The pursuit of a toned, harmonious appearance is a goal for many people. However, despite a balanced diet and regular exercise, areas like the arms can retain excess skin and fat that is difficult to eliminate. An arm lift, or brachioplasty, is presented as an effective surgical solution for reshaping and firming the upper arms. In this article, you'll find all the information you need to fully understand this procedure, from its basics to recovery and expected results.
What is an arm lift or brachioplasty?
Brachioplasty is a cosmetic surgical procedure designed to remove excess skin and fat that hangs from the lower arm, commonly known as "bat arm" or "wings." This frequently occurs after significant weight loss, such as that experienced after bariatric surgery, or as a natural result of aging and loss of skin elasticity.
The surgery also tightens and firms the remaining skin, resulting in a more defined, youthful arm contour that is more in proportion to the rest of the body. It's important to note that this is not a substitute for weight loss, but rather a body contouring procedure for those who are already close to their ideal weight but struggle with this specific condition.
This plastic surgery is indicated for Patients who have undergone massive weight loss, which has generated a large amount of excess skin. Despite the extent of the scar, it is an optimal aesthetic and functional solution for the patient, since We hide the scar on the back of the arm and the patient will get arms with a natural shape.
In addition, the patient will be able to wear short sleeves, go to the beach... in short, continue with their normal life and their arms will have a more harmonious shape, after that massive weight loss.
In cases where the sagging is more moderate, what we advise in the Plastic Surgery Clinic in Madrid by Dr. Sordo, plastic surgeon in Madrida whirlpool bath, liposuction in Madrid and a collection of the arm skin limited only to the armpit areaIn this area, a buttonhole of skin can be removed without extending the scar along the arm to the elbow.
This way, the scar will be more discreet. This type of procedure is very limited to patients with lipodystrophy or fatty deposits and not much excess skin, so it can be removed with a small skin stretch and a very hidden scar in the armpit.
Therefore, the Plastic surgery of the arms that will be performed on a patient to eliminate sagging will depend on the degree of sagging and flaccidity that is present.. Thus, patients who have suffered a Massive weight loss that there are them produced excessive sagging of the skin and great flaccidity, must undergo a brachioplasty. While patients who present a Discreet sagging with little skin flaccidity, they will be able to solve this aesthetic problem with a liposuction and skin tightening in the armpit area.
Brachioplasty or arm lift step by step
At Dr. Sordo's clinic we begin brachioplasty or arm lift with tumescent liposuction using the superficial technique. To do this:
- Microcannulas (thin suction tubes) are inserted into the inner part of the arms through small incisions (approximately 0,4 centimetres in length). These microcannulas have a blunt tip, which allows for atraumatic introduction into the patient's body, which reduces the risk of postoperative haematomas.
- Fat cells are extracted from this area of the body. through negative pressure, which reshapes the patient's body contour.
Once tumescent liposuction is finished, we move on to solving the problem of excess skin:
- Se Remove excess skin from the inside of the arm.
- A pressure therapy garment in the area.
- Se transfers the patient to a room where he remains under observation of healthcare personnel.
It should also be noted that the tumescent-type infiltration with which the operation begins eliminates the patient's blood loss.
The operation usually lasts between one and two hours and it is used in it General anesthesia for greater patient comfort.
Advantages of the procedure
Aesthetic improvement and body contour
The arms regain a slimmer, more toned, and more harmonious shape, allowing patients to feel comfortable wearing sleeveless clothing, swimsuits, or garments they previously avoided.
Increased confidence and self-esteem
By correcting the appearance of their arms, a major source of insecurity, patients experience increased confidence, feeling freer to participate in social and sports activities without feeling self-conscious.
Relief from physical problems
In severe cases, excess skin can cause skin irritation, chafing, and even friction infections on the inner arm. Brachioplasty completely eliminates these problems.
Permanent results
Although natural aging will continue, the results of excess skin removal are permanent. By maintaining a stable weight and a healthy lifestyle, patients can enjoy their new arms for many years.
PREMIUM QUALITY
Minimal or short scar brachioplasty
Ideal for patients with mild to moderate sagging, primarily located in the proximal arm (near the armpit). The incision is hidden in the armpit, leaving a nearly invisible scar.
Standard or traditional brachioplasty
This is the most common technique. An incision is made running from the elbow to the armpit, usually on the inner back of the arm, where it is hidden from the front view. It allows for the removal of large amounts of skin and fat and is the preferred option for cases of severe sagging.
Brachioplasty with axillary extension (fish incision)
A variation on the standard technique that includes an extension of the incision to the back, in an "L" or curved line. This allows for addressing not only arm sagging but also excess skin and fat on the lateral chest and upper back.
Who are ideal candidates?
Ideal candidates for brachioplasty are typically patients with severe sagging of the lower arms that does not improve with diet or exercise, individuals who have lost a significant amount of weight (more than 40 kg) and have excess hanging skin, those with good quality, elastic skin in the remaining area that will adapt well to the new contour, preferably individuals close to their ideal weight, non-smokers, as smoking compromises healing and increases the risk of complications, and individuals with realistic expectations about the results and the resulting scar.
How it is performed?
First, general anesthesia or deep sedation with local anesthesia is administered, depending on the complexity of the case. The surgeon then marks the incision lines on the patient's arm, taking into account the amount of skin to be removed and the natural location of the skin folds.
If necessary, liposuction is performed first to reduce the volume of fat.
The cut is made according to the planned technique (axillary, standard, etc.), the skin is separated from the underlying tissue and the predetermined excess skin and fat are removed.
The remaining skin is then stretched and repositioned over the new contours of the arm, sutured with internal (absorbable) and external stitches. A compression bandage is applied, and in some cases, a temporary drain is used to prevent fluid accumulation.
The duration of the surgery is usually 2 to 3 hours, depending on the extent of the work.
How much does an arm lift cost?
The cost of a brachioplasty varies greatly and depends on the surgeon, the complexity of the case, and the technique.
A general price range can be estimated between €3,500 and €8,000. A personalized consultation will provide an exact, itemized quote.
Before and after brachioplasty: What to expect?
Before surgery, patients often experience excess skin on their arms, which appears sagging and can cause significant discomfort, irritation, and even affect a person's self-esteem.
After surgery, the results are immediately visible. As the swelling subsides and the scars begin to mature, the new contour of the arms will become evident. The improvement is dramatic, especially in profile and when lifting the arms.
At Dr. Sordo's clinic, We carry out a personalized study of your case in which factors such as: appearance of your skin, its ability to retract, the excess dermofat on the inside of your arms and the patient's general health status (paying special attention to possible contributing diseases, medication intake, anticoagulant treatments, the existence of allergies, whether the patient has undergone previous surgery or whether the patient has harmful habits such as smoking, among other aspects).
We advise you to take a look at all our cases of before and after liposuction.
Postoperative and recovery
First 48 to 72 hours
It's normal to experience discomfort, swelling, and bruising. The pain is manageable with prescribed medication, and your arms should be kept elevated to reduce swelling.
first 2 weeks
A compression bandage or special support belt is worn. If drains were placed, they will be removed within the first week. Most patients can return to office work after 7 to 10 days, avoiding physical exertion.
First month
The stitches are removed and scar massage begins. The swelling will noticeably subside. Lifting weights heavier than 2 to 3 kg and strenuous exercise should be avoided.
3 to 6 months
Most activities can be resumed normally. The scars will be pink and firm, but will gradually soften and lighten over the next 12 to 18 months.
Risks and possible complications
Hypertrophic or keloid scars
In some patients, scars may become thick, red, and raised (hypertrophic) or extend beyond the boundaries of the original wound (keloid).
Seromas
The accumulation of serous fluid under the skin is the most common complication. It is usually prevented with the use of drains and treated with needle aspiration.
Bruising and bleeding
Accumulation of blood under the skin that may require drainage to relieve pressure and pain.
Infection
Although antibiotics are given, there is a low risk of infection at the incision site.
asymmetries
There may be a slight difference in the contour or length of the scar from one arm to the other.
Changes in sensitivity
It is common to experience numbness or tenderness in the skin of the arm, which usually resolves within weeks or months.
Can it be combined with other cosmetic surgeries?
It is very common to combine brachioplasty with other body contouring procedures, especially in post-bariatric patients. The most common combinations are with a thigh lift (crural dermolipectomy), tummy tuck, lower or circular body lift, mastopexy (breast lift), or liposuction of the back, flanks or abdomen.
Performing multiple procedures in a single surgery allows for overall body harmonization and a single recovery period.
It may interest you: scarless mastopexy.
Frequently Asked Questions (FAQs)
Is there a difference between an arm lift and liposuction on the arms?
Liposuction only removes excess fat and is indicated for patients with good skin elasticity and minimal sagging. An arm lift (brachioplasty) removes both excess fat and skin and is indicated for severe sagging.
Is an arm lift painful?
It's normal to experience discomfort, tightness, and pain that can be controlled with the prescribed medication. The sensation is more of a numbness than a sharp pain, and it improves after the first week.
Is an arm lift worth it?
The vast majority of patients agree that it is worth it, due to the increased confidence, physical comfort, and freedom to wear the clothes they want.
How long does an arm lift last?
The results are permanent, as far as skin removal is concerned. However, natural aging, sudden weight changes, or the force of gravity can cause some sagging over the years (decades).
What is the best age for an arm lift?
The ideal timing is determined by the patient's physical condition, not their chronological age. It tends to be more common in adults who have experienced significant weight loss and in middle-aged or older people who notice the effects of loss of skin elasticity.
Conclusion
Brachioplasty, or arm lift, is a highly effective surgical procedure that offers a definitive solution for those struggling with severe sagging and excess skin on the arms, improving not only aesthetics but also comfort and quality of life. Therefore, all risks and benefits of this procedure should be evaluated with a professional to determine if it is right for you.
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