Brachioplasty, commonly referred to as an arm lift surgery, is a cosmetic surgical procedure designed to improve the contour and appearance of the upper arms. It involves removing excess skin and fat to achieve a more toned and proportionate look, often addressing issues like sagging skin or “bat wings” that can result from significant weight loss, aging, or genetics.

Who is a Candidate for Brachioplasty?

Ideal candidates are individuals who:

• Have excess, sagging skin on their upper arms.
• Are in good overall health and have a stable weight.
• Do not smoke or are willing to stop before and after surgery.
• Have realistic expectations about the outcomes of the procedure.

Types of Brachioplasty

1. Traditional Brachioplasty:

   • Involves a long incision along the underside of the arm, extending from the armpit to the elbow.
   • Best suited for those with significant skin laxity.

2. Limited-Incision Brachioplasty:

   • Involves smaller incisions confined to the armpit.
   • Ideal for individuals with minimal sagging.

3. Extended Brachioplasty:

   • Includes contouring of the arm and nearby areas like the chest or sides.
   • Often used for patients who have undergone massive weight loss.

4. Liposuction-Assisted Brachioplasty:

   • Combines liposuction with skin tightening to address both fat and skin concerns.

The Procedure

1. Anesthesia: Performed under general anesthesia or local anesthesia with sedation.
2. Incisions: The surgeon makes incisions based on the chosen type of brachioplasty.
3. Fat and Skin Removal: Excess fat may be removed through liposuction, and loose skin is excised.
4. Tightening and Closing: The remaining skin is tightened, and the incisions are closed with sutures.
5. Dressings and Compression: Dressings and compression garments are applied to minimize swelling and support healing.

Recovery

• Initial Healing: Swelling and bruising are common for the first few weeks.
• Compression Garment: Patients may need to wear a compression garment to reduce swelling and support arm contours.
• Activity Restrictions: Avoid strenuous activities and heavy lifting for about 4-6 weeks.
• Scar Healing: Scars will fade over time but may take up to a year to fully mature.

Risks and Complications

As with any surgery, brachioplasty carries potential risks, including:

• Scarring (may be significant and permanent)
• Infection
• Bleeding or hematoma
• Changes in sensation (numbness or tingling)
• Poor wound healing or asymmetry

Results

The results of a brachioplasty are typically long-lasting, provided that the patient maintains a stable weight and a healthy lifestyle. Many individuals report improved self-confidence and satisfaction with the appearance of their arms after the surgery.

If you’re considering this procedure, consulting with a board-certified plastic surgeon is essential to discuss your goals, potential risks, and recovery process.

Sources:

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/brachioplasty#:~:text=What%20is%20brachioplasty%3F,arm%20look%20smoother%20and%20smaller.

https://my.clevelandclinic.org/health/treatments/23367-brachioplasty-arm-lift

https://www.plasticsurgery.org/cosmetic-procedures/arm-lift