Mesna Plastic Surgery

I hope your arms have continued to improve and that you have found additional assistance if necessary. There are limits to how much skin you can remove without jeopardizing your circulation and nerve supply to your forearms and hands. I would encourage you to follow up with a board certified plastic surgeon who can address these concerns to help minimize your risks of permanent swelling and numbness in your forearms and hands and also make sure that you and your surgeon have realistic goals and expectations of what the surgery can do as well as it's limitations.

Swelling, tightness, lumps, bumps, numbness, etc. are common findings after arm lifts and other procedures, especially if you had liposuction performed at the same time. All of these findings can wax and wane during the recovery process but generally they tend to improve over time. Gently massaging these areas can facilitate the process but I would recommend checking with your surgeon to make sure that your incisions are healed well enough to begin the massaging.

From the photos it does not look like your implants are too small. You appear to have a taller, but narrower trunk along with a lower inframammary fold level. The width of your breasts (and implants) is a more limiting factor for your implant size. Larger implants would likely stick out even farther on the sides of your chest creating a more unnatural appearance.

Unfortunately the earlobe will need fresh surfaces for it to be sewn together and heal. This is usually not something that the emergency department will repair so I would recommend contacting a couple of plastic surgery practices in your area to see what they would charge to repair this for you. It is usually a relatively simple procedure that you can have done in the office with local anesthetic. 

This sounds like a very reasonable approach to take. A hematoma is a collection of blood so the fact that blood is all that came out (especially if it was dark blood) is a good sign that a hematoma is what you are dealing with. Time will help decide whether or not your body will absorb the fluid or if your doctor may want to remove some more with a needle. Time and patience are a virtue so keep in touch with your doctor and she should be able to get you through this.