Arm lift (brachioplasty)
An arm lift, also known as brachioplasty, reduces excessive skin and fat between the armpit and elbow, resulting in firmer skin and more beautiful arm contours.
Fluctuations in weight, growing older and heredity can cause your upper arms to have a drooping, sagging appearance. This is a condition that cannot be corrected through exercise.
Arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose and full due to excess skin and fat.
An arm lift, or brachioplasty, is a surgical procedure that:
- Reduces excess sagging skin that droops downward
- Tightens and smoothes the underlying supportive tissue that defines the shape of the upper arm
- Reduces localized pockets of fat in the upper arm region
In order to obtain an improved view, a scar will be visible on the inside of the upper arm.
During your arm lift surgery consultation be prepared to discuss:
- why you want to undergo surgery, what your expectations are and what result you wish to achieve
- medical conditions, allergies and medical treatments
- current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
- previous surgeries.
Your arm lift surgeon will also:
- evaluate your general health status and any pre-existing health conditions or risk factors
- take photographs
- discuss your options
- discuss likely outcomes of arm lift surgery and any risks or potential complications.
Be sure to ask questions. It's very important to understand all aspects of your arm lift procedure. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon.
In general, arm lift candidates include:
- adults with significant upper arm skin laxity
- adults of any age whose weight is relatively stable and who are not significantly overweight
- healthy individuals without medical conditions that impair healing or increase risk of surgery
- non smokers
- individuals with a positive outlook and realistic expectations.
The decision to have plastic surgery is extremely personal, and you'll have to decide if the benefits, risks and potential complications of arm lift surgery are acceptable.
You will be asked to sign consent forms to ensure that you fully understand the procedure.
Arm lift surgery risks include:
- anesthesia risks
- poor wound healing
- unsightly scarring
- fluid accumulation (seroma)
- damage to deeper structures such as nerves, blood vessels and muscles
- fatty tissue under the skin might die (fat necrosis)
- numbness or other changes in skin sensation
- pain, which may persist
- sutures may not absorb, but spontaneously surface through the skin, causing irritation, drainage and redness
- possible need for revisional surgery.
These risks and others will be fully discussed prior to your consent. It’s important that you address all your questions directly with your plastic surgeon.
In preparing for arm lift surgery, you may be asked to:
- get lab testing or a medical evaluation
- take certain medications or adjust your current medications
- stop smoking
- avoid taking Aspirine, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Be sure to arrange for someone to drive you to and from surgery, and to stay with you for at least the first night following surgery.
An arm lift procedure includes the following steps:
Step 1 - Anesthesia
Medications are administered for your comfort during arm lift surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 - The incision
Incision length and pattern during arm lift surgery depend on the amount and location of excess skin to be removed, as well as the best judgment of your plastic surgeon.
Incisions are generally placed on the inside of the arm or on the back of the arm, depending on the surgeon’s preference, and may extend from the underarm (axilla) to just above the elbow. Excess fat may be directly excised or treated with liposuction.
Depending on your specific condition, incisions may be more limited. Then, underlying supportive tissue is tightened and reshaped with internal sutures. Finally, the skin is smoothed over the new contour of your arm.
Inner arm incision
Back of arm incision
Step 3 - Closing the incisions
Your incisions will be closed either with absorbable sutures or stitches that will be removed within one to two weeks following your arm lift.
Step 4 - See the results
The smoother, tighter contours that result from brachioplasty are apparent almost immediately following your procedure, although there will likely be swelling and bruising.
During your recovery from arm lift surgery, dressings or bandages may be applied to your incisions, and your arms may be wrapped in an elastic bandage or a compression garment to minimize swelling following surgery.
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid.
You will be given specific instructions on how to care for the surgical site and drains, medications to apply or take orally to aid healing, specific concerns to look for and when to follow up with your plastic surgeon.
Be sure to ask your arm lift surgeon specific questions about what you can expect during your individual recovery period:
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery? When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
The smoother, tighter contours that result from arm lift surgery are apparent almost immediately following your procedure. Initial results will be obscured by swelling and bruising, and a scar will remain where the incision was made.
Although good results are expected from your procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
The results of arm lift surgery will be long-lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness, but most of your improvement should be relatively permanent.
Following your physician's instructions is essential to the success of your surgery.
It's important that the surgical incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.