Can these arms be fixed after lipo 15 yrs ago. Weight has always been stable? (photos)

Question

67 yrs old, 5’9”, 150lbs, runner, athlete ! I am in excellent health, active but am embarrassed by these horrible arms

Andrew T. Lyos, MD, FACS · Answer

Thank you for your question and photos.
CAST Liposuction combined with mini-brachioplasty produces excellent upper arm contour. Liposuction of upper arm can produce excellent results in individuals with mild to moderate skin laxity. Additional skin tightening can be achieved with J-Plasma powered by Renuvion (Cool Helium Plasma).  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. For certain patients, dermal tightening with J-plasma can allow you to avoid scar as it produces excellent skin tightening.

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.
Best regards,
Andrew Lyos, M.D., FACS

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question and photos.  It looks like you would b a good candidate for an arm lift, (brachioplasty), It sounds like you are in great shape as well.  The risk of surgery and anesthesia typically has less to do with chronological age and more with how your health is. While it is a part of weighing the risks vs. benefits, there are many variables. This operation carries scars. Each plastic surgeon may approach this differently. Also each patient is different. Best to see a board certified plastic surgeon. They will evaluate you and together you will make a plan for your goals.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

J. Timothy Katzen, MD, FACS · Answer

Hello 09071974 in Odessa, Florida,
Thank you for your question about the possibility of correcting arm concerns following liposuction performed 15 years ago, and for sharing your stable weight history and photos. Based on your description, it sounds like you are considering further surgical options to enhance the appearance of your arms.
Given your history and the details you've provided, it seems you could be a good candidate for an arm lift (brachioplasty) or arm reduction. This procedure is designed to address excess skin, which appears to be your primary concern, rather than excess fat.
Procedure Overview: For an arm lift, an incision is typically made from the armpit to the elbow. If there is also concern about the appearance of the forearms, the incision can be extended down to the wrist. This allows for the direct removal and tightening of excess skin along the upper and potentially lower arms.
Anesthesia and Duration: Arm lifts are generally performed under general anesthesia. The surgery duration can vary but typically takes about 4 to 6 hours, depending on the extent of the skin removal and the specific techniques used.
Recovery: Drains are often not necessary for this type of procedure. An arm lift is usually an outpatient procedure, meaning you can go home the same day after surgery.
Post-Lipo Considerations: As you mentioned having had liposuction in the past, it's important to note that liposuction addresses fat removal and may not be suitable for your current concerns if the primary issue is excess skin. An arm lift targets and resolves this specific issue more effectively.
Consulting with an experienced, board-certified plastic surgeon who specializes in arm lifts is crucial. They can provide a detailed examination, assess the elasticity and quality of your skin, and discuss realistic expectations based on your individual anatomy and goals.
I hope this information is helpful in guiding you towards the next steps for your arm concerns and that you find a suitable solution with a qualified professional.
Good luck with your decision and potential procedure. I hope you achieve the results you are looking for.
Sincerely,
Dr. Katzen

Harry T. Haramis, MD, FACS · Answer

An arm lift can remove excess skin and  add contour. Trade off will be scars.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.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

Yes you can achieve improvement to your arms with an arm lift procedure.  You have loose skin that can be removed to improve the laxity that is present.  The trade off of course is a scar on the inside of the arm.Congratulations on the excellent conditioning, that is awesome and inspiring.All the best to you,Dr. Nancy de Kleer

Can these arms be fixed after lipo 15 yrs ago. Weight has always been stable? (photos)

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Can these arms be fixed after lipo 15 yrs ago. Weight has always been stable? (photos)

Answers (10)

Answer: Arm lift

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