Can the skin on my arms be tightened? (Photos)

Question

My arms are not necessarily flabby just wrinkly. There is no fat. I'm 73 and when I can do weight training my biceps actually show it but the wrinkles are still there. What do you suggest?

Francis Johns, MD · Answer

Thank you for your question.
Based on photos, it does appear you would be a candidate for some time of arm surgery. I would recommend an in person consultation to determine what your best treatment option would be.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding the possibility of tightening the skin on your arms. Based on your history and the photos provided, it appears you have excess skin leading to the wrinkles on your arms, with minimal fatty tissue.
To effectively address this, a brachioplasty or arm lift is the most suitable procedure. During a brachioplasty, an incision is typically made from the armpit to the elbow, allowing for the removal of surplus skin and tightening of the remaining skin. The incision is strategically placed in the groove between the biceps and triceps muscles to make it as inconspicuous as possible.
The procedure generally lasts 3 to 4 hours and requires general anesthesia. For recovery, plan for around two to three weeks, though individual experiences may vary. Typically, the use of drains post-operation isn't necessary for this procedure.
I trust this information has given you a clearer understanding of how the excess skin on your arms can be addressed. Wishing you all the best with your potential brachioplasty.
Sincerely,
Dr. Katzen

Casey Anderson, MD, FACS · Answer

You could try a skin rejuvenation procedure like Morpheus 8. This is non-surgical, done in the med spa. It can provide modest improvement to crepey skin.

Kenneth Hughes, MD · Answer

Option 1: An axillary (or armpit) incision can be used to remove a small ellipse of tissue. This arm lift is best utilized for patients who have loose skin confined to the arm pit area or uppermost aspect of the arm. The procedure can be combined with upper arm liposuction in the right patient to produce a dramatic improvement in upper arm contour. The scar remains hidden within the armpit.Options 2: You might be a good candidate for BodyTite with liposuction of the arms. BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues. Consult with a board certified PS via email or Skype to discuss which option would be best for you.

Thomas Trevisani, MD · Answer

In person exam is essential. Based on limited photos- it appears that you would benefit from a Brachioplasty ( Arm lift). I suggest that you seek an experienced Board Certified PS.

Daniel Barrett, MD · Answer

Dear Intelligent634868,
it is hard to tell for sure without an examination. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

From the provided photos it appears the issue is looseness of the skin.  Due to the degree of the laxity you are not a good candidate for less invasive procedures like J Plasma.  In order to correct the contour a brachioplasty surgery would be recommended.  There are benefits and drawbacks to this procedure.  I've included a video I hope you find helpful.

James Knoetgen, III, MD · Answer

Yes, the skin on your arms can be tightened through various procedures, both surgical and non-surgical. The choice of method depends on factors such as the amount of excess skin, your overall health, and your desired outcome. Here are some common approaches:1. Brachioplasty (Arm Lift Surgery):• This is a surgical procedure where excess skin and fat are removed from the upper arms. The remaining skin is then tightened and sutured into place. Brachioplasty is often recommended for individuals with significant sagging or loose skin.2. Liposuction:• Liposuction can be used to remove excess fat from the arms, improving the overall contour. While it does not specifically address loose skin, it may be suitable for individuals with good skin elasticity.3. Non-surgical Skin Tightening Procedures:• Various non-surgical treatments use technologies like radiofrequency, ultrasound, or laser to stimulate collagen production and tighten the skin. These procedures are generally less invasive than surgery and may have less downtime.4. Exercise and Weight Management:• Building muscle through targeted arm exercises can help improve the underlying muscle tone, contributing to a firmer appearance. Maintaining a healthy weight can also prevent further skin laxity.5. Topical Treatments:• Some creams and lotions may claim to improve skin elasticity, but their effectiveness can vary. It's essential to approach such options with realistic expectations, as the evidence supporting their efficacy may be limited.It's crucial to consult with a skilled plastic surgeon to discuss your specific concerns, assess your individual situation, and determine the most appropriate course of action for achieving your desired results. Keep in mind that individual responses to treatments can vary, and the success of skin tightening procedures depends on factors such as skin elasticity and the extent of laxity.

Robin A. Sykes, MD · Answer

This is a vexing problem which is sadly very common.  We have helped a lot of people with various types of fillers and stimulators, including dilute Sculptra injections and  dilute Radiesse injections, and also there is are other surface treatments such as Pelleve(Radiofrequency) and Skintite(also Radiofrequency).  All of these are not complete solutions but may help.  These if also the option of actually cutting away some excess skin, which gives a better result but and leaves some scarring. Building muscle can also help, as you have tried.  
Hope this helps!

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

There are two arm lift options and these include:
a)brachioplasty which involves excision of the skin; this surgery requires cutting of the skin which provides maximal skin tightening but it does results in an incision line.
b)Renuvion skin tightening; this is a minimally invasive procedure that provides 60 to 70 % improvement and it avoids an incision line and potential scarring.

A consultation with an arm contouring specialist would be very helpful to provide you an accurate recommendation.

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