The cosmetic appearance of the upper arm related to obesity, weight loss and senile skin laxity can be classified into a number of grades. This grade indicates the optimum management strategy.
Parameters:
(1) fat
(2) skin ptosis
Fat
Ptosis
Grade
< 250 mL (minimal to mild)
absent
1
moderate
Grade 1 (< 5 cm)
2a
moderate to severe
Grade 2 (5-10 cm)
2b
severe
Grade 3 (> 10 cm)
3
minimal to moderate
Grade 3
4
Grade
Management
1
circumferential liposuction
2a
liposuction in 2 sessions
2b
distal liposuction and proximal short-scar brachioplasty
3
liposuction plus brachioplasty
4
traditional brachioplasty
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