Dear jessica1477, Congratulations on taking the step towards improving your body contour with an arm lift. It's natural to have concerns during the post-operative period, and I'm here to help shed light on your experience. Generalized Swelling: After surgery, especially a significant one like an arm lift, it's not uncommon for the body to retain fluid, leading to generalized swelling. This can indeed make you feel "heavier" or "puffier" even in areas that weren't operated on. The body's response to surgery is complex and can involve a systemic inflammatory response which can lead to fluid retention. Scale Fluctuations: It's essential to note that the scale can be influenced by several factors post-surgery, including fluid retention, medications, changes in diet or activity levels, etc. A temporary increase on the scale doesn't necessarily indicate true weight gain in terms of fat. Mental Well-being: It's entirely understandable to feel concerned or even a bit down post-surgery, especially when you're navigating the recovery process. Remember, the body goes through a lot during surgery, and it needs time to heal and adjust. Give yourself grace during this period, and try not to be too hard on yourself. Consultation with Your Surgeon: Always share your concerns with your plastic surgeon. They can offer insights tailored to your specific situation, reassurances, and monitor your recovery to ensure everything is progressing as it should. Focus on Recovery: Your primary goal right now is to heal. Ensure you're following your surgeon's post-operative instructions, staying hydrated, consuming a balanced diet, and getting adequate rest. Lastly, while it's natural to want swift results, the true outcomes of your surgery will become more evident in the coming weeks and months as the swelling subsides, and the body settles. Be patient with the process and yourself. Best wishes for a smooth and satisfactory recovery. Sincerely, Dr. Katzen