Indianapolis Institute for Plastic Surgery

When should I consider an arm lift (brachioplasty)?

Excessive loose and sagging skin of the upper arms typically associated with a large amount of weight loss.
When there is significant laxity or looseness of the skin, liposuction will usually worsen the appearance and removal of the skin gives the best result.
If it is not possible to adequately tighten the skin of the upper arms with exercise alone.

Anticipated Results:

A smoother, flatter appearance to your upper arms.
Reduction or elimination of excess skin from upper arms.

The incisions required for the arm lift, or brachioplasty, run from near the elbow into the armpit. The incisions are placed in the most inconspicuous location (inner arm toward the back), but some scarring will always be visible. Hanging skin to the inner arm is removed with an armlift so the patient feels more comfortable with wearing short sleeved shirts. If there is a significant amount of fullness to the upper arm, liposuction may be included at the time of the armlift or recommended as an earlier stage.

Armlift Examples:

These patients show the contour which can be achieved with the arm lift, or brachioplasty, procedure. The patients pictured below are 6 weeks after surgery.


Before		After


Before	After

Before	After


Before	After

Planning the Surgery:

Time Off Work:

You will want to take 10-14 days off work. You must also restrict arm movements to less than 90 degrees for the first 2-3 weeks.

Caregiver:

You will need someone to take care of you for the first 24-48 hours post-operatively. If you do not have someone to care for you, a nurse can be provided for a minimal fee.

The Day of Surgery:

The procedure is typically performed as an outpatient general anesthesia. The procedure typically takes approximately 2-3 hours. The scars tend to fade in 6 -12 months depending upon your skin type.

After surgery:

You will return home with an ace wrap to both arms for the first few days and then a compression garment will be worn for 6 weeks after surgery. Your arms are either wrapped or placed in a compression garment at the end of the procedure to assist in the natural shrinking and tightening of the skin and to help with swelling. Initial discomfort is controlled with prescription pain medication. Bruising and swelling usually subside within three to four weeks. The final result typically takes about three to six months.

Light activity is possible within 7-10 days and will become more comfortable over 2-3 weeks post-operatively. You should refrain from heavy lifting (anything greater than 10 pounds) for the first three weeks and any type of vigorous (aerobic) activities for at least four to six weeks.

Additional Considerations:

An additional procedure that may enhance the result is liposuction of the upper arms or axillae (armpit).

Note:

It is important to address any concerns with Dr. Short at the time of your consultation. There is some risk, as with any surgical procedure. Minor complications that do not affect the final outcome occur occasionally. Major complications are unusual. Dr. Short can explain the procedure and potential complications to you in detail, and she can assist you in determining if an arm lift is right for you.