Revision for Bad Brachioplasty?

Thank you for your question regarding revising a lousy arm lift, arm reduction, or brachioplasty. I'm sorry you had suboptimal results; you were guided into a limited incision brachioplasty instead of the traditional full brachioplasty from the armpit to the elbow. It sounds like you can undergo a revision arm lift. This is not uncommon during your revision arm lift. Arm liposuction will be performed in addition to an incision from the armpit to the elbow. This should significantly reduce your arms. It is essential that you also be at a stable weight. Please consult with an experienced board-certified plastic surgeon who is comfortable performing arm lifts, arms reduction, or brachioplasty. Thank you for your question regarding revising a lousy arm lift, arm reduction, or brachioplasty.
I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Although your history is helpful, it's virtually impossible to evaluate your result without pictures or a physical examination. In general terms, wound healing is a dynamic process which can last for 6 to 12 months. During this period of time, wounds remodel, swelling resolves and scars lose their redness and soften.For these reasons, it's important to maintain close contact with your plastic surgeon. If you're unhappy with your surgeon, it's appropriate to obtain a second opinion form a board certified plastic surgeon with experience in this area.

Brachioplasty is not a technically difficult operation, but getting good quality brachioplasty scars is a challenge for any surgeon. For this reason, there is a fair amount of collective experience revising brachioplasty procedures. It may be that you had the 'wrong' operation for the arm problem that you had- a limited incision brachioplasty is not a great operation for most patients. Seek out a good plastic surgeon in your area for some expert advice.

Scar revision for brachioplasty is an excellent choice and can be performed to reduce the scarring and deformity after your surgery.  

Limited incision brachioplasty is designed for a very specific subset of patients.  You might not have been an ideal candidate for this procedure.  Furthermore, disappearing armpit can result from improper planning and performance of limited brachioplasty.  Good news is that almost always this type of sub-optimal outcome can be at least partially corrected with well planned and executed procedure. 

I perform  many brachioplasties, both limited and full, and have revised a number of brachioplasties.  If you'd like, you may send to my office some photos and I'd gladly comment on your options for surgical correction