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physically demanding work or heavy arm use usually needs about 4-6 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Overall 30-day complications, mostly wound problems, seroma or hematoma; major events rarer."},"contraindications":["Pregnancy or breastfeeding","Unstable weight or planned significant weight loss/gain","Active infection or skin disease in the operative area","Uncontrolled medical conditions (cardiac, diabetes, bleeding disorders)","Active smoking or nicotine use (relative; impairs wound healing)","Active lymphedema of the arm (relative)","Psychiatric instability, untreated depression or body dysmorphic disorder","Obesity (BMI >30 kg/m²) (relative)","Prior axillary node dissection or radiotherapy (high lymphedema risk)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Standard brachioplasty alone; often same-day discharge, sometimes one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body exercise and heavy lifting usually delayed until surgeon clearance."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Swelling resolves; scars keep maturing up to about 18 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Fly once the 1-week check shows stable wounds, drains out, and no hematoma, seroma or dehiscence."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":7,"unit":"days","qualifier":"First postoperative check and dressing change."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Removal of non-absorbable sutures and drains if used, before flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Healing and compression garment review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Scar and contour assessment."}}],"indications":["Loose upper arm skin and fat after massive weight loss","Skin laxity from ageing or genetics with hanging arm contour","Clothing fit, hygiene or irritation problems from excess arm skin"],"main_risks":["Visible, widened or hypertrophic scarring","Hematoma or seroma","Infection or wound dehiscence","Delayed wound healing","Numbness or sensory nerve injury (medial antebrachial cutaneous)","Contour asymmetry or under-correction","Swelling, lymphatic injury","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate discomfort, tightness and soreness for the first several days, controlled with oral analgesics; improves markedly within 1-2 weeks.","preparation":["Preoperative consultation and medical evaluation with routine tests as indicated","Stable weight for several months before surgery","Stop smoking/nicotine as advised by the surgeon","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange help at home and compression garment","Preoperative photos and skin markings"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest with arms mildly elevated; dressings and compression garment in place; drains sometimes used.","restrictions":["Avoid lifting arms overhead","No lifting or strenuous activity"]},{"phase":"Weeks 1-2","description":"Swelling and bruising subside; sutures removed; return to light daily activities and desk work.","restrictions":["No heavy lifting","Avoid stretching arms"]},{"phase":"Weeks 3-6","description":"Wear compression garment; gradual increase in activity; scars still red and firm.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Residual swelling resolves and scars mature and fade.","restrictions":["Protect scars from sun"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Most return to daily activities and desk work within 1–2 weeks; heavy lifting and strenuous arm exercise wait 4–6 weeks."},"result_longevity":"Long-lasting if weight remains stable, though ageing and weight changes can cause recurrent laxity over time.","revision_rate_pct":{"min":2,"max":9,"unit":"percent","qualifier":"Re-operation after primary brachioplasty within 1-2 years; higher in massive weight loss."},"scars":"Permanent scar along the inner or back of the upper arm, sometimes extending to the axilla or chest wall; initially red and raised, usually fading over 12-18 months, with risk of widening or hypertrophy.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are separate."},"stages":[{"code":"surgery","label":"Brachioplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Both arms are typically treated in one operation."},"success":{"metric":"Patient satisfaction with arm contour","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults with arm skin laxity, stable weight, standalone brachioplasty","evidence_status":"limited"},"techniques":[{"name":"Standard (inner arm) brachioplasty","suits_whom":"Moderate to severe skin excess along the full arm, often after massive weight loss.","recovery":"Typically 1-2 weeks to light activity; longer scar along the arm."},{"name":"Limited incision (mini) brachioplasty","suits_whom":"Mild to moderate laxity confined to the upper arm near the axilla.","recovery":"Somewhat quicker recovery; shorter scar."},{"name":"Extended brachioplasty","suits_whom":"Laxity extending onto the lateral chest wall.","recovery":"Longer recovery with a longer scar."},{"name":"Liposuction-assisted brachioplasty","suits_whom":"Excess fat along with skin laxity.","recovery":"Similar to standard; more swelling and bruising."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":2,"max":3,"unit":"hours","qualifier":"Both arms, standard brachioplasty alone."},"initial_assessment_documents":["Front, back and side photos of both arms","Arms-raised photos showing skin laxity","List of blood thinners","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first check, drain and dressing removal, and flight clearance."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=washington/procedure=plastika-ruk-brahioplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}