Would any among Mini Brachioplasty, arm toning with exercise, or laser skin tightening be a good option for me?

Gabriela,Good afternoon.  Great questions!  The length of an arm lift (brachioplasty incision) is directly proportional to how much excess sagging skin is present. A good way to think of this is in a similar manner to a tailor or seamstress; if you need your clothes taken, then a seam would need to be open to remove the excess garment. While it is crude comparison, it is pretty accurate. If you have excess sagging skin that runs from the armpit to the elbow, then an incision will need to be that long. If you have small excess skin confined to the upper portion of the arm, then it is reasonable to have an incision confined to just the upper portion of the arm.
The converse holds true, if you had excess skin down the entire length of your arm and you made just a “mini” incision then two things will happen:Only a “mini” amount of skin will be removed and you will see a “mini” result; and likely you will not feel it was “Worth” the cost of the surgery.
A “cinch” stitch or purse-string stitch will be placed via the “mini” incision; and going back to the analogy to a seamstress or tailor, the purse-string stitch will cause a garment to “gather” or bunch up… and the same will happen to your skin… you will see wrinkles and ripples; and, again, you will likely feel it was not “worth” the cost of surgery.


I think if you truly have excess skin, then arm toning exercises and/or laser skin tightening will not work. It may improve it to some degree; and I think it is a reasonable place to start; but I don’t think you see significant results from it.

Is the scar “worth” the surgery? That is very difficult question; that only you can answer. The surgery will leave a scar; and arm lift scars are sometimes noticeable. I think you should be prepared and look at ALL types of scars patterns. I have some before and after photos that show patients with all types of scars. I hope that helps and best of luck with your decision.

Thank you for your question regarding sagging arm skin. It is difficult to answer your question fully and accurately without pictures. If you want a surgical solution, I would suggest a crescent or limited T incision brachioplasty. In either case, a minimal amount of skin and fat are removed. The scar is usually well hidden in the axillae. If you do not want arm surgery, I would suggest exercise. I have not seen conclusive results from the arm laser.
Good luck with your quest for skinnier arms.
If you have any questions, please do not hesitate to contact my office.
Sincerely, Dr. Katzen