Arm Lift Question - can a laser procedure be done safely on upper arms?

Question

After removal of 21 lymph nodes due to breast cancer many years ago, can a laser procedure be done safely on upper arms?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your inquiry regarding the safety of laser procedures on the upper arms, especially after the removal of 21 lymph nodes due to breast cancer. Generally, you can safely undergo laser treatments on the upper arms. However, the specific type of laser procedure is crucial in assessing the associated risks.
Whether you're considering external lasers for skin tightening, hair removal, or addressing vascular lesions, or you're thinking about J-plasma, which employs subdermal radio frequency, each method has its unique considerations.
Lasers can often be used on the upper arms without major concerns after lymph node removal. Nevertheless, always consult with your healthcare provider and a laser specialist to determine the best approach for your specific circumstances.
Wishing you the best in your decision-making process.
Sincerely,
Dr. Katzen

Ryan Rebowe, MD · Answer

Any procedure performed following a lymph node removal can cause excessive swelling and possible fluid collections in the arms. Even minor procedures such as laser procedures. Just to give you an idea, following lymph node removal we don't even recommend starting and IV on the side that has been treated. Any procedure undergone should be undertaken with great caution and under the care of a board certified plastic surgeon or possibly dermatologist if it is a skin only laser.

James M. Economides, MD, FACS · Answer

This would depend on the type of laser treatment and the type of laser. Is the laser procedure being performed on the surface of the skin or beneath? Is it fully ablative? Because of the extensiveness of your lymph node dissection, I would be very hesitant to perform any invasive treatment on that arm that may affect the local lymphatics. You are at high risk for development of lymphedema and any intervention, particularly one where heat or energy is applied, can increase that risk. Be sure to consult with a board-certified plastic surgeon who is familiar with both laser treatments and breast cancer treatment.

Daniel Barrett, MD · Answer

Dear oneparadox2,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Laser for pigment can be done safely, especially on the outer side of the arms. This would not be in the area of the laser. I recommend doing a test patch first in the area closest to the radiated part. You may also want to check with your radiation oncologist for he/she knows exactly how much and where the radiation was given.

Arm Lift Question - can a laser procedure be done safely on upper arms?

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Arm Lift Question - can a laser procedure be done safely on upper arms?

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