I have been considering a short scar lift surgery on my arms for some time now due to all the excess skin that I have around them. I have been to a couple of doctors now but I get different suggestions. Some suggest I just need regular liposuction, but I don't think it would be a good idea considering the elasticity of my skin is bad. Others suggest a combo of both a tuck and some lipo. What would be the best option? (For some reason my skin looks very full in the pics I don't know why)
Will Liposuction on Arms Make the Skin Loose?
Doctor Answers 16
Liposuction on arms will NOT make skin loose but it will NOT make it tight either
Liposuction on the arms has a relatively high satisfaction rate. it will NOT make skin loose but it will NOT make it tight either. In your case, it appears that you have sufficient laxity that I would recommend a brachioplasty (arm tuck) as a better alternative.
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"Mini" procedures lead to "mini" results, in most cases
First, a "mini" or "short scar" arm lift is not a great operation. It can be okay in perfectly-selected patients--your photo indicates to me that you are not the right patient for this "mini" operation. I would start with liposuction alone, which you may find gives you better results than you expected. If you still have loose skin remaining after the liposuction, then the arm lift technique that removes the most skin would be right for you.
Liposuction alone won't do much to tighten the arms
If there is minimal to moderate skin laxity, laser liposuction such as smartlipo will contribute a certain amount of tightening to the arms.
If there is considerable laxity, you would require some skin removal (brachioplasty, or mini-brachioplasty).
You would need to see your surgeon to measure and feel your arms in order to best assess your situation.
CAST liposuction of the arms combined with minibrachioplasty corrects moderate skin laxity
Liposuction for upper arm contouring can produce excellent results in individuals with good skin elasticity. I recommend the Circumferential para-Axillary Superficial Tumescent (CAST) technique for upper arm contouring. The use of tumescent anesthesia, micro cannula, and meticulous post operative care maximizes skin retraction and can give excellent improvement. If there is skin laxity, a brachioplasty may be required to tighten the skin. The minibrachioplasty is ideal for correcting the loose skin in the upper third of the inner arm. An ellipse of skin is removed from the axilla (arm pit) and the thin skin of the upper inner arm is advanced and tightened. The scar generally heals well and is well hidden, allowing you to wear short sleeves and sleeveless blouses. Based on your photograph, I would recommend CAST Liposuction conbined with a minibrachioplasty.
Of interest, I just had the opportunity to present the results of my most recent 190 cases of liposuction of the upper arm at the International Society of Aesthetic Plastic Surgeons in San Francisco last month. Of these patients, 38 also had minibrachioplasties. The satisfaction rate was extremely high. I generally try to avoid performing a full Brachioplasty unless the skin is extremely loose. In such cases the resulting improvement in the contour of the arm can be dramatic, but the scars are difficult to hide.
Please consult with a Board-Certified Plastic Surgeon.
Andrew Lyos, M.D., FACS
Arm lift or liposuction
The elasticity of the skin would determine what type of outcome you could expect. Younger women usually are the best candidates. For some the only way to get rid of fat and a lot of loose skin is a Brachioplasty (arm lift) but the trade off is a long scar.
Arm liposuction or lift or both?
Treating the arms can be tricky. If your skin quality is not great, it may sag more with just liposuction. You may be correct to require both excision and liposuction or even just excision.
Liposuction for the arms
the contour of your arm will probably not be the best after liposuctiton. An arm lift won't be the best answer by itself either. You might do very well with liposuction first then waiting six months to have a skin lift.
Liposuction will not necessarily cause your skin to sag.
Liposuction will not necessarily cause your skin to sag. The state of elasticity in your skin is the best prognostication factor in the final result. I would suggest having water-assisted liposuction, waiting 3-4 months and see the final result. If you are not happy, then an arm lift can be done. If you are happy with the result then you have saved time, expense, and a scar.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.