Skin grafting surgery after burns – Hand skin plastic surgery – Department of Plastic Surgery in Moscow

An arm lift (or “brachioplasty”) is a plastic surgery procedure aimed at creating a beautiful, toned contour of the arms by removing excess loose skin in the shoulder area. It is used if the patient does not plan to lose weight after it, or after severe weight loss or liposuction of fat of the upper extremities.

Despite the fact that the procedure makes it possible to eliminate an insignificant amount of fat, it is not able to eliminate age-related changes in the skin and hide the signs of aging. That is why, to achieve maximum effect, it is recommended to carry it out in combination with liposuction and laser resurfacing.

Brachioplasty - 75,000 - 138,000 rubles.

Included in the price:

surgery, consultation with an anesthesiologist, anesthesia/anesthesia, hospital stay with meals, dressings, postoperative observation by the attending physician for a month.

2 hours

(duration of operation)

3-5 days in hospital

Indications for surgery and techniques used

In case of burns accompanied by necrosis of the skin and damage to bone tissue, a transplant of one’s own tissue, autoskin, is performed.
If it is impossible to use one’s own resources, for burns and severe bleeding, an allograft is used - tissue from another person.
If the burn is clearly limited, then surgery to remove dead tissue and skin grafting can be performed soon after the injury, before inflammatory reactions occur (delayed necrectomy).
If the patient has a deep burn over a large area, the transplant is performed after the wound has been cleansed and granulation tissue has formed.

Hand skin care after laser rejuvenation

Unfortunately, you will not be able to significantly reduce the duration of the rehabilitation period. However, you can prevent complications that can increase it. To do this, you will need to concentrate on proper and conscientious care after laser rejuvenation of the hands.

Keep the areas of skin treated with laser clean, and try not to expose them to irritating substances. If itching occurs, try to endure it and do not scratch. It is advisable to irrigate your hands with special means rather than wash them. Antibacterial drugs must be taken for 7-10 days as prescribed by the doctor.

Pain can be reduced with the help of analgesics or non-hormonal anti-inflammatory drugs. Try to stay indoors with slightly humidified air for the first days after laser rejuvenation of your hands.

A bandage must be applied to the treated skin. Sterile gauze pads or bandages coated with a thin layer of petroleum jelly are suitable for this purpose. However, it is better to take special nets soaked in Vaseline. The frequency of changing the dressing is 4–5 times a day. Cold must be applied to the treated area of skin on the bandage several times for 20 minutes. You can use an ice bottle or cold packs for this purpose.

Lymph is released on the damaged surface, which dries out, forming films and crusts. Sterile wipes soaked in a vinegar solution will help soften them. To prepare, you will need to dilute one tablespoon of 6% vinegar in 200 ml of cold boiled water. Wipes soaked in the solution must be changed every five minutes or as they warm up. As soon as the ichor stops secreting, and the burning and pain go away, you can stop the procedure.

The crusts softened with lotions can be carefully removed. Under no circumstances should you tear them off by force! Before each change of napkins, you need to treat the damaged area of skin with a 0.05% solution of chlorhexidine.

Gradually the lymph flow will stop. The skin will begin to peel off and thick crusts will form. You can stop applying dressings with cosmetic Vaseline. Now you need to moisturize the laser-treated skin. Compresses with a cool vinegar solution are suitable for this. Application frequency: up to five times a day. The wound should be treated with chilled serum, a concentrated solution with biorevitalizing and moisturizing effects, or use a chilled moisturizer.

In the second week after laser rejuvenation of the hands, the treated skin will gradually recover and stop peeling. To provide her with proper care, moisturizing alone is not enough. It is necessary to protect the affected area from exposure to ultraviolet radiation.

The rules listed above are general in nature. Individual advice on care after laser resurfacing should be obtained from your cosmetologist. He will make recommendations taking into account the depth of impact and the type of cosmetic defect.

Fractional laser resurfacing is a method of removing age-related changes from the skin of the hands, allowing you to achieve maximum effect. With it you can avoid complex procedures. For example, skin tightening or plastic surgery. Laser hand rejuvenation is much simpler. Pathological changes in the skin are eliminated, while new collagen is synthesized. Just three to five fractional laser resurfacing procedures will rejuvenate the skin of your hands, making it more elastic and smooth. Take care of your skin correctly! Then your hands will remain young and beautiful for a long time.

Why clients choose Veronika Herba Beauty and Health Center:

This is a beauty center where you can take care of yourself at a reasonable cost, while your face and/or body will be treated not by an ordinary cosmetologist, but by one of the best cosmetologists in Moscow. This is a completely different, higher level of service!
You can receive qualified help at any time convenient for you. The beauty center is open from 9:00 to 21:00, seven days a week. The main thing is to agree with your doctor in advance on the date and time of your appointment.

, and you will see for yourself!

Free skin grafting

Free tissue transfer surgery is the most effective method for eliminating complex defects after severe injuries.

The following types of operations are carried out:

Vascularized - using a complex flap of skin that preserves the network of blood vessels for the formation of new capillaries;
Non-vascularized - using a split flap, when new epithelium forms independently.

This operation can be performed using thin, medium-thickness flaps and full-thickness donor tissue.

Hardware methods: laser skin resurfacing (fractional erbium photothermolysis)

During the procedure, the top layer of the epidermis is selectively removed, along with scars, wrinkles and small folds, all skin irregularities are removed. Healing processes are activated, which promotes the production of new collagen and elastin. The skin is renewed, its color and texture are evened out, and its elasticity increases. Unlike classic laser resurfacing, which completely removes the epidermis layer and requires a significant recovery period, fractional laser acts much more selectively. In this laser, the radiation is represented by a large number of microbeams. Each such ray creates a small depression in the skin in the form of a column. Healing occurs by tightening the surrounding tissue, which leads to a reduction in excess skin, and the recovery period is no more than a week. The result of laser rejuvenation can be assessed in approximately 7-10 days. True, there is also the possibility of complications: after carbon dioxide laser resurfacing, hyperpigmentation and even small scars may appear. The erbium laser operates much more carefully, so complications are extremely rare. By removing the upper layers of the epidermis, young, healthy skin without wrinkles and age spots is formed.

Graft collection sites

Donor tissue is taken mainly from the following areas:

Belly;
Lateral to the sternum;
Inner thigh;
Buttocks;
Shoulder;
Front and back of the ear.

The best effect is achieved by layer-by-layer transplantation, which is carried out mainly for skin transplantation on the hand and fingers.

For facial skin defects, donor material is selected from the neck. Skin from the hairy part of the body is not transplanted to areas of the body without hair.

Doctors performing hand skin tightening

Marenich Vladimir Fedorovich

Doctor - plastic surgeon, full member of the Society of Plastic, Reconstructive and Aesthetic Surgeons, Candidate of Medical Sciences

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Prokhorov Yuri Anatolievich

Surgeon, head of the surgical service of CELT, candidate of medical sciences, doctor of the highest category

32 years of experience

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How is the operation performed?

Anesthesia is given.
Cellophane is applied to the surface of the wound to mark the boundaries of the area and obtain a pattern for donor material.
A piece of skin of the desired type is cut out.
The graft is passed through a drum to form the desired thickness.
A skin flap is applied to the wound, which is in a folded form (to prevent damage to the fibers).
The edges of the manipulation site are sutured.

The donor surface is processed according to the following algorithm:

Stopping bleeding;
Applying a bandage with antimicrobial impregnation;
Suturing the wound.

If necessary, use a splint or plaster.

Contraindications

Brachioplasty has a number of contraindications:

acute or chronic infectious diseases;
period of pregnancy and lactation;
recent surgical interventions from which the patient has not yet fully recovered;
weak immunity;
recent liposuction;
age under 18 years;
problems with blood clotting;
removal of the mammary gland - an oncological process;
age over 60 years;
diabetes;
a significant disturbance of metabolic processes, which is expressed in advanced obesity, in this case doctors advise to first lose weight, and only then seek the help of plastic surgeons;
skin diseases in the area of the proposed intervention;
excessive sweating in the armpit;
respiratory diseases in the acute stage;
recent stroke;
recent heart attack;
presence of a pacemaker.

Advantages of performing hand plastic surgery in Belgium

Highly qualified doctors. Belgium has one of the best plastic surgery schools in Europe. Students not only from Europe, but also from the USA, Israel, South Korea and Brazil - countries with very developed aesthetic surgery - go to Belgium to study with such world-famous “stars” as Madeleine Lejour or Robin Van Luck.
Natural results. Plastic surgeons in Belgium strive for maximum naturalness of the final result. Your hands should look alive, and not the hands of a doll, they say. Therefore, the best result is considered to be one in which traces of the surgeon’s work are invisible, and a functional or aesthetic effect is achieved.
High level of safety in plastic surgery. In Belgium, the degree of doctor responsibility is very high, so every plastic surgeon carefully takes care of his reputation. This means that the likelihood of a medical error is minimized.
Experienced and caring staff. Clinics in Belgium have a very cozy and almost “homely” atmosphere, and the staff treats patients with sincere human concern.
Modern techniques and equipment. Plastic surgery clinics in Belgium are equipped with the latest generation equipment, and the latest techniques are not only widely used by Belgian surgeons, but are often developed in this country and only then “picked up” in other countries.
Reasonable prices with high level of craftsmanship. The cost of hand surgery in Belgium is 30-40% lower than in Germany or Israel, and 50-60% lower than in the USA or Switzerland. This pleasant circumstance is due to the peculiarities of financing large Belgian clinics, which is almost 80% provided by the state.

Stories from our patients:

Yulia29.01.2021

Many thanks to the wonderful doctor Valery Grigorievich! I had rejuvenation surgery in 2021. Several years have passed, nothing has changed, only everything has gotten better! Especially the neck, you have no equal in this! There is no need to wait for quick rehabilitation and quick results! Everything will be great, but in a year... At least in my case, everything is individual! But, you are the best! I hope to meet you again, health permitting!

Tatyana K.07/24/2020

Thank you very much, Valery Grigorievich! I am so glad that I chose you for my surgery. I look 20-25 years younger now (I'm 59). I myself did not expect to see such a young face. I am very happy. My husband is surprised that this could happen. He also really likes the result. Many thanks to everyone who helped you - Tatyana Alexandrovna and Anna Sergeevna. Many thanks to the anesthesiologists and nurses. The operation and recovery from anesthesia were very easy for me. Thanks to Alexandra, she has always been and remains in touch, thanks to cosmetologist Natalya Nikolaevna For women visiting the site and reading this review, I can add that the intervention was extensive: forehead endoscopy, SMAS, platysmoplasty and lower blepharoplasty. All this was done in 1 time - clearly, quickly, professionally. Therefore, there were no blue-black bruises at all. On the 3rd day, pale yellow bruises appeared under the eyes (already passing). There was no severe swelling. A week later, I calmly (wearing dark glasses) went out into the street. By now, 2 weeks have passed since the operation. The scarring process is completely painless, it is not visible from the outside. There remains a slight numbness of the chin, neck and forehead. But gradually sensitivity returns. You can feel it too. In general, the rehabilitation process is easy to bear, especially with such an emotional high from SUCH a stunning result.

Tatyana K.07/17/2020

Thank you very much, Valery Grigorievich! I am so glad that I chose you for my surgery. I look 20-25 years younger now (at 59). I myself did not expect to see such a young face. I am very happy. My husband is surprised that this could happen. He also really likes the result. Many thanks to everyone who helped you - Tatyana Alexandrovna and Anna Sergeevna. Many thanks to the anesthesiologists and nurses. The operation and recovery from anesthesia were very easy for me. Thanks to Alexandra, she has always been and remains in touch. For those visiting the site and reading this review, I can add that the intervention was extensive: forehead endoscopy, SMAS, platysmaplasty and lower blepharoplasty. All this was done in 1 time - clearly, quickly, professionally. Therefore, there were no blue-black bruises at all. On the 3rd day, pale yellow bruises appeared under the eyes (already passing). There was no severe swelling. A week later, I calmly (wearing dark glasses) went out into the street. By now, 2 weeks have passed since the operation. The scarring process is completely painless, it is not visible from the outside. There remains a slight numbness of the chin, neck and forehead. But gradually sensitivity returns. You can feel it too. In general, the rehabilitation process is easy to bear, especially with such an emotional high from SUCH a stunning result. I don’t even want to wear makeup))

The essence of the procedure

The inner side of the arms from the shoulder to the elbow easily becomes overgrown with excess fat, and is the first to lose it when you lose a lot of weight. As a result, excess tissue forms in this area. The skin becomes flabby, sags, and gathers in unsightly folds.

You can hide a flaw with clothes, but it’s better to get rid of it completely.

This will be done by surgical arm lift; brachioplasty involves excision of excess tissue or suturing it. This is followed by a rehabilitation period. And after it, your hands will become thin, with elastic and smooth skin. Only a thin scar on the inside will indicate the operation that was performed.

We recommend reading about radiofrequency liposuction. You will learn about who is recommended for this procedure, its advantages, preparation and methodology, after-effects, and cost. And here is more information about the RF body lifting procedure.