Should I get arm surgery while I get a breast reduction at the same time or should I do a different procedure? (photo)

It's great that you're planning ahead as you work toward your goals. Let’s address both your concerns:

1. Arm Contouring (Lift vs. Lipo vs. Non-Invasive):
Arm Lift (Brachioplasty): If there is significant skin laxity (flabbiness) and rolls of skin, especially after weight loss, an arm lift might be the best option. This procedure removes excess skin and fat to tighten the arm and give a smoother contour.
Liposuction: If the main concern is fat rather than loose skin, liposuction alone might be effective. However, if the skin isn’t elastic enough, liposuction could leave you with sagging skin.
Non-Invasive Options: Treatments like CoolSculpting or radiofrequency-based skin tightening (e.g., BodyTite) can reduce fat and tighten skin to some degree, but they are most effective for mild cases. Given your concerns about skin folds and ingrown hairs, it sounds like a more surgical approach may give you better results.
2. Combining Procedures:
Breast Reduction and Arm Lift/Liposuction Together: It is possible to combine procedures like a breast reduction and an arm lift or liposuction during the same surgery. Many surgeons perform multiple procedures at once to minimize downtime and recovery. However, this depends on your overall health, how long the combined surgeries would take, and the surgeon’s assessment of your case.
Recovery Considerations: Combining procedures can be convenient, but keep in mind that recovery may be more challenging if both your arms and chest are healing at the same time. Make sure to discuss the recovery process and support you’ll need with your surgeon.

Hello, thank you for your question regarding what to do with your arms. First, lose as much as you can.  Once you are at a stable weight for 3 months then, I would suggest a breast reduction and an arm reduction or arm lift.  The medical word for the arm reduction is "brachioplasty". If you are healthy, I often combine the breast reduction surgery and arm reduction surgeries. Sometimes, both these procedures are covered by your medical insurance.  Whether you have the arm lift, arm reduction, or brachioplasty done with or without your breast reduction, the brachioplasty is performed under general anesthesia (not local) with my board certified anesthesiologist.  Your brachioplasty would take me about 2 to 3 hours to complete.  I would perform arm liposuction and upper arm skin and fat excision on your arms. Your incision and resulting arm scar would extend from your armpit to your the middle of your arm or to your elbow. (It is difficult to tell exactly how long your scar would be from the pictures you posted.)  Non-invasive arm treatments will not work on your arms.  Also, since you have excess upper arm skin and fat, upper arm liposuction alone will not fix your problems.  If you just had upper arm liposuction, you would be left with a lot of loose upper arm skin.   Even if it is combined with your breast reduction, the brachioplasty is an out-patient procedure,  You would need to wear arm compression garments for about 6 to 8 weeks to minimize swelling and compress the arm scar.  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, or brachioplasty please contact my office.  Since an arm reduction is a very technically procedure, please seek an experienced, board certified plastic surgeon with significant experience performing arm reductions and 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, 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.)

Breast reduction and arm lift surgery can be performed safely at the same time by a board certified plastic surgeon. For the best results, schedule them once you have reached your goal weight and maintained it for several months.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

It is up to you but here are a couple things to think about. Do you want to have to be under anesthesia twice? You most likely will save money if done together because you won't have to pay for anesthesia/facility fees twice. You will have to take off work twice. Do you want to deal with the down-time and recovery process twice? I hope this helps!

Hi lenabopz,
I would first recommend that you continue to lose weight until you are at the lowest you can maintain. This will give you the best results possible. Additionally, since I presume you are otherwise young and healthy, I assume you should be able to get both procedures done at the same time (I combine them often for my patients). It's is best to get evaluated by your surgeon so you can make this decision together. Blessings on your journey!

Hello! Thank you for your question. Based on your post and your photos, I think you may be an excellent candidate for arm lift surgery. However, if you plan on losing additional weight, it is best to do so prior to undergoing any surgery. After all, it would be a shame for you to undergo surgery only to lose more weight and require additional surgery. Also, while it is possible to have both an arm lift and breast reduction at the same time, it is a lot of surgery. It will depend on how comfortable your plastic surgeon is with this plan and if you are healthy enough to tolerate such a procedure. 
If you decide to pursue surgery, it’s very important that you find a surgeon you are comfortable with. I recommend that you seek consultation with a plastic surgeon who can evaluate you in person and tailor an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Thanks for writing,Based on your photos, arm surgery would be a good choice and this can easily be done at the same time as your reduction, and certainly save you money. The most important thing you said is, "I am 24 years old and in the process of losing weight", based on that comment I would tell you, keep losing weight, become weight stable and then seek a Board Certified Plastic Surgeon who can help you. The result will be must better. Good luck.Stephen M.Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.
Definitely the most appropriate is to start ( liposuction ), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. 
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you

My best wishes for you...

It is definitely possible to combine breast reduction surgery with arm surgery. Your best bet is to schedule an evaluation with a board certified plastic surgeon to learn about the risks and benefits. Best of luck!