Arm Lift (Brachioplasty)

Overview

An arm lift, also known as brachioplasty, is a cosmetic surgical procedure aimed at enhancing the appearance of the underside of the upper arms.

During an arm lift, excess skin and fat are surgically removed from the area between the armpit and elbow. The remaining skin is then skillfully repositioned to create a smoother, more contoured arm profile.

Reasons for undergoing an arm lift

As individuals age, the skin on the upper arms can become loose and saggy. Significant weight loss can also contribute to this issue, leading to drooping of the skin on the upper arms.

While exercise can improve muscle tone, it cannot address excess skin that has lost elasticity. An arm lift is typically chosen to address sagging skin on the upper arms, potentially boosting one’s body image.

Risks associated with arm lift surgery

An arm lift carries certain risks, including:

Scarring: The incision scars from an arm lift are permanent, although they are usually placed in less visible areas. In some cases, scars may become raised or red, necessitating treatments such as corticosteroid injections.
Asymmetry: There is a possibility of uneven arm contours during the healing process, despite efforts to achieve symmetry.
Changes in skin sensation: Temporary numbness in the arms may occur due to the repositioning of arm tissues.
Issues with stitches: Occasionally, stitches used to reshape the arms may surface and require removal, potentially leading to skin inflammation and the need for further surgery.

Like any major surgery, arm lift surgery carries risks such as bleeding, infection, and reactions to anesthesia.

Candidates for arm lift surgery

Not everyone is suitable for an arm lift. Factors that may discourage the procedure include being significantly overweight, experiencing frequent weight fluctuations, having medical conditions that affect wound healing, or being a smoker.

Preparation for arm lift surgery

Before undergoing an arm lift, you will consult with a plastic surgeon who will:

Review your medical history, including current and past medical conditions, medications, and prior surgeries.
Conduct a physical examination of your upper arms and possibly take photographs for your medical records.
Discuss your expectations for the procedure, including potential outcomes and risks.
If you smoke, your surgeon will advise you to quit before surgery and during recovery to reduce the risk of complications.

Procedure details

An arm lift is typically performed in a hospital or outpatient surgical facility under either local anesthesia with sedation or general anesthesia, depending on the extent of the surgery.

Before the procedure, you may need to avoid certain medications that can increase bleeding and arrange for transportation and assistance during your recovery period.

During the procedure, your surgeon will make incisions on the underside of your arms, remove excess skin and fat, tighten underlying tissues, and reposition the skin to achieve a smoother arm contour. Stitches or surgical tape will be used to close the incisions.

Recovery after arm lift surgery

Following an arm lift, your arms will be bandaged and wrapped to reduce swelling. Drainage tubes may be temporarily placed to remove excess fluids. You will likely have a follow-up appointment soon after surgery to monitor your recovery progress.

During the initial recovery period

Avoid lifting your arms above shoulder level for several weeks.
Refrain from strenuous activities involving your arms for a few weeks to ensure proper healing.
Take prescribed pain medication and antibiotics as directed to manage discomfort and prevent infections.

Your surgeon will advise you on when to expect the removal of stitches, which may dissolve on their own or require an office visit.

Contact your doctor immediately if you experience symptoms such as shortness of breath, chest pain, irregular heartbeat, or signs of infection.

Results of an arm lift

An arm lift can effectively tighten loose skin and improve the overall appearance of your upper arms, providing a more toned look.

While results are generally long-lasting, natural aging processes may cause some skin laxity over time. Maintaining a stable weight and a healthy lifestyle can help preserve your arm lift results.

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