Evaluation of Liposuction of Three Zones of The Arm and Fat Transfer to Bicipital Triangle without Skin Excision in Grade 1 and 2 Brachioplasty.

Background: Liposuction of three zones of the arm fat transfer to the bicipital triangle without skin excision is an advanced technique designed for patients with Grade 1 2 brachial ptosis. The present work aimed to evaluate the results of brachioplasty using both liposuction of three zones of the arm fat transfer to bicipital triangle without skin excision to present alternative solution for brachioplasty without scar. Methods: In a prospective case series study, 12 patients who presented with brachial ptosis grade 1 and 2 seeking arm contouring were included, they undergone using both liposuction of three zones of the arm fat transfer to bicipital triangle without skin excision resolving brachial ptosis. Operative data early post-operative state, severity of pain, need for analgesia, early post-operative complications, as well as patients satisfaction were recorded. Results: The mean of right-side ptosis was 6.5 ± 1.38 preoperatively and significantly reduced by (53.2%) to 3.04 ± 1.08 postoperatively Also, the mean of left-side ptosis was 6.46 ± 1.05 preoperatively significantly reduced by (56.3%) to 2.82 ± 1.29 postoperatively. We also found a significant reduction in mid arm circumference as the mean of the right mid-arm circumference was 38.1 ± 3.21 preoperatively significantly reduced by (13.9%) to 32.8 ± 2.55 postoperatively (P<0.001). Also, the mean of left mid-arm circumference was 37.8 ± 3.43 preoperatively significantly reduced by (13.5%) to 32.7 ± 2.86 postoperatively. Conclusion: Liposuction of the three zones fat transfer to bicipital triangle provides a safe, effective, time-saving approach, characterized by high patient satisfaction fewer complications.