This procedure uses a Brazilian Plastic Surgery technique that consists of removing the fat/tissue under the skin via lipo, then the flaccid skin is removed with a scalpel. Since the vital lymph nodes are found in the underarm area, simple scalpel excision of the fat/tissue inside the underarm area has been known to result in the accidental removal or disruption of the lymphatic system which can cause incredible swelling, sometimes permanent. However, using the Brazilian technique, the tube (lipo canula) used to suction is rounded and does not harm the lymph nodes.
The incision is a T incision in most cases and would end in the middle of the upper arm. How far it extends down the arm depends on the individual and the amount of skin and tissue to be resected. Unless you have very limited redundant skin, a simple incision and tuck in the underarm, will not address the lift of the skin properly, leaving you dissatisfied with your results.
This is a procedure to address the “armpit jowls” that is not addressed with the pulling down of the “over the bra hang” extended incision nor by the lift through the arm lifts (batwing removal) incision. This is an extremely delicate area filled with lymph nodes and sweat glands. The lipo procedure is also used here so as not to disrupt the glandular system. Generally, this incision will extend from the armpit T of the batwing removal, down through the armpit to meet the “over the bra hang” incision in a T.