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Page 20
Female Focus
Bat Wings
I must start by saying something that you probably
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This is a type of surgery that can easily be performed under local anesthesia with or without sedation and therefore on a day surgery basis in our premises in Jávea. We talk about those ‘shaggy’ arms also called ‘bat wings’ (I had never heard this expression before until one day a patient asked me for it and had to explain to me what it meant), technically it is called “Brachial dermolipectomy”.
already
know, it is a fact that just as the skin has collagen fibres to give it strength, there are also some elastic fibres on it which give elasticity and that, much the same as the springs of an old metal bed frame, these fibres tend to give way progressively with time making the skin loose in all parts of the body, from the face to the groin, the breast, the abdomen and the upper arms.
Before
Ageing alone, or in combination with rapidly losing weight (either by dieting or illness), and in most cases in association with a lack of oestrogen typical after menopause, have the effect of making the skin of the upper arms loose. This causes people to be reluctant to wear swimming costumes, or short sleeves or strappy tops in the summer.
The operation is perfect for those patients and usually gives good results after a reasonable post op period of about two weeks.
After
It is important to say that there is no incision without a scar and that
cosmetic surgery is meant to minimise or hide those scars that, in this case are left on the inner aspect of the arm and are not meant to be visible either from the back or frontal aspects.
Firstly an oval shape must be designed and measured very precisely to match each patient needs. Then local anesthesia is applied to the whole area that is to be removed and then this extra skin and fat are taken out.
The stitches are always made under the skin in two layers, the first for subcutaneous tissue (mainly fat) and a second continuous line of intradermal suture is performed from one end to the other so there will be no “zip” effect on the scar, ensuring it will look like a line from the elbow to the axillary fold (underarm).
For the post operative care, a compressive bandage is advised for some days and the sutures are removed usually on the 10th to the 14th day. No pain killers are usually needed and when so, plain paracetamol should be enough.
Article supplied by Dr. I. Poole, Clinica El Arenal
which can can be found at Av. Arenal 2, Jávea.
Tel: 965 792 418 11am - 1pm or 652 286 720 (24hr).
Dr.I.Poole@gmail.com
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