Am I good candidate for Vaser Lipo on upper arms? Can you recommend a good treatment please? (photos)

Question

Ok so I am really considering VASER LIPO on the upper arms. I HATE my arms and they really get me down. It doesn’t matter how I exercise or diet they don’t budge and have always been out of proportion to my body. My waist is tiny and I’m a size 12. I usually have to get the size up in long sleeved tops as my arms are so big! Will Vaser be a good option to me? I am worried about sagging skin. But I am not sure what I can do? I cannot take the time out for a full arm lift? Please advise :-(

Giuseppe Fiore, MD · Answer

Hello,
Thanks for your question.
  
According to the picture you are borderline candidate between arm lift (brachioplasty) and/or  vaser lipo. It is important to know your age, medical history including smoking status, history of significant weight fluctuations etc. The key here is also to understand what you would like to achieve, what are your expectations. 
  
if you are happy to have more invasive procedure (Brachioplasty) with some larger scars but better results or less invasive procedure (Vaser Lipo with eventually combination with J plasma-Renuvion) with satisfactory results depending of your skin elasticity/ skin retraction.
  
In my clinical practice, if a patient refuses to undergo for brachioplasty surgery due to the scars, then after a careful assessment, if she is still suitable for Vaser lipo ,then it is important a combined protocol including J plasma (Renuvion), compression garment, manual lymphatic drainage sessions after the surgery and healthy diet and exercise can also help with skin retraction and reduce the risk of saggy skin.  
  
I would strongly suggest to make a consultation with an expert Vaser/ body contouring surgeon for a medical/surgical assessment in order to consider the best suitable treatment.
  
Hope this help,
  
Best Wishes,
  
Dr Giuseppe Fiore, MD

Jag Chana, MD, FRCS(Plast) · Answer

It appears there is a little too much skin excess in your case for VASER lipo alone. You would get a better result from an arm lift. I know there is extra recovery involved and a scar to accept but lipo on its own risks even more skin laxity in your case.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question and pictures.  I believe that Vaser Liposuction would be the wrong procedure for yourself and you would end up with just an 'ok' result.  It appears you have some fat and loose skin which needs to be removed.  If you just performed the Vaser Liposuction then you would be left with a lot of skin laxity which would shrink a little but it wouldn't give you that lovely slender contour.  Brachioplasty would the best procedure to give a lovely tight and slimming arm.  The only downside is you do place the lose skin with a scar which does go from your armpit to elbow.  This will take about 12-18 months to fade.  Please do have a consultation with a board certified surgeon.  All The Best

Mitchel Goldman, MD · Answer

Based on your photos, it appears you have a substantial amount of skin laxity in addition to isolated fat in the area. I would likely recommend a combination of liposuction to remove the fat and ThermiTight to restore firmness to the skin. Vaser lipo is one option, but it is not the only one. I offer patients the Awake lipo technique, which can be performed using local anesthesia and only requires a few days of recovery time. 
ThermiTight is a nonsurgical treatment that uses tiny probes inserted into the dermal layers to deliver radiofrequency energy deep in the tissue. The RF energy heats the area, constricting tissue and telling the body to produce more collagen. The result is smoother, firmer skin in the weeks and months following your treatment. While you might not get quite the tightening you would with a surgical procedure, you also avoid significant downtime as well as a very long and noticeable incision down the length of your upper arm.

Harry T. Haramis, MD, FACS · Answer

In my experience, Vaser ultrasound liposuction removes stubborn arm fat and tightens skin. This avoids an arm lift scar in proper candidates and can restore proportions.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Jason Emer, MD · Answer

Nonsurgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, and Cellutone/Zwave. However for best results, an arm lifting procedure can be combined with a high definition procedure at the same time. I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

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

Although I hear your concern regarding recovery after an upper arm tuck, you really have no other option. After having performed several hundred arm contouring cases, I can assure you that even VASER lipo and Renuvion scar less skin tightening perforrmed simultaneously will not provide you an excellent result. As such, avoid dissappointment if you are desiring tightened arm appearance and get the proper brachioplasty. When brachioplasty is perfomred appropriately, it will result in a perfect and tightened appearance and this does not require prolonged recovery. Our patients are able to return to routine to their job within one week. Please consider a virtual consultation with a high definition body contouring specialist.

Mats Hagstrom, MD (license on probation) · Answer

Arm liposuction if done correctly will be a good procedure for you. It’s important to describe to patients what the results will look like to set expectations correctly. If you judge your results with your arms in an out position like you showed in the pictures then you may be disappointed since liposuction will not address skin laxity very much. Well done liposuction will however make your arms substantially smaller which she will appreciate more with your arms in the down position and how you fit into clothing. Look at some of my before and after pictures of arm liposuction posted on real self.The equipment used or form of liposuction is fairly irrelevant in comparison to the skill of the surgeon.VASER can potentially remove fat aggressively. It has a documented higher complication rate and is often involved in the worst botched cases I see.arm fat is soft and doesn’t need ultrasound assistance to be removed effectively. There’s nothing wrong with this equipment but it’s not necessary To deliver great results.It is however imperative that you’re in the hands of a talented plastic surgeon to get great results. Arms are technically challenging and an anatomic area that’s butchered a bit too often.Personally I do a Sercombe Franchel approach to a Arms leaving and even fat distribution. This may be technical talk but it’s an approach that seems to work well for me.My practice is devoted exclusively to liposuction and fat transfer procedures and has been for the last 10 years. I cannot emphasize enough the importance of choosing the right provider for liposuction especially on technically challenging areas like arms.Find the right provider and you’ll have a nice result.Best, Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
A
liposuction procedure of the upper arms removes fat only, while a brachioplasty
removes excess skin and underlying fat. If there is a
significant amount of fat present (with its associated added weight),
if the skin demonstrates no evidence of overstretching (stretch marks),
and if the sag is only minimal to moderate, a liposuction may correct the
deformity. On the other hand, if there is stretched out skin, only a
brachioplasty can achieve correction. However, one must accept a scar from
armpit to elbow. The scar is placed on the inside (medial side) of the arm to
minimize exposure, but the scar is readily apparent in certain positions. The
mini-arm lift is not of much benefit. 
Photos
at a distance may be deceiving, but it appears that you would be best served
with Vaser liposuction. The Vaser liposuction will result in a degree of skin shrinkage. 
Seek a
consultation with a board certified plastic surgeon.
Best
wishes...

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