In appropriate cases, i. e., when the folds of skin do not extend a long way into the elbow region, a variation of the incision, without extension beyond the cranial third of the upper arm, can be successful. With this incision not only vertical tightening in the upper arm area is achieved, but also tangential tightening in the axilla. The advantage of this incision is that the scar is barely visible, and skin folds in the axilla and upper third of the upper arm can be eliminated very effectively. The scar can hardly be seen at all when sleeveless clothes are worn.
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