Hello fantastic750344 in Brooklyn, Thank you for your inquiry about the possibility of an arm lift without a visible scar. Your question touches on a common concern among those considering this type of cosmetic surgery. As you have surmised, it is indeed not possible to perform an arm lift without some form of visible scarring. This is because the procedure involves the removal of excess skin, and any surgical removal of skin necessitates an incision, which in turn leaves a scar. However, there are different types of arm lift procedures, each with varying scar placements and extents: Crescent Arm Lift: This procedure involves an incision made in the armpit, where a crescent-shaped area of skin and fat is removed. The benefit of this approach is that the scar is more concealed within the armpit. The limitation, however, is that it doesn't allow for the removal of a large amount of skin. Modified T-Incision Arm Lift: Here, a T-shaped incision is made in the armpit and along the arm. This method can remove more skin than the crescent arm lift but still has limitations in terms of the extent of skin and fat removal. Full Brachioplasty: This is a more common form of arm lift that involves an incision from the elbow to the armpit, allowing for the removal of excess skin and fat along the entire upper arm. For some patients, it may also extend from the wrist to the elbow and then to the armpit if there is excess skin and fat on the forearms. All these procedures are typically performed under general anesthesia on an outpatient basis, and recovery time is about 2 to 3 weeks. While drains are usually not required, you should plan to take some time off from work for recovery. It’s important to weigh the benefits of improved arm contour against the presence of scars. Arm lift scars do fade over time but do not completely disappear. The decision to proceed with an arm lift is a personal one, balancing the desire to reduce excess skin against the acceptance of surgical scars. I hope this information helps clarify your options and assists you in making an informed decision regarding an arm lift. Good luck with your decision, and I hope you achieve the results you are looking for. Sincerely, Dr. Katzen