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Brachioplasty (Arm Lift)Brachioplasty, also known as an armlift, is a surgical procedure to remove skin and fat from the upper arm, reducing skin redundancy that makes clothing fit improperly or makes you feel uncomfortable in short sleeves or sleeveless tops. Brachioplasty surgery can markedly improve the appearance of your arm. The combined effects of aging, gravity, fluctuations in weight, and a loss of skin elasticity all contribute to a loss of tone in the arms as we age. Dr. Revis approaches armlifts to meet your specific needs. This means adequately assessing the excess skin and excess fat (if any is present). Each of these components will determine which procedure is best for you. The incisions required are determined by the severity of your condition. Minimal skin excess may be treated with an incision in the armpit alone. Moderate laxity is treated with an incision from the armpit to the elbow. Most patients fall into this category. More severe cases are rare and may require extension of the incision past the elbow onto the forearm. If you are planning or anticipate a significant loss of weight in the future, it is probably best to postpone your armlift until after this has occurred to optimize your results. Following armlift surgery, many patients experience an immediate improvement in their self-esteem and discover a greater self-confidence. In addition, many also find greater access to different clothing styles and fashions and are less self-conscious at the gym, around the pool, or at the beach. If you think you might be a good candidate for an arm lift, this page will give you a basic understanding of the procedure and the results you can expect. The cornerstone of Dr. Revis' approach is to individualize treatment to your specific circumstances and goals and to ensure that you have an adequate understanding of the issues involved so that you are able to make a fully informed decision. This will help you achieve the appearance you desire with the least invasive procedure available, thus creating a mutually rewarding experience. Dr. Revis invites you to visit his office for a complimentary consultation to discuss the procedure in greater detail. You are also invited to email Dr. Revis with your questions, or we will mail you more detailed information regarding the procedure. As you consider plastic surgery, one of the most important decisions you will make is choosing your surgeon. Our pledge to you is to provide the latest, state of the art cosmetic plastic surgery in a safe and professional environment. Dr. Revis is a recognized specialist in the field of cosmetic plastic surgery and is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. He is also an active member of the American Society of Plastic Surgeons and has also been named among "America's Top Surgeons" by the Consumers' Research Council of America. Our goal is to provide you with "the ultimate patient experience." Our well-trained staff (each fully licensed by the State of Florida) will help you understand your procedure, our financial policies, the scheduling of your surgery, and your post-operative care. We are available to assist you during our regular hours of 9:00 AM to 5:00 PM. Dr. Revis is also available 24 hours a day for emergencies, and he will give you his cell phone number after surgery so that you will always be able to reach him with any questions you might have. The ConsultationDuring your initial consultation, Dr. Revis will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure. After reviewing your medical history, Dr. Revis will discuss your concerns, priorities and motivations for pursuing plastic surgery, as well as your fears. After examining you, Dr. Revis will be able to offer advice and options to help you achieve the appearance you desire. He will explain the advantages and disadvantages of the different options you have before you. At the completion of your consultation, our Patient Coordinator will give you a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo surgery is a very important one, and the final decision should be given very careful consideration. Dr. Revis realizes the importance of this decision, and at no time will you be pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation. Where Your Procedure Will Be PerformedDr. Revis has been granted staff privileges at eight local hospitals and outpatient surgery centers. In the interest of the safety of his patients, he only performs surgery in fully accredited facilities with the proper services and staff. Dr. Revis usually performs armlifts at Broward General Medical Center or Imperial Point Medical Center (fully accredited hospitals) because the staff of these facilities are very experienced in the care of plastic surgery patients in general and specifically in the care of Dr. Revis’ patients. Type(s) of AnesthesiaAnesthesia is an essential part of any surgical procedure and must be performed safely. General anesthesia is the deepest form of anesthesia. You are asleep, feel no pain, and will not remember the procedure. This form of anesthesia is usually not necessary for an armlift. Intravenous sedation, called "twilight sleep," is a combination of local anesthetic administered at the surgical site by Dr. Revis and intravenous sedation administered by the anesthesiologist. You breathe for yourself, but you are in a deep sleep throughout the procedure. You should feel no pain, and you will not remember the procedure. An intermediate form of anesthesia, the laryngeal mask airway (LMA), is a relatively new technique. This technique is similar to twilight sleep in that you are breathing on your own, but the method of sedation differs. With an LMA, you actually breathe anesthetic gases administered by the anesthesiologist, rather than receive intravenous sedation via your intravenous line. These anesthetic gases cause you to sleep during the procedure. At the completion of the procedure, the gases are turned off and you wake up from your sleep. You will feel no pain, and you will not remember the procedure. The prevention of post-operative nausea and vomiting is also a focus of Dr. Revis’ approach to brachioplasty. To improve your overall experience and ensure you feel better faster following your armlift, he has developed a technique that has resulted in a very low incidence of post-operative nausea and vomiting. You will be given an intravenous dose of Zofran at the beginning of your operation. Zofran is a new drug which is currently the best medication available to prevent nausea and vomiting. Dr. Revis feels it is a very important component of his overall approach to make sure that your experience is as pleasant as possible. Dr. Revis will discuss all of these options with you more thoroughly at the time of your consultation, and please ask him about anything you do not understand. Brachioplasty surgery usually takes two to three hours to
perform. After you are properly anesthetized, Dr. Revis will make the
incisions necessary for removal of excess skin and fat. After the incision has been made, Dr. Revis gently
elevates the skin and fat off of the underlying muscles of the arm. Dr. Revis
removes excess skin and fat and redrapes the skin over the underlying
muscles. A drain may be placed beneath the incision. These slender, rubber
tubes assist in draining any fluid that may accumulate beneath the incision
and delay your healing.
The incisions are carefully closed to minimize your scar. Dr. Revis uses a
technique in which all of the sutures are placed beneath the skin and are
absorbed by your body. Not having to undergo suture removal has improved
patient comfort and satisfaction. A sterile dressing
is applied to the incisions, and a compression garment is placed over your
arm. This compression garment or binder helps support your arm during
healing, decreases post-operative swelling, and helps decrease any bruising
that may occur. SinEcch Arnica Montana is
a natural product from Sweden which has been shown in clinical studies
to reduce post-operative bruising and swelling. Begun the evening prior
to surgery, this product is continued for four days post-operatively. Regenerin Surgical Support Specially
formulated for the surgical patient, this antioxidant and vitamin preparation
will provide your body with the necessary nutrients and antioxidants to
assist in healing your surgical wounds. Begun seven days prior to surgery,
this product is then continued for one month post-operatively. Many patients
find this product so beneficial that they continue on the Regenerin Daily
Dietary Supplement Program after their healing is complete. Unjury This protein powder
contains 20 grams of protein per scoop, and is taken twice daily beginning
two weeks preoperatively and continued four weeks post-operatively. It
is an invaluable source of protein to provide your body with the basic
building blocks necessary to form strong healed wounds. This product is
also accompanied by a number of recipes for using this product with coffee,
tea, milk, Crystal Lite, and Jell-O. Scarguard MD A combination
of hydrocortisone, silicone and Vitamin E, this product is painted on your
scars topically like nail polish beginning three weeks after surgery, and
it helps your scars fade so that they fade as much as possible. All of these products are available for purchase in our office. Please
ask us about these products and others if you have any further questions
about whether or not these would be beneficial for you during your healing
period. Brachioplasty surgery may be performed as an outpatient
procedure, or you may choose to stay in the hospital overnight. If you
choose to go home, you will recover in the recovery room for approximately
one hour prior to being released in the company of a friend or family
member. We also have a private duty nurse available to care for you in the
comfort and privacy of your own home if you so choose. The
antibiotics that were prescribed during your preoperative visit (usually
Augmentin) should be taken twice daily beginning on the evening prior to
surgery. Continue this medication until it is
gone. The pain medication prescribed by Dr. Revis during your preoperative
visit (usually Lortab or Vicodin) should be taken fairly regularly, every four
hours or so, during the first 24 hours (when you are not asleep, of
course). Most patients find that they are able to transition to Tylenol after
three or four days. It is not safe to drive a car within 24 hours of
taking pain medication, as your reflexes and alertness may be altered. You should plan to take it easy following your surgery.
No strenuous activities, heavy lifting (over 20 pounds), aerobic exercises,
swimming, contact sports, tennis, or golf should be planned for the first
three weeks. As Dr. Revis monitors your recovery, he will advise you when
it is safe to resume specific activities. You should plan to wear the compression garment for three weeks following surgery. Dr. Revis will
remove the drainage tubes within several days following surgery. You will notice an improvement in your arm
contour immediately. However, your shape will continue to improve in the
following weeks as the mild swelling subsides. You should be up and walking
the day following surgery, although your arm will be sore for several
days. You should able to resume your normal daily activities within several
days following surgery, and you should be able to resume all of your
physical activities within three weeks of surgery. Please call (954)
630-2009 for further information or to schedule your complimentary
consultation. Email: DrRevis@SouthFloridaPlasticSurgery.com Arm Lift: Photo
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