After a massive and rapid weight loss and through connective tissue loosening and weakening the skin and the underlying fat tissue of the arms may give a saggy appearance with wrinkles. A plastic-surgical tissue reduction can restore the original firm arm appearance. The tissue excess is removed though a surgical incision in the inner side of the arm. The procedure is performed in our Clinic for Plastic Surgery in Berlin always with use of surgical loops and in a microsurgical technique so that nerves arising from the underlying nerve network ( Brachial plexus) are protected and conserved. Injuries of the nerves supplying the skin on the inner side of the arm can be painful and lead to sensibility disturbances. The patients should always ask for the surgeon’s microsurgical experience and specialization so that any injuries or unwanted results can be avoided

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