After Upper Arm Lipo 3 Yrs Ago the Fat Now Feels Soft and Jiggly. Is Brachioplasty Right?

Upper arm fat and excess skin are treated with liposuction and brachioplasty, respectively.  Liposuction treats excess fat and skin excision (brachioplasty) treats excess skin.  It sounds as if you likely had a bit of excess skin before liposuction that is now empty.  Brachioplasty is likely the procedure of choice for you at this point, possibly with a little liposuction for contouring.

Thank you for your question regarding whether an arm lift, arm reduction, or brachioplasty is right three years after arm lipo. A thorough physical examination is in order. It sounds like you still have excess arm skin and excess arm fat. If this is the case, you need an arm lift, arm reduction, or brachioplasty. During the procedure, arm liposuction is done, and an incision is made either in the armpit or extends from the armpit to the elbow. This maneuver will eliminate fat and skin. If you have excess fat, you may be a candidate for lipo. However, I doubt it. It sounds more like you have a lot of excess skin. If you have excess skin and minimal fat, you still need a brachioplasty. Again a consultation with a board-certified plastic surgeon is in order. Thank you for your question regarding whether a brachioplasty is correct, three years after liposuction, since your arms feel soft and jiggly.

                  Liposuction
is an excellent technique for reducing the size of large upper arms.
Unfortunately, when large amounts of fat are removed from the upper arms and
skin elasticity is poor, sag of the skin can occasionally occur.

                  When
this situation arises, brachioplasty is usually always indicated. This
procedure results in significant improvement of upper arm contour and is
associated with high satisfaction rates. Unfortunately the procedure is also
associated with severe scarring.

                  If
you have developed loose skin after upper arm liposuction, you should consult a
board certified plastic surgeon. This surgeon should be able to formulate a
treatment plan that will address your concerns. 

Based on your description, it sound like you will benefit from redo liposuction and removal of the excess skin. This is a common procedure in my practice. I routinely combine liposuction with Brachioplasty (arm lift). The best advise for you is to see a board certified Plastic surgeon. Do your research well. Anyone can claim to be a cosmetic surgeon without surgical training.

It sounds like you have a combination of both fat and loose skin in the arm.  This is quite common.  I'd recommend a combination treatment - circumferential liposuction of the arm with a skin-only brachioplasty.  This would both tighten the skin and reshape the arm contours.

 

All the best,