Thank you for your questions regarding arm lift swelling one week after an arm lift or brachioplasty. Swelling of the arm is completely normal after an arm lift or brachioplasty. Swelling of the arm can last even up to six to eight weeks after an arm lift or brachioplasty. This is not uncommon and, in fact, it’s expected. Most plastic surgeons use antibiotics for the first one or two weeks after an arm lift or brachioplasty. However, this is dependent on your plastic surgeon. You mention “tightness and tingling in your upper arm” and “cutting off wrist circulation”. These are not normal. You must contact your plastic surgeon immediately. This could be a sign of multiple problems. Again, I stress it's very important that you call your plastic surgeon as soon as possible. Also, you mentioned icing. I do not recommend icing, at all. Since you mentioned you have tingling in the arms, this means there are areas of your arm which can potentially be numb. If you apply ice to areas of your arm that are numb, this can cause frostbite. I know, because this happened to two of my patients over the years. I do not apply ice to any post-operative incisions. In conclusion, I would suggest you call your plastic surgeon as soon as possible regarding your swelling, tingling, and lack of circulation at the wrist. If you have any other further questions regarding arm lift, swelling after an arm lift or brachioplasty, please contact my office. Sincerely, Dr. Katzen