Arm liposuction options - which is best for me? (Photo)

Question

I am 32, 75kg and 180cm and looking to get liposuction to remove excess fat from my upper arms. Would I be able to get a good result with traditional liposuction or am I likely to need an alternative option e.g. vaser liposuction?

Semih Yildiz, MD, FEBOPRAS · Answer

In my experience, traditional liposuction can give a good result for localized arm fat, and VASER is not automatically superior; both require careful technique. The single side-view photo shows the upper-arm contour but cannot establish skin elasticity, fat thickness, or the amount of laxity. If the main issue is pinchable fat with good skin recoil, liposuction may help; if loose skin is significant, lipo alone may leave laxity and an arm lift may be discussed. At 75 kg and 180 cm, your BMI is about 23, but candidacy depends more on examination findings and stable weight than BMI alone. Ask the surgeon to compare expected contour improvement, skin-tightening limits, scars, and revision risk for your anatomy.

Justin Yovino, MD, FACS · Answer

You look like a good candidate for arm lipo. Getting a great result depends on choosing the correct surgeon. Look around and find a plastic surgeon who has a lot of good before and after photos of the arms and reviews about arms. There’s no great tightening device. Liposuction technique is the most important. Radiofrequency such as renuvion may slightly add to the result.

George Marosan, MD · Answer

Thank you for your question and photo. Based on this single view photo you might be a good candidate for VASER Hi Def Lipo technique to reshape the upper arm into a more athletic form. Possibly a skin tightening procedure might need to be added, but this can only be determined via an in-person consultation/evaluation. The surgery can be done under local anesthesia with minimal oral sedation. Good luck.

Yasemin Aydinli, MD · Answer

At your height and weight with the arm shown, you look like a reasonable liposuction candidate. It is worth being clear about what VASER actually is, because it is frequently marketed as a tightening treatment. VASER stands for vibration amplification of sound energy at resonance, and it is a third generation ultrasound assisted liposuction system whose purpose is to emulsify fat so it can be removed more easily in fibrous areas and to allow finer superficial sculpting. The skin tightening attributed to it is a marketing claim rather than an established finding, since the supporting studies are small, uncontrolled and inconsistent, and there is no good evidence that it tightens skin better than standard liposuction. What decides an arm result is your own skin elasticity, and if tightening turns out to be the real issue then radiofrequency assisted devices or an arm lift are the honest options.

John LoMonaco, MD, FACS · Answer

Based on your photos, I'd go with an energized form of lipo: Vaser or lipo with Renuvion.  The arm skin is very thin and poorly supported, thus prone to uneveness after traditional lipo.  Cheers from Texas

Zoran Potparic, MD · Answer

It is very likely that you are good candidate for conservative liposuction of arms, based on this photo and your history. It does not matter which particular technique (PAL, vaser, water jet) is used, as much as experience of the surgeon. In same patient a combination of liposuction and skin tightening procedure may create better result than liposuction alone. These are the issues you should discuss with your surgeon ahead of surgery. Good luck.

Camille Cash, MD · Answer

Liposuction is a good option to remove excess stubborn fat but it doesn't do much to tighten the skin.  You may want to consider adding J-Plasma to help with the overall result.  Visit with a board certified plastic surgeon near you to learn more.  I've included a video I hope you find helpful.

Manuel Diaz, MD · Answer

Hello. I can appreciate not only localized fat in the upper arms, but also some skin laxity along the underside of the arm.
For this reason, I would consider an arm lift (brachioplasty) rather than relying on liposuction alone. An arm lift allows us to remove the excess loose skin and reshape the upper arm, creating a tighter and smoother contour.
Liposuction can also be combined with the arm lift when there is additional localized fat that needs to be removed to achieve better definition.
In your case, I would be cautious about performing aggressive liposuction alone, because removing fat without addressing skin laxity could potentially make the loose skin more noticeable.
A physical examination would ultimately determine whether you need a full brachioplasty or whether a more limited approach would be sufficient.

Arm liposuction options - which is best for me? (Photo)

Answers (8)

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