How Do I Reduce my Underarm Fat with out Doing Surgery???

If you are otherwise in shape, have firm and elastic skin, but cannot lose the fat underneath your arms, then you might be a good candidate for tumescent liposuction. Tumescent liposuction involves a small incision, through which a special solution is injected to help break up the fat, numb the area, and control bleeding. The procedure can be done in the office with only local anesthesia. You will see your final results after one to four months. They will be permanent. You might also consider noninvasive fat-removal treatments, such as CoolSculpting or Vanquish. Please consult a board-certified dermatologist to find out which fat-removal technique is best for you.

In 2019, my procedure of choice is SculpSure. In two or more sessions, fat is treated by laser and computer-programmed heating cycles through a chilled glass plate during a 24 minute treatment period. There is is no downtime, and multiple areas can be treated one after the other without having to spend hours in the office.Fat cells are permanently destroyed. Improvement is seen over a 6-12 week period as the fat cells are absorbed. Serial treatments are usually done at 6-week intervals, usually two or more, depending on the thickness of the area of fat.

One may consider cool sculpting. This is a none invasive procedure that we have had great success with. The result is very good but I feel that Liposuction is more thorough and is usually a one time treatment. Cool sculpting may require more than one treatment.

It's a great question. When the armpit skin is thick and elastic then armpit fat does really well with liposuction. Tiny holes are made and very small instruments are used to remove the stubborn fat. Once everything heals, no one will know that a little lipo was needed. 

We frequently see patients who
have concerns about their upper arms.When
this situation arises, it’s important to carefully analyze the problem.In some cases, loose skin may be present
while in other cases increased fat accumulation is present.Historically, both liposuction and surgical
skin resections have been utilized to treat these problems. Recently,
a new, non-surgical technique called CoolSculpting has been developed that
actually freezes the fat cells.This
technique represents a significant advance in the management of localized fat
collections.The success of the
procedure depends upon a variety of factors.Upper
arm CoolSculpting has been associated with excellent clinical results and high
levels of patient satisfaction.Unfortunately, there are several potential problems when performing this
procedure. Excess
upper arm fat can be difficult to treat because it’s often associated with
loose skin.Loose skin can be made worse
when subcutaneous fat is removed from the upper arms.Under these circumstances, CoolSculpting not
only removes excess fat but can accentuate loose saggy upper arm skin as
well.In
addition, it can be difficult to apply the applicator to the upper arms in some
cases.This can adversely impact the
result and lead to treatment failure.Because
of these issues, patient selection is extremely important. When patients have
loose skin, results are less than optimal, and other types of treatment should
be considered.It’s important to discuss
these issues with your plastic surgeon.Your surgeon should be able to help you choose the procedure that’s best
for you.

In terms of fat removal, all of the non-surgical means ( Zerona, cool lipo, endermologie, etc.) are very hit or miss and are mostly temporary changes. They generally require multiple treatments which are expensive, and some patients see no results.  Besides diet and exercise, working to tone the arms as much as possible, there are no real options besides some type of liposuction to the areas.  I hope this helps.

Liposuction is a great way to reduce fat under the arms. For people who don’t want surgery CoolSculpt is now an option to help reduce fat in selective areas. The CoolSculpting fat-freezing procedure is the only FDA-cleared, non-surgical fat-reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise. After CoolSculpting, treated fat cells that die are naturally eliminated from the body. This process is not as rapid as invasive procedures, such as liposuction. Typically, the most dramatic results are seen in 1-3 months after treatment. I suggest making an appointment with a board certified plastic surgeon for consultation to discuss your options.

While liposuction has many benefits, coolsculpting may be the preferred method for that. Consult with a board certified physician who can provide both surgical as we'll coolsculpting options so you have the ability to choose the best option for you.

Thank you for the question.

It is in your  best interest to be seen in person by well experienced board-certified plastic surgeon. Accurate diagnosis is critical in the decision-making process. For example, the “underarm fat” that you are referring to may be axillary breast tissue. Surgical treatment of the excess breast tissue may be different than that of excess adipose tissue.  Attempted liposuction of the excess tissue (if it is breast tissue)  may be unsuccessful. 

Nonsurgical techniques tend to be gimmicks. Again, please consult with a well experienced board-certified plastic surgeon for the best advice.

I hope this helps.

 

Excess fat in the upper arm is tough to treat.  Surgical excision works well, but leaves a noticeable scar.  Liposuction works OK, but does not tighten the skin and is still invasive.

Coolsculpting by Zeltig for the upper arms has worked well in my practice and is a nice non surgical option.  The technology and the machine is new.  There are 3 applicator heads available, non designed for the upper arms, yet the company claims it is working on a new head for the arms.  If one of the current heads fits onto your upper arm, then you can undergo a treatment.  It takes one hour for each arm and is not painful, you can watch TV or read a book while having the treatment.  There is no anesthesia, IV's or down time, you can return immediately to your normal routine.To find a doctor in your area go to the Zeltig web site.