Plastic Surgery and Modern Techniques

Elbow Plasty

Adrien Aiache*

Plastic surgeon in Beverly Hills, Indications and technique, California, USA

*Corresponding author:Adrien Aiache, Plastic surgeon in Beverly Hills, Indications and technique, California, USA. Tel: +1902121654; Email: aaiachemd@gmail.com

Received Date: 02 August, 2017; Accepted Date: 09 September, 2017; Published Date: 15 September, 2017

Citation: Aiache A (2017) Elbow Plasty. Plast Surg Mod Tech 2: 128. DOI: 10.29011/2577-1701.100028


1.         Elbow plasty diagnosis background

 


 


 

—     Elbow wrinkling in the extended forearm:   excessive and inelastic skin.

—     Patient unable or unwilling to wear short sleeves or no sleeves.

—     “OldAge” stigma.

 

2.         Elbow Markings Methods

 


 


 

—     Pinch the skin with the forearm extended at 180 degrees.

—     Flex the arm slowly while the skin escapes the pinching fingers.

—     Mark the proximal and distal point of cooptation of the skin on 90 degrees flexion of the elbow.

 


 


 

—     The position of the ellipse of excision varies according to the location of the excess of skin.

—     Elliptical curved or straight excision depending on the excesslocation (straight if the excess is over  the bony prominence  of the radius, taper the edges to avoid a dog ear).

 


 


 


 

3.         Technique

 

—     Local infiltration with xylocaine 1% c epinephrine 1/100000.

—     Skin ellipse excision.

—     Skin undermining superiorly and inferiorly depending on the skin excess and laxity.

—     Closure in two layers.

—     Subcuticular closure.

 




 

—     Avoid the ulnar nerve

—     Closure in two layers

—     Avoid dog ears

 

 

 





 

 

4.         Results

 

4.1.  Before

 


 

 

4.2.  After

 


 

5.         Post op care

 

—     Limit full arm flexion for a week to ten days.

—     Reduce the extent of flexion for 3 weeks.

—     Long term taping of the wound to prevent breakdown or scar widening.

 


 


 

6.         Complication

—     Hematoma

—     Dog ears

—     Scar widening

 


 

7.         Elbow plasty

 

·         Limited elbow flexion  for three weeks, compressive circular  bandages sub cuticular closure.

 


 

8.         Conclusion

 

·         Anew simpletechnique for rejuvenation of the elbows.

 





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