I just recently lost about 45 pounds and I noticed that I have minimal sagging and stretch marks on my arms. I inquired to a plastic surgeon about this and she said because it is minimal and I am so young (20 years old), it would not be worth the scar. Is there any solution to my problem that is not as severe? Would any among Mini Brachioplasty, arm toning with exercise, or laser skin tightening be a good option for me? Any advice would help seeing as I am very insecure about this and would like to handle it now while I am young.
Minimal Incision Brachioplasty
Doctor Answers (22)
You have options
The key point in the decision is the condition of the skin elasticity. If you have minimal laxity, you may do well with liposuction, or perhaps ultrasound assisted liposuction. This will get rid of excess fat, while encouraging the skin envelope to shrink to the smaller form.
A mini-brachioplasty, as I define it is one that places theincision in the axilla (arm pit) at a right angle to the long axis of the arm. A full brachioplasty extends the incision down the upper arm toward the elbow. I usually do lipo in both instances.
The mini will only tighten skin/tissue from elbow to axilla, while not addressing the skin that hangs down.
You have choices, but you must be evaluated, and surgical planning must take into account what you wish to accomplish, and what you are willing to put up with. The full brachioplasty leaves a visible scar, but if you are OK with that, you may be happy with the result.
I have enclosed a link to my old web site for you to see what is possible.
Web reference: http://mykasden.com/procedures.cfm?id=3
Start with toning your arms through exercise
The arm lift or Brachioplasty leaves a long scar extending from axilla (armpit) to the elbow. As with any cosmetic surgery it is a trade off: is the scar worth the improvement in contour? For women who have lost a lot of weight and have a lot of hanging skin (bat wings) on their arms, the scar is very worth it. For women who have only a little loose skin the scar would not be worth it. At your age, with only a little loose skin, I think with some exercises to tone up the arms ( think Michelle Obama!) you will probably see quite an improvement and enjoy your new contour.
Arm lift options in Los Angeles
Our office performs non invasive and minimal scar arm lifts to tighten the area around the arms to the level of the elbow.
Raffy Karamanoukian MD FACS
Web reference: http://karemd.com/plastic-surgery/29/arm-lift.aspx
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Sagging arms need arm lift
The best indication for an arm lift, and the most gratifying are those who have lost a lot of weight. The skin is usually flabby and overstretched. It is simple and effective to remove the skin that has been stretched past its capacity. No Liposuction, or other noninvasive modalitiy will help the skin become more firm around the arms. The length and type of the incision will vary depending upon the location and the amount of fat in the arms. The cost will also vary by geographic locale. Most will run anywhere from $3500-$7000. I would advise you to visit with a board certified plastic surgeon to have treatment recommendations specific to your concerns.
Mini Arm Tuck or Mini Brachioplasty
there is a type of arm tuck or brachioplasty designed for women who don't have much loose skin. This mini brachipolasty places the scar in the armpit or axilla, and therefore is also called an axillary brachioplasty. Many surgeons who specialize in body contouring after weight loss perform this procedure.
Web reference: http://www.beautifulself.com
There are options for arm toning.
Congratulations on your weight loss. At 20 years old and with a 45 lb weight loss, your skin tone is most likely reasonably good shape. The four things that contribute to upper arm laxity are poor muscle tone, excess fat, excess skin and loose fibrous connections. Your first step should be to try to improve your muscle tone with exercise and weights to see if this does the trick. If unsuccessful, in young patients a combination of laser liposuction and a non-ablative skin tightening procedure such as skin tyte can be very effective. In moderate skin excess cases an arm lift is the best option. In severe cases an arm lift with staged or adjunctive liposuction is necessary. Minimal incision armlifts often under-deliver and leave patients unsatisfied with the results and the scars. An in person consultation is your best option for determining an appropriate plan. All the best.
Short Scar Brachioplasty great procedure for the right person
If there is limited fat and loose skin close to the arm pit then a short scar technique also called a "minimal incision Brachioplasty, leaving the final scar in the arm pit may be possible.It is a great procedure for the right person.
This is to be compared with a traditional arm lift, brachioplasty, where Incisions are placed in a subtle location on the underside of the arms, between the armpit and the elbow. General anesthesia is usually used for this procedure. The length and location of the scar is dependent on the location of the unwanted and excess soft tissue. The unwanted skin is removed to reveal the arm’s natural shape. In many cases, liposuction is used to remove excess fat to enhance the natural contour of the arm.
Hidden Inner Armlift
The hidden inner armlift is not good for patients with massive weight loss as they have significant posterior arm redundancy. The hidden inner armlift is only good for mild to moderate inner arm laxity or the inner third of the arm. None of the non-evasive skin tightening or laser procedures work in this area.
You can be better.
You can definitely be helped. I would recommend an agressive type of liposuction in which very little fat would be removed circumferentiallly, at which point the suction machine would be turned off. The canula, which is the name of the instrument used for liposuction, would be passed back and forth to injure the under side of your skin to stimulate contraction of your skin. After the surgery you would have to wear a conpression garment for a minimum of 6 weeks and preferably 3 months to hold the skin in place and allow it to contract. This should give a very nice result. If there is still some residual skin, this could be removed with a mini-lift either at the time of the initial surgery or at a later date.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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