Would I have better results to build muscle before or after an arm lift? (Photo)

Question

Will it be better to build muscle in your arms before or after an arm lift, my thinking is if you build the muscle after the arm lift the skin would be a bit tighter in the long run than if you build muscle before the armlift. I am 60yrs old and have a lot of loose skin on my arms from large weight loss

J. Timothy Katzen, MD, FACS · Answer

Thank you for posing the question about the ideal timing for building arm muscle in relation to an arm lift. Based on my experience and understanding, it's generally more beneficial to focus on muscle building after the arm lift procedure.
Building muscle prior to the surgery means you'll need to sustain that muscle mass continuously. Without consistent exercise, muscles can atrophy. This demands a lifelong commitment to maintaining the muscle bulk you've achieved.
It's advisable to first undergo the brachioplasty and then evaluate the results after about 6 to 8 months. I believe you'll be pleased with the tighter, more toned appearance of your arms. If you feel the need for additional muscle mass after the healing process, you can then focus on targeted workouts.
In summary, prioritize the arm lift and, based on your post-operative satisfaction, decide on muscle building. I trust this provides clarity on your query regarding muscle enhancement in relation to brachioplasty.
Sincerely,
Dr. Katzen

Kenneth Hughes, MD · Answer

Thank you for you question and pictures. It appears that you are a great candidate for the arm lift,you do not have to build muscle before surgery but it would help. Please consult with a board certified PS, best of luck!

Deborah Sillins, MD · Answer

Looking at your photos you have a fair amount of skin. You would benefit removing this skin. It does not matter at this stage if you build muscle before or after because you have a lot of extra skin .

Andrew T. Cohen, MD, FACS · Answer

I think you are an excellent candidate for an arm lift. I do not make my patients lift weights prior to an arm lift but it certainly will help.  it is best to see a board certified plastic surgeon when doing this surgery as we make the best scars.    Good luck!

Andrew Freel, MD · Answer

Congratulations on your weight loss!  The upper arms are often an area that needs to be addressed after massive weight loss.  The skin has a tendency to be very thin and damaged from the excess weight and does not tighten after the weight is gone.  The only way to gain improvement is with a full brachioplasty.  I don't think that the timing of muscle building within your arm will affect your result.  If you are ready to proceed with surgery, I would encourage you to make an appointment with a Board Certified Plastic Surgeon for an in person examination. Go ahead and proceed with surgery.  You can definitely work out after surgery to try to improve your muscle tone.

Mahmood Kara, MD - Account Suspended · Answer

Yes, it would be better to build muscle after the arm lift. Although if the skin is very tight, the tension of the muscle on the skin can make the scar appear wider and thicker. The latest information is that you should get fractional CO2 +/- a vascular laser for redness, included in your surgery price and package.

Would I have better results to build muscle before or after an arm lift? (Photo)

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