Can I do Vaser lipo to my arms and my armpits? Is it considered one area or two? (Photo)

Question

I want to have arm and armpit vaser liposuction, I had coolsculpting 4 months ago in my upper arms and I did see some results on my right arm. However I didn't see much on my left arm and if I press my fingers on the treatment site I can feel little hard lumps. Im not sure if it's considered Paradoxical adipose hyperplasia since I saw some results and they're not all big and hard , it's just small lumps. Do you think I can do lipo on upper arms and is it possible to do it on my armpit too?

George Marosan, MD · Answer

Thank you for your question and photos. You were not a candidate for Coolsculpting to start with. You are not a candidate for an arm lift either; the arms are too fat and will yield a poor result. Now that you have hard lumps in the arms, need to wait until all the tissues soften up before you undergo surgery. VASER liposuction done together with Renuvion skin tightening at the same time will give you the best results. The whole arm is done circumferentially and also the upper lateral fullness that you circled outside the bra.
See a board certified plastic surgeon for an in person consultation/evaluation. Hope you did not spend too much on the Coolsculpting.  Good luck.

Dennis Wolf, BScHons, MBBCh, MRCSEd · Answer

VASER is certainly a good option for the arms as it gives really good skin tightening.The armpit itself is a little more tricky as it contains lymphnodes and lymphatics which you don't really want to disrupt as that can lead to lymphoedema (permanent swelling of the arm).Best is to get assessed by a surgeon with experience in those areas and discuss the options available which will include lipo, brachioplasty, extended brachioplasty.
hope that helps.Dr Wolf

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.

Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Navjot Singh, MD, FACG · Answer

Thank you for sharing your pictures. Based on them, and your question Vaser Liposuction is a good option for you. Because you had cool sculpting, internal scar tissue formed enhances the bump you can feel. Vaser is a great way to melt fat and scar tissue. I would also recommend renuvion to ensure the best results possible, based on your current skin laxity.

Philip Conrardy, MD · Answer

It is not safe to have liposuction in the armpit area, because there are a lot of nerves blood vessels. Which is the brachial plexus which innervates your upper extremity I agree with your assessment of the hard lumps in your arms. You can have liposuction of the other ares other than the arm pit.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, it is possible to get VASER liposuction of the arms and address the fat in your armpits as well. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

I see no reason why you can’t have arm liposuction. My personal first-hand experience has been that arm lipisuction gives very high patient satisfaction and it’s a greatly appreciated procedure.

The armpit of what I referred to us the under arm area has a lot of skin laxity and the contour of this area changes quite dramatically with different arm positions. I typically review this in detail during in person consultations so that patients I have a clear understanding of what armpit or under arm liposuction can and cannot deliver.  The under arm area naturally transitions to the front bra roll and the back and this transitioning needs to be done correctly to look natural.

Personally I see no advantage to using VASER and I would instead focus exclusively on finding the most experienced and talented plastic surgeon in your area with a proven track record with arm and liposuction.

Do this by having in person consultations and ask each provider to show all of their arm liposuction before and after pictures to get an idea of what their results look like and get some verification of how many of these procedures they have performed.

In my practice this would be considered two areas.

We do these procedures in the office using local anesthesia with or without sedation avoiding general anesthesia.

Best,

Mats Hagstrom MD

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