How soon can you raise your arms after an arm lift? What are the chances of lymphedema?

Question

I am considering an arm lift but worried about lymphedema. I've had breast cancer, radiation (spread to lymph glands) and a lattisimus-dorsi flap reconstruction. Also, how soon after surgery can I raise my arms high enough to brush my teeth or comb my hair?

Tom J. Pousti, MD · Answer

Given your history, I would share your concerns about the potential increased risk of lymphedema after arm lifting surgery.  Nothing will replace an in-person consultation when it comes to providing you with meaningful advice;  for example, if your upper extremity examination is currently normal, without evidence of lymphatic drainage problems, it is most likely that you will do fine with arm lift surgery. Assuming, your operation is complication free, you should be able to gently elevate your elbows to perform activities of daily living approximately  10 days– 2 weeks after the procedure is performed. Of course, your plastic surgeon will always be your best resource when it comes to specific/relevant instructions.  Best wishes.

J. Timothy Katzen, MD, FACS · Answer

Dear Charlie 1040,

Considering your medical history with breast cancer, radiation, and the latissimus dorsi flap reconstruction, it's especially crucial to approach an arm lift with due diligence.

Raising Arms Post-Surgery:

Immediately after surgery, you will be restricted in your arm movements to allow the incisions to heal without undue tension.
Within the first week or so, you'll typically be allowed gentle movements within a limited range. Basic activities like brushing your teeth or combing your hair might require some care and might be slightly challenging initially.
By the 2-3 week mark, most patients can perform these tasks more comfortably, but it's essential to avoid any strenuous activities or movements that strain the incisions.
Always follow the specific guidance given by your surgeon regarding arm mobility.
Lymphedema Concerns:

Given your history of breast cancer treatment and radiation, especially with involvement of the lymph nodes, there is an elevated risk of lymphedema following an arm lift. Radiation can cause scarring of the lymphatics, and any additional surgery in the area can potentially exacerbate this.
The actual percentage risk can vary depending on several factors, including the extent of your previous treatments, the number of lymph nodes affected, and the specific surgical techniques used in the brachioplasty.

Given your unique medical history, it's important to have an in-depth discussion with a board-certified plastic surgeon. They can assess your individual risk, discuss potential complications, and determine if an arm lift is a safe and viable option for you.
Additionally, consulting with an oncologist or a specialist familiar with your breast cancer treatment can provide more insights into the potential risks and benefits of the procedure.
While the desire for improved arm contour is understandable, your safety and well-being are paramount. By ensuring open communication with your medical team and understanding the potential risks and benefits, you can make an informed decision.

Best wishes in your journey towards improved health and confidence.

Sincerely,
Dr. Katzen

Martin Jugenburg, MD · Answer

radiation history makes your recovery more complicated and the risk of lymphedema is there, however how big of a risk it is, is impossible to say.  You shouldn't raise your hands above your shoulder for about two weeks (or as your surgeons recommends) but this can still allow you to brush your teeth

How soon can you raise your arms after an arm lift? What are the chances of lymphedema?

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How soon can you raise your arms after an arm lift? What are the chances of lymphedema?

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Everything you need to know about Arm Lift

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