Will lipo with J-Plasma work or is an arm lift necessary? (Photos)

Question

I am 29 years old and i was given both options. I am a hairstylist so I would love to be able to do the lipo option due to recovery time no to mention avoiding the scar associated with lifting but I don't want to opt for it if the results will not be close to the same. My skin is firm.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do with your arms. Based on your pictures, I would suggest a formal arm lift or arm reduction, also called  a brachioplasty. In my opinion, whether you have J-Plasma or VASER liposuction of the upper arms, your arms will not contract even if you have “firm skin”.   In my opinion, I would not waste money on arm J-Plasma or VASER arm liposuction. In my opinion, after J-Plasma or VASER arm liposuction, you will still have loose hanging arm skin and your arms may actually look worse rather than better. In my opinion, you would benefit most from a formal arm reduction. During your arm reduction or arm lift, arm liposuction is performed and excess arm skin and fat is removed from the armpit to the elbow. I am certain your arms would be much skinnier after this procedure compared to J-Plasma or VASER arm liposuction. If you are considering J-Plasma or VASER arm liposuction, your down time would be approximately 1 week. However ,your results will be minimal or perhaps worse. If you have an arm reduction or brachioplasty, your down time will be approximately 2 weeks, but would have far more superior results than J-Plasma or VASER arm liposuction. In my opinion, I would go with results and plan for just 1 more week recovery. Do not jeopardize your final results based on the amount of time needed for arm surgery recovery. I specialize in arm lifts.  I perform J-Plasma to the arm, VASER arm liposuction, and arm reductions, arm lifts, and brachioplasties. I hope that I have answered your questions regarding the arm reduction.  If you have any more questions regarding the J-Plasma, VASER arm liposuction, arm lift, arm reduction, or brachioplasty, please contact my office. Please seek an experienced, board certified plastic surgeon with significant experience performing these types of arm lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 arm lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.   Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Kenneth Hughes, MD · Answer

From your photos, you appear to 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. Results can be seen immediately after one treatment and are more evident over three to six months post-treatment. Wait until six months to fully evaluate the aesthetic results.  Sedentary activities can be resumed in two to three days and full activity with exercise within two to three weeks.

Francis Johns, MD · Answer

Thank you for your question.Based on your photos, I would suggest liposuction with skin tightening. I do not think liposuction alone would decrease your arms enough to make you happy and it may leave you with laxity to the skin.

Gilbert Lee, MD · Answer

Thank you for your questions and photos. You look to be a very good candidate for arm liposuction and a brachioplasty or arm lift. The liposuction will remove extra fat and sculpt the arms down to a desirable shape and size. The challenge with doing liposuction alone to your arms is that you will be left with sagging tissues. The brachioplasty will remove any excess skin and tissues that are left. I recommend you schedule a consultation with a board certified Plastic Surgeon who can assess your specific anatomy. In our office, we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

David Nguyen, MD · Answer

Hi Brookbm,
Given the amount of extra skin and fat you have, you'd likely benefit most from having liposuction of the arms and an arm lift done together. The liposuction will help thin your arms, and the arm lift will remove the extra skin. Blessings on your journey!

Leon Goldstein, MD · Answer

An in person exam and consult would give you the best thorough advice. From your photos one might consider  laser liposuction which could reduce the volume of fat in your arm and “shrink” the skin. The amount of skin shrinkage depends on the youth of the skin and good collagen. The amount is also not predictable as with a formal Brachioplasty but it does avoid scarring. Discuss your options with a board certified plastic surgeon (ABPS).

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