**2.1 Selection of candidates**


result solely with liposuction. Skin resection might be required in patients who have severe skin laxity or extreme excess skin.

• Various algorithms and classifications have been described to decide the surgical procedure that is going to be applied [1–3]. In 1998, Teimourian and Malekzadeth have defined the first classification system by diving the patients into 4 groups. Patients who have mild or moderate fatty tissue and mild skin laxity are defined as group1 and liposuction procedure alone is preferred option. However, depending on the degree of fatty tissue a combination of liposuction or only resection is recommended for patients in other groups with more skin laxity [1]. Applelt et al. expanded the classification system to include the location of excess skin and severe deformities involving the arm and lateral chest wall, were added into the indications for brachioplasty [2, 4]. Although, El Khatib's classification of brachial ptosis is similar to these classifications, it includes the measurement of the amount of skin ptosis under the brachial sulcus.
