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Difficult problem but it can be helped, maybe not completely cured. There are several non-invasive treatment protocols that can be used alone or together. Lipomassage can help cellulite (not only in your arms, but in the thighs.). this uses an external device that rolls and suctions the skin without an incision. I recommend 6-12 treatments depending on the severity of the problem and also the quality of the skin itself. It will smooth and release the dimples and decrease edema. Thermage is a device to tighten the skin by use of radiofrequency rays. This can be done after the lipomassage series and can repeated every 4-6 months. Skin care is very important on a daily basis. The skin must be kept moist and lubricated or else it will look even more dimpled. Also, avoid too much sun exposure that will also dry out the skin. Daily use of products like Medical Barrier Cream (Epionce) will lubricate the skin and make it look healthier!
Thank you for your question about addressing the excess hanging skin on your arms following arm liposuction, and for providing your history and pictures. The solution to your concern is an arm lift, also known as arm reduction or brachioplasty. Since you're dealing with excess skin, removing this skin is the primary goal of the procedure.The most suitable type of arm lift for your situation appears to be one that involves an incision extending from the armpit to the elbow. This approach effectively addresses the excess skin in the upper arm area. The placement of the scar, between the biceps and triceps muscles, is strategic so that when your arm is at your side, the scar remains relatively hidden.The brachioplasty is typically performed under general anesthesia and the procedure can take around three hours to complete. You should anticipate a recovery period of about two weeks. During this time, it's important to follow your surgeon's post-operative care instructions to ensure the best healing and aesthetic outcome.I hope this provides a clear answer to your question about managing the excess skin following arm liposuction. Wishing you the best of luck with your procedure and recovery.Sincerely,Dr. Katzen
The areas where you have dimpling could be secondarily filled with fat or even Sculptra but loose skin will only be effectively dealt with by excision as in an arm lift or brachioplasty That should give you the best improvement of the skin laxity and dimpling.
I am sorry to see that you are unhappy with your results, I would recommend bodytite for your arms to smooth out and tighten the area, consult with a board certified PS.
As others have mentioned here, the best approach for your contour irregularities and excess arm skin is an extended arm lift where arm skin is removed. Arm scars can end up being thin or thicker. However, in thinner arms, where there is not too much fat, they tend to be thinner. Thus I think you will end up with favorable scars from the procedure. The placement of the scar depends on who is your chosen plastic surgeon and what he or she prefers. In my practice, I place the scar at the lower side of the arm. Please see our arm lift gallery for examples.
Loose skin is certainly a possibility after liposuction, so now what do you do? In my opinion, your options include: SkinTyte / BBL laser treatments to tighten the skin and collagen; Microneedling with PRP (Platelet Rich Plasma) to encourage new collagen formation; or a brachioplasty / arm lift procedure.An in-person evaluation and discussion with a board-certified plastic surgeon who is familiar with body contouring and the surgical and non-surgical modalities to improve loose skin such as yours can help you determine the right option.Thanks for your question and photos!Dr. Nemeth
The upper arms are a challenging area for liposuction, as the skin in that area has less elasticity and is more prone to being loose after the underlying fat is removed. Contour irregularities, as you're experiencing, can also occur and are more common when technologies involving heat energy are used to try to encourage the overlying skin to shrink (e.g. laser liposuction or SmartLipo). I would not consider a revision procedure for at least 6 months after your original surgery. If it has been at least 6 months since your procedure, I would consider an arm lift during which loose skin is removed. The scar for this procedure is usually placed on the inner arm between the biceps muscle and triceps muscle. I disagree with one of the other surgeons that responded in that the arm lift scar tends to be one of the more disappointing scars in terms of its appearance. While this scar can be thin, flat, and inconspicuous, it is not uncommon for it to be wide and a little raised, particularly close to the elbow. I caution my patients that they have to be willing to accept this scar for the improvement in the shape and you may not feel that the trade-off is worthwhile. There is a "mini" arm lift that limits the scar to the armpit. The improvement in shape with that version of the procedure tends to be "mini" as well, but if you're not willing to accept the more extensive scar you could discuss the mini option with your surgeon also.
If your liposuction was done more than at least 4 or 5 months to let the skin retract the only option would be a brachioplasty that would leave an scar in the inside-bottom of your arms. These scars usually heal nicely and after months are barely visible. If during your liposuction they also did subcutaneous laser to tighten the skin you could see skin tightening for up to 6 months.
Liposuction is an effective treatment for the upper arm if there is little kin laxity, particularly using Smart liposuction where the laser can help tighten skin. If there is moderate skin laxity a modified arm lift, placing the scar in the axilla or arm it, improves the contour while hiding the scar. For severe skin laxity, a traditional arm lift with the scar extending down the upper arm gives the best contour result. Consultation with an experienced cosmetic surgeon will help guide you to the best choice for your particular situation.
I agree with the previous recommendation. Excision of the areas that are wrinkled in the form of a brachioplasty is the best course of action.
Thank you for sharing your concerns and photos. It seems you're encountering delayed wound healing after your brachioplasty. Here's a brief plan of action: Use Betadine, Bacitracin, or Bactroban on the incision twice daily. Keep the areas dry; avoid direct water exposure. Do not press on the...
If you're considering an alternative to a full brachioplasty (arm lift surgery), there are a few options that may be considered depending on your specific concerns and goals. It's important to consult with a qualified plastic surgeon to discuss your individual case. Here are some alternatives to...
Thank you for your questions regarding forearm skin wrinkling which is just beginning to show. Forearm skin wrinkling is not an uncommon problem. Typically, this is due to aging skin and sun exposure. Conservative treatments include Thermage. If the skin wrinkling becomes severe, you may need a...