Thank you for your inquiry about how an arm lift would impact your tattoos and the combined cost of an arm lift and BBL (Brazilian Butt Lift). Tattoo Alteration in Arm Lift: The location and size of the incision in an arm lift (brachioplasty) will directly affect any tattoos located in that area. If your tattoo is situated where the incision or removal of skin will occur, it will likely be altered or distorted. Based on your description and the photo provided, your right arm tattoo, which is a portrait of a man, would indeed be affected. You have two primary options: Opt for the arm lift that best addresses the excess skin and fat in your arm, understanding that the tattoo will be affected. You could then consider tattoo touch-ups or modifications post-recovery. Choose an arm lift technique that minimally impacts the tattoo, which may result in a less optimal arm contour. Cost Consideration for BBL and Arm Lift: The cost for both a BBL and an arm lift depends on various factors: Surgeon's Expertise: Surgeons with more experience or those who are in high demand may charge higher fees. Geographic Location: The region or city where you get the procedure can significantly influence the price. For example, procedures in metropolitan areas or cosmetic surgery hubs might be more expensive than in other regions. Facility Type: The costs can vary depending on whether the surgery takes place in a hospital, a private surgical center, or an in-office surgical suite. Extent of the Procedure: The complexity and duration of the surgery will influence the cost. Additional Costs: These might include anesthesia fees, operating room fees, post-operative garments, medications, and any pre-operative medical tests. Combined Procedures: Sometimes, having multiple procedures at once can reduce the overall cost compared to having them done separately, as some fixed costs (like the operating room or anesthesia) might be charged only once. It's crucial to consult with several board-certified plastic surgeons to understand the potential costs for both procedures when done together. Wishing you all the best in your cosmetic surgery journey! Sincerely, Dr. Katzen