Would lipo laser would help lose skin or should I do an arm lift? (Photos)

Question

I have been told that Arm lift and breast lift would be great option for me. I have lost 95 pounds past years by having a healthy lifestyle and exercising but my arms still bigger then the rest of my body and I also have lose skin. Is something that I would like to change. I would also like an opinion regarding my breast.

Harry T. Haramis, MD, FACS · Answer

Unfortunately, arms can be extremely stubborn after massive weight loss.

While I routinely use laser/ultrasound liposuction for arms, you appear to require an arm lift as well.

Breast lift can be done at the same time.

​An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your best options and expectations.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do with your arms and breast after weight loss. Thank you for your history and your pictures. In regards to your arms, you have excess skin and fat. You also have stretch marks in the upper 1/3 of the arms. If you have arm liposuction, your arm skin will not contract. Your skin needs to be surgically removed. Therefore you need an arm lift, arm reduction, or a brachioplasty. You probably will not need a full incision from the elbow to the armpit but may require just a limited incision from the armpit, partially down the inner arm. Alternatively, you may only need a crescent arm lift or a crescent skin area, and fat is removed from the armpit. This can be combined with arm liposuction. Regarding your breast, you did not include any pictures of the breast, so I can’t comment. Either way, almost any breast procedure can be combined with the arm lift or brachioplasty. The arm lift procedure takes 2 to 4 hours depending on the chosen procedure, whether arm liposuction, crescent arm lift, modified T arm lift, or full longitudinal arm reduction. Good luck. I hope this helps to answer questions regarding what to do with your arms and whether you should have an arm lift or liposuction. 
I specialize in arm lifts.  I hope that I have answered your questions regarding the arm reduction.  If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office.  Since a brachioplasty or arm lift surgery is a difficult procedure, 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, President of the American Society of Bariatric Plastic Surgeons, 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.)

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding an arm lift versus liposuction. Liposuction will only address fat. However, an arm lift (or brachioplasty) will address the excess skin problem as well. To be sure, see two or more experienced, board-certified plastic surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have an arm lift. I hope this helps

Bryan Armijo, MD · Answer

First off, congratulations on the weight loss! Based on your photos provided, I would be reccommend a a brachioplasty with liposuction. This would be able to slim your arm and get rid of the excess skin. Liposuction alone will only address the extra fat in the arms and you would rely on the elasticity of the skin to retract. I would recommend seeing a board certified plastic surgeon for a consultation in regards to both your arms and breasts.

Connie Hiers, MD, FACS · Answer

The tightening from radiofrequency like Renuvion , will do a better job than the laser. You still could get good results with minimal scarring. The laser is very limited in its tightening.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From your photos you will have the best result from an arm lift.  The liposuction will remove excess fat but you will still be left with loose skin.  The arm lift will address both and help reshape your arms.  The next step is to schedule a consultation with a board certified plastic surgeon near you.  During that visit you can also discuss your concerns about your breasts.

Darryl J. Blinski, MD · Answer

Thanks for ONLY upper arm photos, there were or are NO breast phots??? I think a brachioplasty using short scar techniques is the ONLY option since you have so much excess skin. No lipo technique could ever tighten that much excess skin. As for breasts lifting I can not comment without seeing either here again on Real Self or virtually. The fee just arm lift $7,500. Fee  for combination arm and only full breasts lift no implants $15,000.

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

You would make a great candidate for a combination of liposuction and a medially based armpit tuck. What is favorable about this plan is that your incision will be completely hidden.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note fullness of the upper arms with a significant amount of loose redundant skin. 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. Augmented liposuction (with laser or ultrasonic energy) may cause a subtle tightening of the skin but your skin laxity exceeds the ability of this modality. 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. It appears that you would be best served with brachioplasty.I cannot comment on your breast size or shape as they are not exposed in your photos.Seek a consultation with a board certified plastic surgeon.Best wishes...

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