Dear Bridget, Thanks for your question, and I understand your concerns about the appearance of scars after an arm lift, also known as brachioplasty. The length of the scar following an arm lift largely depends on the extent of skin laxity and where the loose skin is located. In cases where there is significant loose skin that extends from the armpit to the elbow, a longer incision (and hence a longer scar) may be necessary to achieve the best aesthetic result. However, there are several strategies that can help to minimize the appearance of scars: Scar Placement: I aim to position the scar in the least visible area possible, usually along the inner aspect of the arm. This way, it's less noticeable when your arms are at your sides. Scar Care Post-Surgery: Good wound care post-surgery is crucial to ensure scars heal well. Keeping the wound clean, avoiding sun exposure, and refraining from smoking can all contribute to better healing. Topical Treatments: Silicone-based creams or gels, or silicone sheets can be used once the wound has fully healed. These products help to keep the scar hydrated, which can make it less visible over time. Laser Treatments: Certain laser treatments can help to reduce the redness and thickness of scars, helping them blend better with the surrounding skin. Steroid Injections: For hypertrophic or keloid scars that become raised and thick, steroid injections can sometimes be helpful in reducing their appearance. Remember, scars from a brachioplasty will typically fade and become less noticeable over time. It's also essential to have a detailed discussion with your plastic surgeon about your concerns so that they can give you an accurate understanding of what to expect and how to manage the healing process for the best possible outcome. I hope this information helps! If you have more questions, don't hesitate to ask. Sincerely, Dr. Katzen