Illouz and DeVillers, who use both qualitative and prognostic tests, have proposed objective criteria to find the ideal patient for liposuction. They define the qualitative test as follows: "If sagging of the inferior dependent portion of the arm is equal to or less than the thickness of the dermosubcutaneous complex, satisfactory results may be anticipated."
Lillis says that qualitative testing can be done with the patient extending his or her arms horizontally or with elbows bent to maximize posterior and posterior lateral compartment laxity. Excess anterior and anterior medial fat is best evaluated with arms at the sides and is more prominent in patients who are significantly overweight. Prognostic evaluation of the future appearance of the arms is determined simply by asking the patient to contract the biceps and triceps simultaneously. This creates a degree of retraction with ascension of the skin, which closely resembles the degree of retraction observed postoperatively. Realistic expectations must be stressed, and patients should be aware that the procedure will not affect the quality of their skin.
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