Arm lift in February 2016 and a revision that was suppose to include liposuction in oct 2016. (photos)

Brachioplasty scars can be very hard to achieve a nice fine line scar due to a variety of factors. So nice your last revision was in October I would wait for the scar to soften and become less thick before considering anything surgical. You can have your surgeon inject some steroids or laser the scar in the mean time to help 

Congratulations on having undergone an arm lift or brachioplasty.  Currently, you are only four months from your arm lift revision. I would wait at least another two months before you do anything. In the meantime, I would suggest silicone cream, silicone tape, and continuing arm compression garments. In addition, you may want to consider laser treatment to the arm scar or even a derma pen.  To determine if arm liposuction was performed during your arm lift or arm reduction (brachioplasty), please request for a copy of your operative report. In regards to the arm band, it is difficult to tell. If this arm band was present before your surgery, this can be difficult to treat. I believe this is arm band is a genetic or congenital condition. If this arm band was there before you had surgery, this arm band can be treated with very selective arm liposuction performed on each side of the arm band.  If the arm band resulted after the arm lift surgery, then the arm band and scar may need to be released. This arm band and scar release can be difficult to perform and made make the scar more noticeable. What may be  needed is what is called a z-plasty. To release the arm band and scar, a zigzag incision is made. Tissues are rearranged and release the tension in the arm band or scar tissue.  The arm z-plasty works very well, however, the arm z-plasty may make for arm scars more noticeable. I hope this answers your question regarding your arm lift results and the possible need for rebision.  For now, I would sit tight and do the conservative treatments mentioned above.  In two months, I would revisit with your board-certified plastic surgeon and discuss possible revisions.  Good luck! If you have any further questions regarding the arm lift, brachioplasty, arm reduction, arm liposuction, arm liposculpting, arm scar revision, or arm banding after an arm lift, please contact my office. Sincerely, Dr. Katzen

I'm sorry to hear about your experience. I believe you will need a two step revision approach. In the first surgery, I would likely only recommend liposuction to the arms. I would then compress for 6 months and then return to perform skin removal with complete scar revision. More compression  (3 months) can be performed after the scar procedure. The banding will likely improve, but may not fully resolve.
This should be followed by 8 to 12 weeks of scar therapy with Embrace Scar Defense. 
Find a board certified plastic surgeon for a second opinion in your area.

The banding is usually anatomy but can be difficult to treat. Discussion with your plastic surgeon for any treatment options is recommended.

The "worst scar in plastic surgery."  That's what I tell my patients when they come asking for brachioplasty surgery. The reason for this is that this is one of the few incisions in plastic surgery that is visible in a clothed patient. It never fully goes away, and can sometimes be irregular, raised, or jagged. For this reason I only  perform this surgery on patients that have lost a significant amount of weight and the arm is mostly skin. They tend to have the best resuls, and are the most appreciative. Patients with heavy, full arms that have not lost weight usually never attain idea results, and they have continue to have full arms with an unsightly scar.  Currently, in your case, I would wait a full year to allow the scar and arm surgery to mature and improve. In the meantime, exercise and weight loss would be ideal. After a year from your surgery, I would then revisit the scars and the contour of the arm with your surgeon. After that time, a revision maybe necessary, or perhaps not. Good luck.  

Thanks for the question.  It is difficult to see from your photos but it apperas that you have a band at the distal end of your upper arm.  That is not likely to still be swelling at this point from February 2016 but there may be some element of that since you had a revision 4 months ago.  Liposuction is usually part of a brachioplasty (arm lift) and not an additional charge in our office since you would like to liposuction the area to remove some of the fatty tissue before tightening the extra skin.  It does appear that some of this (hopefully all of it) could be resolved with additional liposuction to feather the area around the banding.  However, I would recommend an in office consultation with a Board Certified Plastic Surgeon to address this.