**6. Postoperative care**

Patients are all placed in a compressive garment post-operatively. Surgical garments are used for the first two weeks. Afterwards, patients are allowed to change into commercially available seamless, zipper-less compressive garments (such as Spanx™ or athletic compression shirts). The larger amount of fluid generated

with UAL with or without additional RF treatment occasionally requires the use of drains, brought out through the posterior elbow. Alternatively, the elbow incision is left open to allow for drainage. Most commonly a 7 mm drain is used if required. They are asked to try and keep their arms elevated above their hearts when seated or sleeping for the first week. Patients are encouraged to begin lymphatic massage after one week. Patients are instructed to avoid any heaving lifting (above 10 lb) or vigorous exercise until four to six weeks post-surgery. After this period, activity level can be gradually increased as tolerated. Gentle range-of-motion is never restricted.
