Kosmetische Medizin 2013 (34)2: 56-61

THE AESTHETIC UPPER ARM:
ON THE ANATOMY AND CLASSIFICATION OF THE LIPODYSMORPHIC UPPER ARM

MATTHIAS SANDHOFER1, PATRICK SCHAUER2, FRIEDRICH ANDERHUBER3

1. Dr. Matthias Sandhofer, FA. für Dermatologie, A-4020 Linz, Starhembergstr. 12, www.sandhofer.at

2. Dr. Patrick Schauer, FA. für Dermatologie, D-94032 Passau, Bahnhofstr. 8, www.hautarzt-passau.com

3. Univ. Prof. Dr. Friedrich Anderhuber, FA. für Anatomie,A-8010 Graz, Harrachstr. 21
KEY WORDS: lipedema, bariatric atrophy, brachioplasty, fascia brachialis, retinacula cutis, fat compartiments

SUMMARY:
1. The muscular atrophy leads across the Fascia brachialis and retinacula cutis to substantial sagging of the upper arm. 2. The posterior deep fat compartiment sags together with the Fascia brachialis over the triceps muscle. 3. The lipedema manifestation is often ignored when planing surgery of the upper arm. 4. The anatomical structures are importent the therapeutic options.