Laser Lipo or Arm Lift for Upper Arm "Bat Wings" (photo)

In my experience, Vaser ultrasound (or laser) liposuction usually gives excellent results for arms without removing skin.

Sometimes, as skin tightening cannot be guaranteed, arms improve tremendously but a small amount of laxity may remain. Most patients prefer this to long arm lift scars. In a very small percentage of those, a smaller arm lift month’s later is an option- (typically these have very last skin, stretch marks, etc from a massive weight loss),

You appear to be a good candidate for Vaser.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Correct procedure we need to first have a clear understanding of what the problem is.
Liposuction only removes subcutaneous fat while an arm lift generally only removes excess skin.
To decide between the two procedures you need to first have a good understanding if the problem is more related to skin or more related to SF.
You also need to take into consideration the impact of each procedure.
If you judge the outcomes with your arms stretched out like in the picture you’ve included you’ll probably be unhappy with what Liposuction can achieve.
If you have an arm lift you likewise, maybe quite unhappy with a highly visible scar.
If you judge the outcomes with your arms in a down position, you could potentially be quite pleased with what quality Liposuction can deliver if done correctly.
Liposuction is technically challenging and can easily leave to pour outcomes with contour irregularities that may be irreversible if done incorrectly.
Having a higher energy device like VAS ER serves no advantage other than making the procedure faster for the surgeon.
Arms do not require aggressive equipment.
If anything arms should be treated carefully and delicately using smaller cannula without the need for pre-treatment using ultrasound or other devices.
Provider selection is by the most variable .
Finding the right plastic surgeon is not at all easier straightforward.
You might find it that plastic surgeons were not particularly good at Liposuction may steer you towards an arm lift, and those who are proponents of liposuction may recommend against an arm lift.
I recommend bringing pictures of yourself to use as a reference during consultations.
Include pictures of your arms in an outstretched position like what’s included and pictures of your arm straight down.
you can look at some of my before and after pictures under my profile patient who had arm liposuction to get an idea of what liposuction results can look like. Paragraph I believe I’ve included some pictures who also had skin laxity.
Considering Liposuction providers to as many before and after pictures as possible.
Seeing one or two examples is insufficient and you should also ask them to show you pictures of previous patients look just like you do.
If they have sufficient experience, then there should be no lack of before and after pictures.
I think, insisting on seeing at least 10 examples of previous patients who had similar arm characteristics to your own is reasonable.
Finding the right plastic surgeon is most likely going to require having multiple consultations.
If you don’t go through the selection process carefully and formally your chance of quality outcome it goes down significantly.
Neither an arm lift nor arm. Liposuction are easy, straightforward procedures in my opinion.
This can easily turn into something that leaves you with regret if your provider selection isn’t done carefully.
There’s no right or wrong answer in regards to an arm lift versus Liposuction.
It depends on what you’re trying to achieve and what you’re willing to go through.
You should have a clear understanding of what each procedure can and cannot accomplish.
Most plastic surgeons are not going to do real liposuction in conjunction with an arm lift.
That means if you have a substantial layer of subcutaneous fat, you’re still going to have that after an arm lift only the skin will be pulled tighter.
How the procedures are done is going to vary between each provider and there may be some who do a certain amount of liposuction in conjunction with an arm lift.
You’ll need to ask each provider during consultations.
Recognize that the decision making and the entirety of this process is fairly complex.
Don’t rush into decisions that are going to affect your outcome for the rest of your life.
When in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom MD