Arm lift

The Procedure

An arm lift, also known as a brachioplasty, is a surgical procedure in which excess skin and, if necessary, fat are removed from the upper arms. This procedure is particularly suitable for individuals experiencing loose skin after significant weight loss or as a result of aging. The goal is to achieve firmer, slimmer arms and a more defined contour.

In many cases, an arm lift is combined with liposuction. By first removing excess fat through liposuction, the skin can be corrected more precisely. Liposuction also helps to preserve the lymphatic vessels as much as possible, which is important for proper lymphatic drainage and faster recovery.

 

Type of Anesthesia

An arm lift is usually performed under general anesthesia, meaning you will be completely asleep and will not feel anything during the procedure.

 

Duration of the Procedure

An arm lift typically takes 2 to 3 hours, depending on the amount of skin and fat to be removed and whether liposuction is performed at the same time. In most cases, you can go home the same day.

 

Before the Surgery

Proper preparation contributes to a smooth recovery:

• Stop smoking: Smoking impairs wound healing and increases the risk of complications.
• Discontinue blood thinners: In consultation with your doctor, you will need to temporarily stop these medications.
• Preoperative assessment: During your consultation, you will discuss your medical history, expectations, and whether additional liposuction would be beneficial.

 

Aftercare and Follow-up Appointment

Proper aftercare is essential for good healing and optimal results:

• Compression garment: You will wear special compression clothing to minimize swelling and support the skin.
• Rest: Avoid lifting and intensive arm movements during the first few weeks.
• Activities: Light activities can usually be resumed after 1 to 2 weeks. Sports and heavy physical work should be avoided for 6 weeks.
• Follow-up: During one or more follow-up appointments, the surgeon will monitor your healing process and answer any questions you may have.

 

Scarring

Scars after an arm lift are usually located:

• Along the inner side of the upper arm, running from the armpit to the elbow;
• Sometimes only within the armpit crease, if there is minimal excess skin.

Although these scars fade over time, they will remain visible. Proper wound care and sun protection are essential to achieve the best possible result.

 

Possible Complications

An arm lift is generally a safe procedure, but as with any surgery, certain risks may occur:

• Bleeding: This may cause additional swelling and, in some cases, require a secondary procedure.
• Infection: Keep the wound clean to prevent infection. In case of redness, discharge, or fever, contact the clinic immediately. Antibiotics may be required.
• Swelling or fluid accumulation (seroma): After the procedure, wound fluid may collect under the skin. Wearing compression garments helps reduce this. Because liposuction is used, lymphatic flow is less disrupted, reducing the risk of prolonged swelling and healing problems.
Some clinics also offer post-lipo massages. These are allowed, but scientific evidence for their effectiveness is limited, and the costs are at your own expense.
• Thrombosis: While rest is important after surgery, gentle movement several times a day helps prevent blood clots.
• Wound separation and/or widened scars: The skin may not heal properly, leading to broader scars.
• Asymmetry or irregular contour: Minor differences between both sides may occur.
• Numbness in the treated area: Temporary or permanent changes in skin sensation can occur.

Discuss all risks and expectations with your plastic surgeon beforehand to ensure you are well informed.

 

Costs and Insurance Coverage

An arm lift is considered a cosmetic procedure and is not covered by health insurance in most cases. Exceptions may be made only in cases of severe excess skin causing medical problems.