I have excess skin due to massive weight loss and it is recommended that I get a body lift. I did not have any surgeries, but was on medication for obesity and am insulin resistant. I am concerned about scarring on my arms. Any advice on what I can expect regarding scarring?
Scarring from Body Lift
Doctor Answers 23
SCARRING AFTER BODY LIFT
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Scarring with a Body lift
Thank you for your question. Scarring is a common concern with any plastic surgery procedure. In order to provide an improved contour and shape, a scar will be necessary.
In areas such as the arms, scars are difficult to hide. This is where before/after photos and a discussion of realistic expectations with your surgeon are of utmost importance.
I would not recommend surgery to your arms, unless you clearly feel the benefits of skin removal outweigh your concerns of scarring. In many cases, these issues make more sense over time. You may want to consider addressing the other areas first, and then see how you feel about your arms at the end. I imagine you will think differently after seeing the changes elsewhere.
I wish you a safe recovery and fantastic result.
Scarring is multivariable
Scarring is multivariable. It depends on your skin color, maximum weight loss, age, and genetics, to name just a few. Other factors that impact your scar include the surgical technique, tension of the wound and sutures used. Postoperative events that can positively impact scars and make them look better include application of compression, application of silicon strips, and application of scar creams containing silicon. Scars can also be revised if they are unacceptable though this has been extremely rare in my practice. If scars need to be revised, they can perhaps be lasered, or even the scar directly excised. Arm scars usually are well-tolerated amongst my weight loss patients. Almost all of my patients would rather get rid of the excess skin inside of their arms and live with the scar than forever live with the excess skin trapped at the arms.
Body lift scars around the center of your abdomen, hips and buttocks also heal very well. Again, very few of my body lift patients have needed scar revisions, but the options mentioned above are available should it be necessary.
Please visit my website for more pictures of arm lifts and body lifts.
Dr.J Timothy Katzen, M.D.
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Scars after a body lift
The scar following a body lift typically goes all the way around the body at the top of the hips, pubic hair line and top of the buttock. An arm lift is also called a brachioplasty. It involves a scar that runs along the inside of the arm from elbow to arm pit.
Arm lifting and scars
You are smart to be concerned about the scars associate with this procedure- they do tend to spread or experience pigment change. Scar revision surgery is often necessary/helpful. Planning of the excision is critical- the resulting scar should be as hidden as possible. Personally, I think this scar is least visible when it ends up on the inferior (bottom) of the arm as opposed to the bicipital groove (between the biceps and triceps muscles).
Only you can determine if the improvement of the contour of the arms is worth the trade-off of the scar In your case.
I hope this helps.
Plastic surgery after weight loss is a tread off between scar versus contour improvement. I have done many lower and total body lift surgeries and virtually all patients have been very happy with their decision. However, you need to select a plastic surgeon who specializes in this filed since your results ultimately depends on the selected surgeon. Below is a link of before and after pictures of my body lift patients.
Bosy lift scar
A body lift scar is usually a circumferential scar the is at the level of the unferware line, and usually heals nicely in most patients.
Body lift scar
Any body contouring procedure that requires removing excess skin will involve scar. If you get body lift, you will have a circumferential scar around your lower trunk. Although the scar is permanent, over time, it tends to blend in with your rest of your skin color. If you happen to develop hypertrophic or keloid scar, there are options (re-excision, peels, laser). Also, talk to your plastic surgeon where you would expect to see the scar. I think the improvement that you see after body lift will outweigh the presence of scar.
Scar from Body Contouring
All body contouring procedures require some degree of scar to achieve that better form. Scarless body contouring surgery simply does not exist. Often, plastic surgeons try to hide the scar in creases such as the waist line if possible.
Scarring is a trade for a better shape
You have to decide which would be worse...the scar or the saggy skin. There are options when choosing your arm scar placement, so discuss these with your surgeon.
Several options for surgery plus helpful information about all procedures following weight loss are outlined in the book Bariatric Plastic Surgery, linked below.
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.