SWELLING: this can cause separation of the skin edges or even loss of skin (slough). This is sometimes due to the wound being closed too tightly.Late swelling, called edema, can be due to either a tight closure or more seriously damage to the venous or lymphatic drainage from the area.
BRUISING: the skin may be undermined and this can leave a space for fluid or blood to collect (see below).
BLEEDING: early on bleeding may indicate leakage from a blood vessel and require surgery. Slow bleeding may collect under the skin forming a "hematoma". Sometimes serum may also collect forming a "seroma".
INFECTION: this is uncommon but because of the closeness of the axilla the germs in this area can contaminate the wound.
SCAR: this is the most common problem following a brachioplasty. If the scar is placed on the front or back surface of the arm it is more visible. It is best if located on the lower surface of the extended arm. In some patients the scar may become thick or hypertrophic.
NUMBNESS OR CHANGE IN FEELING: damage to superficial nerves in the fat of the upper arm may cause numbness or feeling change, including painful sensations.
CONTOUR DEFORMITIES: in the central area of the incision these may be bands, folds or constrictions. Ateach end of the wound "dog ears" may form.
PATIENT DISSATISFACTION: as with all surgical procedures the patient may not like the final result.