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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 whohave concerns about their upper arms.Whenthis situation arises, it’s important to carefully analyze the problem.In some cases, loose skin may be presentwhile in other cases increased fat accumulation is present.Historically, both liposuction and surgicalskin resections have been utilized to treat these problems. Recently,a new, non-surgical technique called CoolSculpting has been developed thatactually freezes the fat cells.Thistechnique represents a significant advance in the management of localized fatcollections.The success of theprocedure depends upon a variety of factors.Upperarm CoolSculpting has been associated with excellent clinical results and highlevels of patient satisfaction.Unfortunately, there are several potential problems when performing thisprocedure. Excessupper arm fat can be difficult to treat because it’s often associated withloose skin.Loose skin can be made worsewhen subcutaneous fat is removed from the upper arms.Under these circumstances, CoolSculpting notonly removes excess fat but can accentuate loose saggy upper arm skin aswell.Inaddition, it can be difficult to apply the applicator to the upper arms in somecases.This can adversely impact theresult and lead to treatment failure.Becauseof these issues, patient selection is extremely important. When patients haveloose skin, results are less than optimal, and other types of treatment shouldbe considered.It’s important to discussthese issues with your plastic surgeon.Your surgeon should be able to help you choose the procedure that’s bestfor you.
