Can combining a breast reduction incision up to an arm lift incision address some upper back laxity? (Photos)

Question

I have had a significant amount of weight loss (33% of my original weight) and I have a lot of loose skin. I want to have a breast reduction done ideally at the same time as an arm lift. I have seen some individuals with these scars combined and their back appear improved as it pulled it up. What is this called? Can this improve the loose skin on the back? I am aware an upper back lift would address it completely, but the scar across my back is not something I really want - I’m looking for better, not perfect. Thanks!

Gary M. Horndeski, MD · Answer

Your back laxity exists in 2 dimensions: horizontal excess and vertical excess. By combining a vertical incision, which is an extension from the horizontal incision of the breast reduction, to the horizontal incision of the arm lift, the vertical component will pull some of the back horizontal excess. However, it will not move the vertical excess. The breast reduction technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This will pull some of back excess as well. At the same time, an arm lift can be done. I usually use liposuction with the arm lift to remove the fat as well as help with dissection. It is possible to connect both incisions at the same time.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

However, it is not as effective at treating back laxity as a transverse excision of skin. In your photos you have your elbows parallel to your shoulders, effectively reducing skin redundancy and you still have skin redundancy. In your situation, do not expect complete tightening of your back skin.  You would also need liposuction to reduce volume and mass of the area in addition to skin excision.

Harry T. Haramis, MD, FACS · Answer

Combining breast reduction with arm lift is common, the scars can be connected, usually around the arm pit and lateral breast.

Usually, some Vaser liposuction of the bra/ back area at the same time will improve results.

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.

Zoran Potparic, MD · Answer

It is possible to do all of these surgeries at the same time. Arm lift is frequently combined with breast reduction/lift in patients like you. However, in order to remove back skin there will be a scar extension across your back on both sides. This can be done in two separate surgeries as well. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Can combining a breast reduction incision up to an arm lift incision address some upper back laxity? (Photos)

Answers (4)

More Arm Lift Questions

Lipo made my arms look worse. Is an arm lift my only option? (Photos)

What non surgical treatments would help to tighten loose arm skin after weight loss? (Photo)

110 lb. weight loss - What type of surgery can make my arms thinner and remove the fat between my armpits and breasts? (Photo)

Armpit rolls after adding galaflex. How can this be fixed? (Photos)

Brachioplasty Following an Extended Tummy Tuck - how long should I wait?

I'm concerned with scarring - Is an arm lift the only solution for my arms? (Photos)

WE SEND PRETTY
EMAILS