How to keep arm fat to stay off after surgery?

Question

I've decided that I am getting an arm reduction later this year. I would like to know more information on how to make sure my arms will not turn back to how they are. I am still losing weight and my arms are a mixed of some lose skin, but mostly hard compact skin/fat/cellulite. I work out 3-4 times a week and don't plan on stopping post surgery. My biggest worry is paying for this amazing surgery and loving the results, then years later I'm back in the same boat.

Brian Bassiri-Tehrani, MD · Answer

This is a common concern patients have. Fortunately, when fat is removed, whether it is from liposuction or excision, it will not return to the same area. Having a good workout regimen is important for your general health and will help prevent other areas from developing fat depositions known as lipodystrophy. Having surgery on an area with resistant fat and extra skin will help not only shape the area, but also keep the fat from returning. Skin, on the other hand, may stretch and sag over time with aging. Despite that, the extent of stretch and sag after surgery will take many years to develop, especially in the arms.
Another concern some patients have is that the fat will "return to other areas." This is also a misconception. As long as your weight stays stable from a healthy lifestyle, your fat depositions will also stay stable. If, on the other hand, significant weight is gained after surgery, all the other areas that did not have surgery (lipo or excision) will increase in size, giving the impression or illusion that the fat "returned," even though that is not the case - the fat cell in those areas just got bigger, and the fat cells in the areas treated with surgery are now gone, thereby unable to increase in size.
Hope this helps! Good luck with your arm reduction!

J. Timothy Katzen, MD, FACS · Answer

Hello Mybestself 0118, thank you for your questions regarding how to keep arm fat to stay off after surgery.  Thank you for your history.  You mentioned that you are still losing weight and undergoing an arm lift (arm reduction or brachioplasty) later this year.  However, your weight must be stable for three months before plastic surgery.  Of course, undergoing plastic surgery while still gaining weight is not a good idea.  Likewise, undergoing plastic surgery while losing weight is not a good idea.  If your plastic surgeon gets your arms as tight as possible and you lose more weight after your arm lift surgery, you may need a costly arm lift revision to remove loose arm skin, which developed during your post-op weight loss.  If you want maximum arm lift results, you should continue to lose weight.  Once your weight plateaus for about three months, you should consider plastic surgery.  Most plastic surgeons would agree that you should not undergo plastic surgery while losing weight. 
Once your weight is stable and you undergo your arm lift, arm reduction, or brachioplasty, it is up to you to maintain your results.  Maximum arm lift results can be achieved through dedicated aerobic and anaerobic exercise.  To maintain your arm definition, plastic surgeons, registered dietitians, and physical fitness experts agree that you should target your main three arm muscles: biceps, triceps, and deltoids.  These muscle groups should be targeted with weight lifting.  Consider working with a personal trainer if you need help isolating your biceps, triceps, and deltoids.  In addition to muscle training, you need to minimize your caloric intake.   Plastic surgeons and registered dietitians suggest calorie counting and watching your macronutrients.  Most plastic surgeons and registered dietitians suggest, for weight maintenance, a diet with minimal carbohydrates and low to zero sugar.  Avoid all sodas and alcohol.  Your diet should concentrate on complex proteins and vegetables.  Also, consider what the sun does to exposed arms.  Solar radiation damages the collagen and elastin fibers in the arms and leads to loose arm skin.  Therefore,  plastic surgeons recommend sunscreen and other forms of sun protection for your arms for your lifetime.    These recommendations will help you to achieve maximal arm lift results.  I hope my suggestions help to answer your question regarding how to keep your results after a brachioplasty or arm lift.  These proven techniques will help to keep arm fat off after your arm lift.  Remember, when seeking a plastic surgeon for an arm lift, arm reduction, or brachioplasty, always obtain several consultations and select the plastic surgeon with the most experience.  Good luck.

Emmanuel De La Cruz, MD · Answer

Maintaining the results of arm fat reduction surgery, such as liposuction or brachioplasty (arm lift), involves a combination of healthy lifestyle habits. While surgery can provide significant improvements, it's essential to adopt practices that support long-term results. Here are some tips:

Adopt a Healthy Diet:

Focus on a balanced diet that includes a variety of nutrient-dense foods. Emphasize lean proteins, fruits, vegetables, whole grains, and healthy fats. Limit the intake of processed foods, sugary beverages, and excessive amounts of saturated and trans fats.
Stay Hydrated:

Drink an adequate amount of water throughout the day. Hydration is essential for overall health and can support your body's natural processes.
Regular Exercise:

Engage in regular physical activity to help maintain a healthy weight and tone the muscles in your arms. Incorporate a mix of cardiovascular exercises, strength training, and flexibility exercises. Consult with your surgeon or fitness professional to design a safe and effective exercise routine.
Consistent Physical Activity:

Establish a routine that includes consistent physical activity. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week, along with muscle-strengthening activities on two or more days per week.
Avoid Significant Weight Fluctuations:

Fluctuations in weight can impact the results of arm fat reduction surgery. Try to maintain a stable weight through a combination of healthy eating and regular exercise.
Follow Postoperative Care Instructions:

Adhere to the postoperative care instructions provided by your surgeon. This may include wearing compression garments, taking prescribed medications, and attending follow-up appointments.
Monitor Your Body:

Pay attention to changes in your body and address any concerns promptly. If you notice significant weight gain or changes in the appearance of your arms, consult with your surgeon.
Build Healthy Habits:

Establish and maintain healthy lifestyle habits, including adequate sleep, stress management, and a focus on overall well-being.
It's important to remember that surgery is a tool to help achieve specific goals, but long-term success depends on lifestyle choices. Consult with your plastic surgeon for personalized advice and guidance on maintaining the results of your arm fat reduction surgery based on your individual circumstances.

Carmina Cardenas, MD · Answer

The arm volume is the result of two things: fat and muscle, the envelop (skin) and ligaments among the fat makes the arms saggy or not. 
Saggy arms are the result of aging and or losing and gaining weight and  both cause flaccid tissues. 
The only way you will maintain the thickness of the subcutaneous fat and the tension after tightening the skin (braquioplasty) is maintaining your weight and doing exercise. If you fail one, results will too. Your results won’t last forever because we continue aging. 
Be encouraged!!
Dr. Cárdenas

James Knoetgen, III, MD · Answer

Maintaining a healthy lifestyle with a balanced diet and regular exercise is crucial for preventing the return of arm fat after surgery. Focus on strength training exercises for your arms, along with overall fitness routines. Consult with your healthcare provider for guidance based on your specific situation and surgical procedure.

Camille Cash, MD · Answer

Deciding on the right time to pursue surgery is important.  It is best if you wait until you have reached your goal weight and are able to maintain it.  Then after you are healed from surgery and cleared to resume exercise, continue to be consistent with regular workouts and maintaining a healthy diet.  This lifestyle will help you to keep your results.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

Maintaining a stable weight and a healthy lifestyle that includes exercise is your best way to maintain your results after a surgical procedure.
You mention that you are still losing weight.  It is recommended that your weight be stable for a period of time before surgery to promote the best healing and the best result. I recommend you review your weight loss timing with your surgical team so you can choose the best time to do surgery. 
All the best to you,
Dr. Nancy de Kleer

Connie Hiers, MD, FACS · Answer

The best way to avoid your arms becoming fat again is to not gain any weight and work out with weights to keep your muscles nicely toned.

Diego Ampudia, MD - Account Suspended · Answer

Hello,The most effective way to ensure that you get and maintain fantastic results following surgery is to continue with your current diet and exercise routines.

How to keep arm fat to stay off after surgery?

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