If you have an excess of loose skin and fat in
your upper arm area that you wish to diminish,
you should consider having a Brachioplasty or
what is commonly known as an arm lift.
There are three different procedures to reduce
the upper arm area. The first one includes the
skin removal within the arm pit. The skin
measures about three to four inches long, and two
inches wide. After the skin is removed, the loose
skin is pulled toward the area where the skin
used to be, and therefore it tightens up the extra skin.
The second procedure consists of an arm incision
along the inside part of the upper arm. The
incision measures the same length as the inside
of upper arm, and the width will measure about
the same width as the hanging skin.
The third procedure includes Liposuction with or
without either procedure mentioned above.
Liposuction will remove the excess fat within the
arm area altogether with excess skin.
The surgery is normally done under local
anesthesia and sedation. The patient may remain
at the Hospital several hours, on an outpatient
basis or stay over night if recommended by your
doctor. This surgery can be done simultaneously
with other plastic surgery procedures such as
facial remodeling, breast surgery, lipectomy, etc.
BEFORE THE SURGERY EVERY PATIENT MUST:
Surgery Costa Rica will schedule an
appointment with your doctor for you so that you
can ask him any questions you might have about the surgery.
Have a complete medical check up, an
electrocardiogram and laboratory blood and urine
tests; including a complete whole blood count,
partial tromboplastin time, prothrombin time, platelets, and HIV.
Take antibiotics such as Augmentin
500mg, (one capsule three times a day with each
meal) Cipro or Ceclor 500mg (one capsule twice a
day with a full breakfast and dinner); two days
before surgery, the day of the surgery, and seven more days after the surgery.
Inform your doctor of your daily vitamin and medication intake.
Notify your doctor if you have developed
a cold or the flu a week prior your surgery date.
Please avoid: aspirin, more than 500mg
of Vitamin E, ginkobiloba, ginseng, or any blood
thinners two weeks prior your surgery. Also avoid
alcohol intake, and passive or active smoking for
one month before and one month after the
surgery. Remember that nicotine and alcohol
delays and might even complicate your healing processes.
THE DAY OF SURGERY:
Please brush your teeth, but do not eat or drink coffee or tea.
Please do not wear make-up, remove your
contact lenses or dentures before the
surgery. Do not apply any moisturizer on your arm area.
Please remove your nail polish.
The evening and the morning prior your
surgery, clean the operative area with soap and water.
Please do not bring any jewelry or valuables to the Hospital.
Please wear a robe, housecoat or warm up
suit that buttons or zips in the front and flat
shoes after the surgery. No tight-fitting clothes.
Someone must drive you home, to your
Hotel, or to the Recovery Home you choose to stay at.
Postoperative instructions regarding activity,
medications and office visits will be given following your surgery.
Physical activity should be limited to
movements that are comfortable. For the first
two days you should not lift up or over stretch your arms.
Antibiotic Ointment or Vitamin E can be
applied to the sutures daily until the stitch
removal (approximately seven days). Use cotton
tipped applicator to apply the ointment.
Continue the antibiotics as
instructed. If you develop diarrhea, discontinue
the antibiotics, and notify your doctor.
Anesthetics, sleeping tablets and pain
medication tend to produce constipation. High
fiber diets and stool softeners will help reduce
the constipation following the surgery.
After showering, dry the incision areas
very gently with a towel. Re-apply Antibiotic
Ointment and a clean cotton dressing.
You might drive after pain medication is
discontinued, but consult your doctor before you do.
Please take a multivitamin and an iron
supplement following surgery. Be sure to discuss
your dosage with your doctor before taking it,
because it depends on your blood loss.
Do not exercise or do aerobics for six
to eight weeks after surgery, and consult your doctor before you exercise.
AFTER THE PROCEDURE:
During the first three weeks, bruising and
swelling are results for mini bleedings produced
by such procedure. It is to be expected for
three weeks after surgery, and it is completely
normal. With time, the dark purplish color will
turn into a greenish tone. Then, it will turn
into a yellow tone which is the last color stage
before turning into the patient's normal skin
tone. After three weeks, a maximum of swelling will diminish.
On the fourth or fifth week, the zones where fat
was extracted will become bulky as if ping-pong
balls were inside the patient's body. They will
be felt as irregular hardenings which will not be
seen but felt. Massages and pressure will help
areas to flatten. If the procedure is done in an
area closer to the head, the faster it will heal.
Normally, after six to twelve weeks, the
uncomfortable pain around the bone areas will
diminish. Such pain is the result of friction
with the tube used in surgery with the superficial bone layer.
After the arm contour normalizes, it will
decrease in size, and the patient will notice the
amount of fat extracted during surgery. If the
person gains weight, the remaining fat cells will
fatten. This will be noticed about four to six months after the procedure.
The effect of Liposuction will begin be seen
after six weeks. 80% of the healing process takes
approximately 3 to 6 months. 100% of the healing
process will take about twelve to eighteen months
after surgery. A burning sensation or pain can be
relieved with a tight girdle and
acetaminophen. It is the result of the swelling.
In most cases sensitivity appears at the end of
six months. In other cases it might even take
until twelve months after surgery.
Surgery Costa Rica
Ave. 2 between Calle 38 and 40
San Jose, Costa Rica
E-Mail: Surgery Info
You can reach our San Jose, Costa Rica office from any of the
following phone numbers:
Toll Free: 1-800-250-5119
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