25 years after losing 100lbs I am FINALLY removing the loose skin from my arms. So much has happened in between, a tummy tuck, 2 c-sections, a thigh lift...and now finally the last step, my arms. I put it off for a long time because it wasn't as critical as the other 'improvements' I felt I needed first. I also got super distracted having and raising my family and figured if I waited more time before I did my arms, they would get even looser and therefore make the surgery even more impactful. Anyway, now is my time.
I am VERY nervous. After my longer-than-expected thigh lift recovery 7 years ago, I know a little about what I'm in for. I am not fooling myself by believing recovery will be a breeze, I know I'll be out of commission for some time. Sadly, there is never a good time to be out of commission, and you will always have to miss out on something, so I finally decided I need to just pull the trigger. Today is Saturday and my operation is Tuesday morning. I am just wanting to get it done with now so I can move on to the recovery piece. Waiting for it all to begin may be the worst part.
My biggest fears currently are not being able to wipe myself (I think I'll die if this turns out to be the case), and not being able to drive or wash my hair for more than a week or two. I do a lot of things around the house and for my family. I take the kids to all their activities and am involved with their day to day school life. I don't want to be helpless and uninvolved, even for a little bit. I want to be able to fix their lunches, do the laundry, go the grocery store, etc. I know this sounds like mundane stuff but I like it because it gives me purpose and keeps me moving. Plus I only work PT now so the minimal demands of work keep these tasks from being overwhelming. Basically, I want to be capable, independent and helpful, and it kills me to know I will have to rely on my husband for nearly everything for a while. I really hope I recover quickly, but it is going to be what it is going to be and I will just have to deal with whatever it is.
I attached some 'before' pictures so I'll have something to compare my new arms to once this is all done. I measured my arms at the widest parts and they were 12" around :( As you can see from the pictures, a lot of that is just hanging skin. It will be a relief to finally get rid of it and not have to hide certain angles of my arms.
Anyway, that's it for now - wish me luck!
Updated on 10 Sep 2024:
The surgery went well. I was a nervous wreck beforehand. I thought of everything that could go wrong, me not waking up and leaving my children motherless, me waking up in the middle of the surgery, everything bad possible. I did ok though - when I woke up the pain was pretty severe. I felt like the nurse was a bit stingy with the pain meds, it took awhile before she gave me anything but the dilaudid that had come through the IV. She kept saying it would help with pain but not the burning sensation. That literally was the pain, the burning...there was no throbbing or aching. Finally she gave me an oral narcotic and that helped A LOT. I could go to the bathroom and wipe by myself, I can eat by myself and pull up my own pants. I was suprised and how much I feel I can do and my range of motion. Even though this is tough and I am very limited and in pain, this is WAY better than the thighs. As the morphine comes out of my system I might change my mind...but for now that is the case and I'll take any good I can get. Anyway, I'm tired and it hurts to type a little. My right had is swollen quite a bit. I will try to give an update tomorrow.
Updated on 11 Sep 2024:
Today I feel great! I had swelling in my right hand very bad overnight, but I loosened the arm wrap and that made it hurt less. The hospital and my Doc's office both called this morning to check on me and they both mentioned the IV hand tends to do that. Also, they said they removed 175 grams of fat/skin collectively. That is only .386 pounds lol. Visually I'm sure it will make a big difference though.
I was able to put on makeup today and walk my son to the bus-stop. Then I went on my morning walk plus a little extra - 4 miles in total. I really felt great doing it. My arms started out not being able to come down straight, they were at like a 45 degree angle from my body, but by the end of the walk they seemed to loosen and hang much straighter. I'm a little tired now and still feel occassional burning in various areas, but overall nothing major. I have been taking the percocet every 6 hours to stay on top of the pain so I think that has helped a lot. I'll try to post another update tomorrow.
Updated on 12 Sep 2024:
I started out the day on a positive note, having switched to just Tylenol the night before and feeling ok. The pain is there, but I am able to get by with just Tylenol at this point which is good b/c the Percocet makes me feel nauseous. I went for a walk and was feeling like a could do a little more than yesterday.
Then it was time to take off the wraps and shower. First I have to say that the size and shape of my 'new' arms is fantastic. It is clear my surgeon made my arms perfect. I am very upset, however, about the placement of the scar. I thought it would go mid-way through my armpit, it turns out it goes down the side of my arm pit all the way to the front where my boobs are (pictures attached). It is pulling so funny now and I'm horrified that it will be very visible from the front. I know it still has to flatten but still, I thought it would be hidden in my armpit and it definitely is not. There is nothing I can do about it...what's done is done and there is now going back which makes me sad. Another upsetting thing is that on my right arm there appears to be the beginnings of a wound opening already. I can't tell you how upset this makes me. Wound openings horrify me. I wrote to my surgeon and he is in the OR but should get back to me tonight. I attached a picture of the spot that worries me to this review as well. On a good note, the swelling in my right hand and forearm is slowly dissipating. It is not back to normal yet but it's much better and I can use it easier as a result.
Updated on 13 Sep 2024:
Last night I was freaking out about the possible wound separation in my right arm and so my Doctor told me to come to the office this morning so he could look at it. Sure enough, it was a small separation but I was so happy he had a way to 'fix' it. He put 5-6 steri-strips over the area and it pulled it closed and it seems to be holding it tight. He said that should hold for 1-2 weeks and in that time the wound should close up on it's own. What a relief! An opening really is my worst nightmare. It's just so gross. He looked at my arms and said they were healing well otherwise.
On a frustrating note, the swelling is VERY difficult to tolerate. It doesn't look as bad as it feels. It feels like there is a vice on both arms and you desperately just want to release the pressure. It is an underlying feeling of extreme discomfort that makes you less able to deal with other stresses in life. I asked someone who recently had an arm lift with my surgeon when that feeling went away and she said it STARTED to get better at 2 weeks. That's a long wait for me now, it feels like forever when you are dealing with it every minute. I know this will all one day be worth it and it is really just a brief period of annoyance in the grand scheme of things...but it is SO HARD to tolerate when you're in it. Anyway, that's where I'm at now...just counting down the time and waiting (im)patiently for it to get better.
Updated on 17 Sep 2024:
Today marks one week since my operation. I am impatient with the time it is taking to heal but I'm an impatient person. So far no openings, though the almost opening in the right arm seems precarious. I have a PO appt in 3 days and I will ask the Doc to re-apply new steri-strips to that area to keep in secure. I haven't been able to feel comfortable without the ace bandages wrapped around my arms. I feel like the hulk with them on and it is uncomfortable and cumbersome but it keeps down the pain on the incisions. It is very sensitve without any covering and there is definitely still pain. I'm still taking Extra-strength Tylenol (2 pills 3x a day). Without it I feel like crying. I was hoping to be weaning down at this point but unfortunately I'm not ready. Yesterday I drove for the first time - just 7mins away to take my son to an activity. I did ok but turning the wheel was a little uncomfortable. I just have to be VERY careful. I definitely wouldn't drive long distances at this point. At one point I had to put the sun visor down and I really felt that. It was probably too soon to drive but I wanted to test it to see if it was doable. My armpits still ache but I've been putting in sanitary napkins (tucked into the ace bandages on one side and my bra on the other) to absorb any blood and keep the two sides from rubbing against each other, which hurts pretty bad. I attached some pictures I took last night. It seems to be healing ok...though I have a long way to go. It is on my mind constantly as I feel it every second. I can't tell if the swelling has gone down much. I guess maybe it feels a little less tight but still VERY uncomfortable and noticeable.
Updated on 20 Sep 2024:
Today was my 10DPO visit with my Doctor. Going into the appointment I was still worried about the spot on my right arm that had the small opening in the beginning. I was hoping the Doc would re-tape the area with new steri-strips. He looked at it and said it was very unlikely to open at this point and that tape might actually irritate the area and it was best to leave nothing on it. He also said the ace bandages I've been wearing were probably doing more harm than good at this point and could actually slow healing. I REALLY want to believe that. Compression has mixed reviews amongst surgeons and my Doc feels strongly that it really doesn't help and possibly cuts off some circulation and could be detrimental to the healing process. After the appointment, I took off the Ace bandages and am wearing spandex sleeves (loose) to cover my arms b/c the incision line is still very sensitive. In 24 hours I will know if the bandages had made a difference in the swelling or not. If I continue to have the same amount of swelling by tomorrow at this time, then I will happily continue to not wear the bandages. If the swelling starts to increase, I may choose to put back on the bandages, but perhaps make them a little looser. I can still put pads, tucked into the sleeves on one end and my bra on the other, to keep my armpits dry and comfortable. It's a little harder to get the pads to stay in place since the spandex sleeves are somewhat loose. Right off the bat it is more painful/uncomfortable to not have that thick protective layer of bandage covering the incisions. I feel 'exposed' now and vulerable, and there is more aching/pain. I will make on update in a few days to let you know how it works out.
On a separate note, I measured the circumference of my arm and they were 12" before (at the widest part). They are now only 10" even with the swelling! My husband said my arms look 'skinny' now which makes me happy :) I included pictures of the one area that I am afraid will open (on my right arm) and also the new sleeve cover-up on this update.
Updated on 24 Sep 2024:
I can't believe it's been two weeks already. I am so glad things are moving along and that my recovery is progressing, little by little. I can't wait until 4 weeks PO, I hear there is a major difference at that point. This week I noticed that my swelling went down a bit, maybe partially due to cooler weather, but still, I'll take it! I'm glad I chose the fall to do this operation, the cooler weather really is much better for swelling and also to cover up. I no longer feel like my arms are so tight it is annoying. It's uncomfortable, but not awful. The pain has increased but I'm still just taking Extra-Strength tylenol. I try to go past the 6 hours and it really starts to hurt too much so I know it is working and that I still need it. I think it hurts more partially due to the nerves starting to come back online and also due to me doing more around the house. Besides lifting and reaching I pretty much do everything I used to do. My range of motion is great, I just avoid raising my arms past shoulder height or reaching far, as per my doctor's orders. I have been driving locally and it's been no problem. Next week I'll go back to work in person and drive a little further. I'm pretty sure I'll be ok to do that by then. This week I'm working from home, no issues.
Some of the blood blister scabs on my right arm fell off so my arm looks better. Also, so far no signs of an opening - whew! I really hope it stays that way. I'm not pushing things just in case. That's it for now. Current pictures attached.
Updated on 1 Oct 2024:
Today I'm officially 3 weeks PO. I'm mainly just frustrated with the amount of pain and discomfort I feel in both armpits, behind my armpits on my back, and along the incisions lines. I am STILL on extra-strength tylenol. This weekend I thought I'd die from the pain even with the Tylenol and so I tried Advil. That did the trick, thankfully, but I don't want to have too much of it b/c it can cause swelling. I'm trying to only use it when I really can't take the pain. Otherwise I use the Tylenol. I can do a lot of things,; technically I am allowed as of today to start reaching above my head. I don't want to push it just yet though b/c I definitely don't want an opening. I might wait another week for that unless my shoulders start to lock up. For now they seem fine. Yesterday and today I started working back in person. Without my comfy pillow set-up my arms got more tired than I expected. It actually took a lot out of me even though I didn't really do anything physical. Maybe it was just holding my arms up without support. I don't have to work W-F this week so by the time I go back in it will be almost week 4. By then hopefully it will be easier and less tiring.
Some of the scabs along my scar line are starting to fall off which is nice. There is still a moderate amount of swelling, however. Also, I've been eating SO much. It's probably b/c I am healing but I have gained 1-2lbs already. I hope once I'm in better condition I can take that off. Who knows, it could be partially swelling too. Time will tell, but I hate to see the scale go up. At least the extra food has been all healthy stuff...almonds and peanut butter mainly.
OK - that's it for this week. Pictures from today are attached.
Updated on 8 Oct 2024:
I finally made it to 4 weeks PO! I was told this is where many people turn a corner in their recovery. I do have to say this past week I noticed a lot of improvements, little by little. I can reach further, I can use my arms more, they feel less sore, and I am using less than 1/2 the Tylenol I used last week. I'm now down to 1 extra-strength tylenol twice a day. I could probably do without even that, but it wouldn't be very comfortable. I am still using the pads under my arms but I feel I might go without them in another few days. As long as my armpit incisions don't rub together uncomfortably, I'd rather not have that bulky pad in there anymore. I'll see how it goes...
I worked today and yesterday and was not tired or sore like I was last week. Maybe a little, but much more manageable. I can't wait now until the scars flatten. My armpits look unsightly with the skin all pinched up. At this point I'm mainly living my life normally, with the exception of not lifting anything heavy. My arms get twinges of nerve pain and they are still sore to the touch in many areas, but they are almost 100% functional. Now that recovery isn't hindering me as much, I suspect the time will pass faster. I will probably write another update after my 6 week PO appointment. I attached pictures from today below.
Updated on 23 Oct 2024:
Yesterday I made 6 weeks PO. I can't believe how fast time is going. I no longer have any weight lifting restricitions (though I don't plan on lifting weights). I can fully extend my arm upwards, though it pulls a little. Pain is minimal, but I still need 1 extra strength tylenol a day. The incision lines feel a little like exposed nerves, which is why I usually take the tylenol. My armpits really have no pain, but the center of my arms can ache and occassionally have stabbing pain. I think parts of my scar have started to flatten already. Today at my 6 week PO appointment the Doctor said the scars should flatten almost completely in about 10 days - I can't wait!
I am VERY happy with my results. My arms are really thin and well-shaped. I have no openings and it appears the scar will be just a thin line when in flattens. I am living my life now pretty much as normal. I'm looking forward to next summer when I can 'showcase' my new arms lol. Current pictures attached.
Updated on 5 Nov 2024:
Today I'm 8 weeks out and my scars have mostly (maybe 80%) flattened. They are still pertruding in the elbow area and the armpit appears pinched when I extend my arms up. I'm worried a little about a knob looking thing in the intersection of the scars in my right armpit so I wrote to my Doctor and am awaiting his response. I hope that flattens in time too. I'm doing great otherwise, finally stopped all Tylenol at about 7.5 weeks post. Also, I noticed since the scars flattened I can more comfortable lean and lay on my side. It's still not good for sleeping yet, but it doesn't hurt and I can do it for a few minutes. I can sleep on my stomach with my arm up if I want to, but honestly I've gotten used to sleeping on my back. All is good, I feel mostly normal. I am looking forward to when the scar completely flattens and the marks where the stiches were fade.
Updated on 10 Dec 2024:
I still have numbness in the back portion of both arms. Doc says that can take up to a year to go away. I hope it isn't permanant. I haven't had any openings and am back to operating as normal. Sometimes if I sleep on one arm it will ache in the morning so I still use pillows most nights to keep myself from tossing and turning. My incision lines are sensitive, especially near the elbows, but this really only bothers me when wearing certain shirts with rougher fabric. Overall I am EXTREMELY happy and I feel the recovery was quicker and better than expected. I have to keep my scar out of the sun for 12-18 months. That will be hard, but I'll just use lots of sunblock. I just started using silicone scar sheets only for the area of scar that extends slightly down my body (past the armpit). That area is really visible so I am hoping I can fade those scars a bit. The ones down the length of my arm are mainly hidden from the front and behind just by their perfect positioning (seam-line). Feel free to PM me with any questions.
Updated on 11 Sep 2025:
I'm now officially 1 year post op. I go about my life completely normally, no issues whatsoever. Occassionally I feel twinges of discomfort when laying on my side, but I know that will go away with time as it is less and less all the time. My feeling is still slowly coming back, but again, I feel more and more all the time so I am not worried. Scars are flattening, some of the pictures make them look redder than they actually are. Certain lighting is worse than others. I wear tank tops, bathing suits, etc, you can not see the scars unless I am lifting my arms above my head. I am 1000% happy with my results and glad it is all said and done and I can move on with my life...now with perfect arms!