What are my options for removing excess fat in axillary area? (photos)

Hi Nymommyfboys77,
Thank you for your questions regarding what are your options for removing excess fat in the axillary region. Thank you for also including your pictures. Just to be clear, what you have is not necessarily excess fat, but excess skin in the axillary region. As you mentioned, you have excess skin in your upper arms. Due to your age, history of extreme exercise, and inability to tone this area with a trainer, I do not believe the skin will snap back with exercise alone. Therefore, I think surgical intervention needs to be done. Also, since you have a skin issue, the skin needs to be removed. It is not just a fat issue which can be resolved with arm liposuction. In your specific case, I would suggest an incision be made from the middle of the arm to the armpit and then, down the side of the chest to the upper bra strap line. This will take care of the excess skin in the upper half of the arm as well as the excess skin that spills over the lateral bra line. The name for this procedure is a modified longitudinal arm lift, arm reduction, or brachioplasty combined with a partial vertical torsoplasty. The procedure is performed under general anesthesia and will take approximately 3 to 4 hours. Plan on a 2 to 3 week recovery. A drain will be placed on each side for approximately 5 to 7 days. I hope this helps to answer your question regarding what are your options for removing excess skin, not fat, in the axillary region.I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

From your photos it appears you are a good candidate for a modified arm lift. This would address the excess skin that concerns you near your underarms. The best place to begin is a consultation with a board certified plastic surgeon near you to learn more.