41, lipodema in upper limbs - Would lipo + renuvion be enough, or do I need an arm lift? (Photos)

Question

I'm a 41yo with diagnosed lipoedema in my upper limbs. My BMI is currently 30, but I am aiming to lost another 10kg before any procedures. I need to have liposuction to remove the lipoedema fat, and I'm wondering if lipo plus Renuvion skin tightening would give a good enough result, or if I definitely will need an arm lift with the lipo. There is obviously a big cost, recovery and scar difference between the two options. I don't want to go for the more severe option if its not neccessary, but I also don't want to go with the less invasive option and be disappointed with the results. I mostly want to be able to wear tshirts with the arm not being tight and wear sleevless tops without being embarrassed.

Semih Yildiz, MD, FEPOBRAS · Answer

For lipedema of the upper arms, I generally decide between liposuction plus skin tightening and an arm lift by looking at skin elasticity, the amount of loose hanging skin, tissue thickness, and how much contour change is needed after weight loss. Renuvion can help mild to moderate laxity, but it cannot remove a true excess skin fold the way an arm lift can.
Because your BMI and weight are still changing, I would usually wait until your weight is stable before making the final plan. If the main issue is lipedema volume with reasonable skin recoil, liposuction with conservative tightening may be enough; if there is significant laxity or a hanging fold, an arm lift gives a more predictable contour but trades that for a scar. An in-person exam is what separates those choices reliably.

Laura Roider, MD · Answer

@littereatinglife Thank you for the question and including photos! This really helps me evaluate your body and provide specific recommendations. 
Based on your photos I would recommend liposuction and a traditional long scar (from elbow to armpit) arm lift to address your concerns. This will address the fat tissue/lipedema and allow your surgeon to remove the excess skin, which will be more significant following liposuction. I honestly believe you will be disappointed, if you proceed with lipo and a skin tightening (Renuvion or others).

41, lipodema in upper limbs - Would lipo + renuvion be enough, or do I need an arm lift? (Photos)

Answers (2)

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