Preoperative check:
Preoperative check includes mainly blood tests, chest X-ray, electrocardiogram (ECG) and any other specialized tests, depending on the case.
Also, it will be necessary to stop smoking preoperatively, and immediately post-operatively as well as avoid taking aspirin and any anti-inflammatory medicine, since they increase the risk of bleeding.
The surgical procedure:
The surgical procedure is performed under general anaesthesia. Scars vary in size and shape, depending on the amount of excess tissue that needs to be removed. In general, scars are placed on the inside of the arm or hidden in the armpit. Dr Karmiris prefers verticomedial scar if an axillary scar is not sufficient.
In more advanced cases, there might be a scar that extends from just above the elbow. The surgical procedure can be combined with liposuction if needed for a better result. Depending on the case, incisions might be limited or more extensive.
After removing excess skin and restructuring the area, the wounds are closed with absorbable sutures.
The scars are permanent but fortunately, in most cases, they will improve significantly over time.
Post operatively:
Immediately after the surgical procedure, you will have medical gauze or bandages on the incisions which will be reduced gradually. If drains have been used, they will be removed in a couple of days. You will need to wear a post-surgical compression garment to each arm in order to minimize swelling and fasten restoration of skin elasticity.
In most cases, patients are discharged on the day of surgery or the latest the next day. Dr Karmiris will give you particular instructions on how to take care of your incisions immediately post-op, what medication you should take and when you will be seen for a follow up.