I had an arm lift in Nov 2017 and one side is bigger and there is this fat roll, is there a way to fix this? (photos)

Thanks for your question. Most likely, you’re looking at revision surgery with liposuction in some areas and some skin excess removal in others combined with Scar revision. It’s not likely the rolls will go away 100 percent, but an improvement is certainly possible. Good luck. Dr. Aldo

Thank you for your question regarding arm revision. If you are experiencing
arm asymmetry and the asymmetries are concerning you, arm revisions can be
performed. You mentioned a fat roll. This is typically due to excess fat and
skin usually this can be remedied by further arm liposuction. If you have
excess skin, this just may require removal or excision of arm skin. Also, arm
lift revisions can be done under local anesthesia in the office. When
considering arm lift revision surgery, please seek an experience,
board-certified, plastic surgeon in your area. Travel out of state if you must.
I hope this answers your questions regarding arm lift or brachioplasty. If you
have any more questions, please call my office.
Sincerely,
Dr. Katzen

Based on your picture it looks like you will benefit from additional surgery like liposuction with scar revision, follow up with your PS to discuss your concerns. Best wishes.