Is it possible to have a arm lift after node biopsy and mastectomy?

Thank you for your question and for sharing your experience with us. An arm lift procedure is fairly invasive and will disrupt some of the lymphatics of the arms. I would recommend that you visit with a board-certified plastic surgeon who can examine you and discuss the potential risks and benefits with you in more detail. The biggest risk that you may encounter is lymphedema after the procedure.  However, you have only had two nodes removed. The radiation therapy, also will increase your risk of lymphedema, particularly if it was also directed towards your axilla.

Hello DeLany E. Thanks for your question. I believe you are still a candidate for arm lift surgery, but I would have to see you to confirm this conclusion. Because you have most of your lymph notes intact in the axilla, theoretically, you should be at lower risks of lymphedema when compared to someone after full axillary dissection. However, you will be at higher risks when compared to someone with no dissection and/or radiation treatments. A conservative arm lift on that side (not too tight) and prolonged compression might help to get a better result for you. I would also avoid an anterior incision over the blood vessels (and lymph) and prefer to go with a posterior incision in the back of the arms (see samples on my website). Best wishes, Dr. ALDO.

Hello DeLanyI do not recommend you undergo this type of procedure due to your medical history. You are considered a high risk patient due to the potential healing problems and the high probability of developing lymphedema.I hope this information is useful. Please feel free to contact me in case you have any additional questions.Dr. Abreu 

Unfortunately, there isn't an easy answer to your question.  Since you have had two lymph nodes removed and have had radiation to the chest wall, you are definitely at high risk following an arm lift (brachioplasty).  The potential issues may be wound healing problems and the development  of lymphedema.  However, since you do not have lymphedema now and only had 2 lymph nodes removed, you may be a candidate for a more conservative arm lift.  I would suggest that you consult with a board certified plastic surgeon to discuss your options and good luck!