Augmentation brachioplasty: surgery for improving the appearance of the arms Augmentation brachioplasty: surgery for improving the appearance of the arms Braquioplastia de aumento: cirurgia para rejuvenescimento dos braços ABSTRACT Background: Silicone implants are used in several regions of the body. In women, sagging of the triceps muscle is a major concern. Meanwhile, men consider biceps and triceps hypertrophy to be a symbol of masculinity and beauty. Here, we describe a relatively simple and reproducible procedure used for esthetic purposes to increase arm circumference or correct mild to moderately sagging skin using gel silicone implants and elastomer. Methods: Thirty-two patients were selected and operated on. Two to four implants per arm were introduced. Results: The esthetics of the arms improved significantly in the studied patients, with a satisfaction rate exceeding 90%. The procedure improved static evaluation and arm movement, which were the major complaints of majority of the female patients. Conclusions: The surgical technique presented for augmentation brachioplasty is safe and reproducible, and should be considered by plastic surgeons in an attempt to achieve better results with smaller incisions.
With reference to the letter by Dr. Gal Moreira Dini, I would like make the following comments. The article entitled "Augmentation brachioplasty" by Dini and Ferreira 1 , should be listed in our references, as indexed in the main databases. This article, published under section "Letters and Viewpoints," was not found during our initial search. Because of its relevance and to render it easily available, we recommend its publication as an original article. This study proposes a new technical method that involves a different approach, considering that the implant used differs from those used in previous studies. Our premise is that an ideal implant should provide volume to the region in which is located, an effect achieved by using solid silicone (elastomer). Moreover, it should also define the contour, which can be ensured by placing silicone gel on the surface. This would allow the creation of a mixed implant, which is not yet available commercially. Silimed ® has requested that patents not be held on its products.
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