In performing brachioplasty, the authors have created a double-ellipse marking technique to avoid overresecting and leave adequate skin for closure. After resecting, they prevent the interference of soft-tissue swelling during wound closure by immediately closing each segment with temporary staples. Their technique is ideal for patients with massive weight loss. Copyright © 2006 by The American Society for Aesthetic Plastic Surgery, Inc.
Aly, A., Pace, D., & Cram, A. (2006). Brachioplasty in the patient with massive weight loss. Aesthetic Surgery Journal, 26(1), 76–84. https://doi.org/10.1016/j.asj.2005.11.004