Sagging Upper Arms After Weight Loss - Non-Invasive Options?

Hello, thank you for your question about a non-invasive arm lift after massive weight loss.  It is impossible to answer your questions without pictures or a thorough physical examination and medical history review.  There is one proven non-invasive treatments for mild fat arms.  As far as non-invasive treatment, I can only suggest CoolSculpting. However, CoolScultping treats fat, not skin.  I believe CoolSculpting is not that effective for the treatment of arms in weight loss patients.  This is probably because the arm skin has been damaged with the weight loss and does not bounce back as much as non-weight loss patients.  In determining the best treatment option for your arms, the following conditions are important : your age, quality of arm skin, rapidity of your weight loss, amount of your weight loss, arm skin texture, amount of arm fat still left, amount of weight you still want to lose, and realistic arm reduction expectations.    However, be warned, with a history of weight loss, especially "rapid weight loss", your best option will be a formal arm lift or brachioplasty.  Arm lifts are performed under general anesthesia.  During an arm lift, arm liposuction is performed and the upper arm is defatted.  Then, a variety of upper arm incisions can be made.  Typically, an arm incision is made from the armpit to the elbow.  The arm lift scar is well hidden on the inner, upper arm. The arm lift procedure takes about three to four hours to perform and takes about one to two weeks to recover.  In conclusion, I would save your money seeking a non-invasive treatment for your arms after weight loss.  A good product does not exist, yet !  If you do find a provider who says they can deliver, demand to see at least 20 arm reduction patients (who have lost weight rapidly) whom they have treated successfully with their non-invasive technique.  Carefully examine their pictures.  To my knowledge, there is no effective non-invasive arm treatment after weight loss. I hope that I have answered your questions about the non-invasive treatments of arms after weight loss.   If you have any more questions regarding the arm lift, arm reduction, or brachioplasty, please contact my office. When searching for an arm lift specialist, please seek an experienced, board certified plastic surgeon with significant expertise in arm reduction surgery.  Demand to see many before and after pictures of patients just like yourself on forums like RealSelf and their website.  Check out patient reviews of your chosen plastic surgeon on forums like RealSelf.  Thank you.  Sincerely, J. Timothy Katzen, MD, FACS, FICS, FASMBS. (Certified by the American Board of Plastic Surgery, member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and International Society of Aesthetic Plastic Surgery, and fellow of the American College of Surgery, International College of Surgery, and American Society for Metabolic and Bariatric Surgery).

Unfortunately there are really no effective non-surgical treatments for removing significant skin under the arm. Non-invasive procedures like coolsculpting only address the fat that lies under the skin and over the muscle, it does not do anything to improve excess skin. Laser therapy and other skin tightening procedures show extremely minimal results, if there are any results at all. There is a reason why board certified plastic surgeons do not include this procedure in their practice offerings. It would be best to consult with a board certified plastic surgeon to review the best options for you.

Unfortunately, there are no effective nonsurgical options to address loose arm skin after significant weight loss. Brachioplasty (arm lift) surgery is the best treatment to effectively remove excess arm skin and restore contour of the arm and armpit. Usually after significant weight loss, an extended brachioplasty is required resulting in a scar that spans from the armpit to the elbow.