lastic surgery has experienced a surge in popularity of brachioplasty procedures over the past decade, mirroring the rise in bariatric procedures and the growing population of massive weight loss patients. 1 In response to the 5030 percent rise in brachioplasties performed over the past two decades, plastic surgeons continue to seek modifications and evolution of brachioplasty techniques to improve aesthetic outcomes and minimize complications. 2,3 Several modifications have been proposed, including limited incision brachioplasties, 3 adjunctive liposuction, 4 and a nonexcisional brachioplasty approach. 5 Despite these efforts, this procedure continues to be