Mini arm lift WITH or WITHOUT lipo? (Photos)

Based on these photos it would be my recommendation to consider arm lift (skin removal only), possibly associated with skin tightening procedure, like J Plasma (Renuvion). In person or teleconference consultation with a board certified plastic surgeon with experience with this procedure is recommended. Good luck.

Hello,

It sounds like you have a combination of loose, crepey skin and possibly some fat in the upper arms. With mini arm lifts, the key is that removing excess skin is usually what creates the visible improvement, especially in the area near the armpit.

Adding liposuction can sometimes make the skin appear looser if your skin doesn’t have enough elasticity to shrink back, which is why some surgeons advise against it. If your skin wrinkles and folds when pinched, it suggests that skin excision alone may give a better, more predictable result than combining it with lipo.

A mini arm lift is designed for minimal scarring, but keep in mind it mainly addresses the upper inner arm near the armpit—not the full length of the arm. Your best approach is an in-person consultation where we can assess your skin quality and determine whether lipo would help or hurt the overall outcome.

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Your photographs are somewhat limited. It does not appear that you have excess fat. Sometimes liposuction is done at the time of an arm lift to break up the adhesions and make the surgery technically easier. Fat necessarily does not have to be sucked out, just the liposuction technique is used to separate the skin from the underlying tissue to make for a safer dissection. However, you may benefit from a mini arm lift with just a transverse incision that extends within the axilla only.

Best Wishes,

Gary Horndeski, M.D.

Unfortunately, arm skin can be stubborn, especially that inner, upper area.

There will always be some skin crinkling, more obvious with movement.

In my experience, Vaser ultrasound liposuction can address stubborn fat and tighten skin (improve to a degree) and I will routinely include that area.. This will avoid skin removal scars. Your arms appear to have good contour and not require much treatment otherwise.

In my opinion, the mini arm lift has limited application and I usually do not perform it.

Based on your series of nicely post to photos, I still recommend a virtual consultation. I agree that a mini arm lift with Jay plasma or Endo laser would be a better options expect fees to range from $6000-$8000. Again, best of virtual consult with.