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Brachioplasty (Plastic Surgery of the Upper Arms)

Brachioplasty, or reduction of skin and subcutaneous tissue excess involving the upper arms, may be of great benefit if you have lost weight and have skin excess in this area.

In general, there are three approaches. The first, applicable to the younger patient with more elastic skin, involves the use of liposuction alone. The second uses liposuction and a short, L-shaped incision. For patients with significant skin excess, a longer scar may be warranted.

The brachioplasty procedure can usually be performed on an outpatient basis. Compressive garments and bandages are worn for a total of four weeks after the surgery.

What is Brachioplasty?

Fluctuations in weight, growing older and even heredity can cause your upper arms to have a drooping, sagging appearance.

Exercise may strengthen and improve the underlying muscle tone of the upper arm, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits.

If the underside of your upper arms are sagging or appear loose and full due to excess skin

An arm lift, or brachioplasty, is a surgical procedure that reshapes the under portion of the upper arm, from the underarm region to the elbow. The procedure is performed to:

  • Reduce excess sagging skin that droops downward

  • Tighten and smooth the underlying supportive tissue that defines the shape of the upper arm

  • Reduce localized pockets of fat in the upper arm region

The Ideal Candidate

In general, candidates for an arm lift 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 who do not have medical conditions that can impair healing or increase risk of surgery

  • Non-smokers

  • Individuals with a positive outlook and realistic expectations

Your Surgery

Incision length and pattern 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. If fat is to be reduced during your arm lift, it will be excised or treated with liposuction.

Depending on your specific conditions, 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.

Your incisions will be closed with absorbable sutures, or stitches that will be removed within 1-2 weeks following your arm lift.

Recovery

Following your 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. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

The Results

The smoother, tighter contours that result from brachioplasty are apparent almost immediately following your procedure, although initial results will be somewhat obscured by swelling and bruising. Your new, shapely and toned upper arm is dramatically improved both in appearance and feel.

 

 

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