How to Get Rid of Sagging and Loss of Elasticity of Underarms?

Is there some nonsurgical way, like by lasers to get rid of underarm sagging, caused by loss of elasticity (I’m a middle aged woman)? I do Not want the surgery and scar. I’m fit and exercise. I have very little body fat. I’ve tried exilis and this does not seem to have done much. What would work more effectively to see a noticeable improvement (not surgery).

Doctor Answers 9

Treatment Options For Loose Arm Skin

It's not unusual for patients who suffer from loose upper arm skin, to fear the scarring that may be associated with brachioplasty. For this reason, they often seek non-surgical alternatives to this procedure. A variety of options have been utilized including cool-sculpting, laser treatments and exercises in an attempt to tighten loose skin. Unfortunately, none of these alternatives adequately address excess upper arm skin.

When sag is mild, liposuction and cool-sculpting may have benefit, but in more severe cases, they have no impact on loose skin. For this reason, brachioplasty is the only viable alternative for treating severe upper arm skin. If you're concerned about this problem, consultation with a board certified plastic surgeon who has experience with this procedure is appropriate. This surgeon should be able to help formulate a treatment plan to address your concerns.

Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Arm contouring

It is impossible to give you any recommendations without a physical exam.  If you have limited loose skin, you may be a candidate for liposuction treatment.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Sagging Arms solution - Brachioplasty (Arm Lift surgery)

How to Get Rid of Saggy Arm?
Without any photos, it is hard to give you the most accurate advice. The best way to remove underarm sagging would be to get plastic surgery, this is called a brachioplasty. There are different techniques depending on your needs each with different size incision scars. There are non-surgical options like arm exercises, but you will probably not be pleased with the slow and minimal results.


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Get Rid of Sagging and Loss of Elasticity of Underarms?

Generally speaking, “underarm sagging” can only be effectively treated with surgical excision. Other modalities such as liposuction surgery, laser surgery, thermage etc. will likely only waste your time/resources.

 Sorry, I know this is not the answer you are looking for. However, make sure you exercise caution when you hear about a “miracle technology” that sounds too good to be true.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

How to Get Rid of Sagging and Loss of Elasticity of Underarms?

Dear Citygrrl,

Thank you for your question.  For specific advise, we need to see photos.  In general, the only treatment that noticably tightens skin is surgery.  In some cases, the incisions can be contained to the arm pit area without extending down the inner arm.  You will be disappointed in non-surgical results.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews


Sorry, but nothing other than the surgical removal of the excess skin will do. All the rest will do is make your wallet lighter without any result. The surgery is easy and is done as an outpatient and is relatively painless.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

How to Get Rid of Sagging and Loss of Elasticity of Underarms?

For this area, if it's bad enough to seek treatment, only surgery will yield an improvement, but the tradeoff is surgery and scars, and it is not for everyone. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

How to Get Rid of Sagging and Loss of Elasticity of Underarms?

Unfortunately, without photos, we cannot tell what your best option is.  With mild laxity, you can sometimes do radio frequency treatments like thermage for example.  The cellulaze laser can also help tighten the skin somewhat.  If it is too severe, then surgery (brachioplasty), is the only option.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.4 out of 5 stars 39 reviews

Loss of elasticity of underarms

It is hard to give you a recommendation without direct examination or photos.  If you do have hanging skin, brachioplasty (arm lift) will give you a good contour.  However, it will have scar.  Depending on your need, the scar can be elbow to armpit or confined around the armpit.  If you have a mild laxity, liposuction/laser may help.  It will be best to be examined by a board-certified plastic surgeon.  Best wishes.

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

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.