Initially, triceps augmentation was introduced as a means to treating asymmetries in the arm region left due to congenital anomalies, trauma producing atrophy of muscles in the upper extremity, and in those patients who suffered volume deficits secondary to trauma or post oncologic surgery. Triceps augmentation, for purely aesthetic reasons, is indicated for the patient who has hypoplasia in the area of the triceps muscle.
In any initial triceps augmentation patients are instructed on the fact that they can achieve an augmentation of approximately 1 inch in vertical height over the triceps. Larger augmentations may require a second operation with larger, custom implants. Also, patients are instructed that while biceps and triceps augmentations can be performed, it is safer to separate this into two separate surgeries to avoid the risk of compartment syndrome in the upper extremity.
Based on evaluation at consultation, the surgeon can choose the implant that would best suit the patient’s body habitus.
POST OP CARE/INSTRUCTIONS
On discharge from the office on the day of surgery, the patients have their arms wrapped in elastic compression sleeves to diminish the amount of swelling and potential for seroma formation. These sleeves are to be worn at all times for a period of 4 weeks. Patients may remove the sleeves to shower and to wash the sleeves as needed. Patients may begin showering the day after surgery, taking care to dry the elastic tape over their insicions with a hair dryer on a low heat setting. The patient is instructed postoperatively to limit the use of the upper extremities and to avoid exertion or any heavy lifting. Patients may begin to use their arms as tolerated immediately after surgery but are restricted from heavy lifting or vigorous activity for 4-6 weeks post operatively.