Skin Incisions

Remove the skin and superficial fascia (do not remove the cephalic vein) along the following lines:

1. From the jugular notch to the acromion along the clavicle (do not dissect superior to the clavicle and accidentally remove the platysma).
2. From the jugular notch to the xiphoid process.
3. From the xiphoid process laterally to meet the skin incision from the back dissection.
4. From the acromion to a point approximately 5 cm inferior to the elbow and then encircle the proximal forearm.