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Andjelkov et al. Plast Aesthet Res 2018;5:18 Plastic and
DOI: 10.20517/2347-9264.2017.96 Aesthetic Research

Original Article Open Access

Fat grafting as adjuvant to reduce scars in arm

Katarina Andjelkov , Connor John Atkinson 3
1,2

1 Faculty of Medicine, University of Belgrade, Belgrade 11000, Serbia.
2 BelPrime Clinic, University of Belgrade, Belgrade 11000, Serbia.
3 Faculty of Medicine, University of Leeds, Leeds LS2 9JT, UK.
Correspondence to: Dr. Katarina Andjelkov, BelPrime Clinic, University of Belgrade, Brane Crncevica 16, Belgrade 11000, Serbia.
E-mail: kandjelkov@belprimeclinic.com
How to cite this article: Andjelkov K, Atkinson CJ. Fat grafting as adjuvant to reduce scars in arm. Plast Aesthet Res 2018;5:18.
http://dx.doi.org/10.20517/2347-9264.2017.96

Received: 28 Dec 2017 First Decision: 9 Mar 2018 Revised: 15 Mar 2018 Accepted: 26 Mar 2018 Published: 25 May 2018
Science Editor: Raúl González-García Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract
Aim: Brachioplasty in patients who are normal weight, with moderate skin excess and who are not accepting long scars,
remains a challenge for plastic surgeons.

Methods: We present our experience in 47 patients with short scar brachioplasty in combination with posterolateral
liposuction, fascia anchoring and fat grafting in the inferomedial arm in order to improve skin quality and correct minor
irregularities. Patients’ satisfaction rates were evaluated after 3 and 6 months following the procedure.

Results: Patients (groups IIa, IIb and IIIa according to Rohrich classification) showed high satisfaction rates with the
result both after 3 and 6 months after the procedure. The results were maintained. There were 2 cases (4.2%) of isolated
wound dehiscence occurred, which were all resolved conservatively with dressings and antibiotics.

Conclusion: The technique presented in this paper has shown to be an easy and effective solution for a diverse selection
of patients suffering brachial lipodystrophy. Limited scar brachioplasty only has specific applications, and should not be
considered a replacement for traditional brachioplasty.
Keywords: Arm lift, brachioplasty, fat grafting, lipodystrophy

INTRODUCTION
Sagging brachial-shaped deformities are a major concern among women. At the same time it is a challenge

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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