Lipocontouring the arm has a lower degree of patient satisfaction comp
ared to other regions since untoward sequelae such as sagging and wrin
kled skin may result. Circumferential para-Axillary Superficial Tumesc
ent (CAST) liposuction was offered as an alternative to traditional ar
m liposuction or brachioplasty to 59 patients. Fifty-three of 59 patie
nts (89.9%) were satisfied or very satisfied with the procedure; six p
atients (10.2%) requested secondary procedures; four, further liposuct
ion (6.8%); two, brachioplasty (3.4%). Although temporary untoward seq
uelae (15.3%) and minor complications (8.5%) were not infrequent and m
ore vigorous postoperative care necessary, the final aesthetic result
was rarely compromised and patient satisfaction was high.