé L, Varin A. Liposuction Preserves the Morphological Integrity of the Microvascular Network: Flow Cytometry and Confocal Microscopy Evidence in a Controlled Study. Aesthet Surg J. 2016;36(5):609-618.  https://doi.org/10.1093/asj/sjv209
  6. Pascal JF, Le Louarn C. Brachioplasty. Aesthetic Plast Surg. 2005;29(5): 423-429; discussion 430.  https://doi.org/10.1007/s00266-005-0058-4
  7. Gusenoff JA, Coon D, Rubin JP. Brachioplasty and concomitant procedures after massive weight loss: a statistical analysis from a prospective registry. Plast Reconstr Surg. 2008;122(2):595-603.  https://doi.org/10.1097/PRS.0b013e31817d54a9
  8. Di Pietro V, Colicchia GM, Cervelli V, Gentile P. Arm Contouring After Massive Weight Loss: Liposuction-Assisted Brachioplasty Versus Standard Technique. J Cutan Aesthet Surg. 2018;11(2):73-78.  https://doi.org/10.4103/JCAS.JCAS_102_17
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