I have saggy skin after arm Liposuction. Any suggestions?

Question

It's 3 weeks after my arms liposuction and I don't like what I m seeing. My arms look like they are granny's arms. Right arm looks bigger then left with less saggy skin. Left looks as thin as I wanted but that saggy skin is making me crazy. I know its only 3 weeks, but I thought I was gonna get thin and smooth arms. They are very lumpy and they still hurt and very sore. My doctor told me yesterday to start massaging with any cream 3 times a day and stop wearing the compration garment.

Luis Tactuk Simó, MD · Answer

Hello, sometimes liposuction in the arms area will make the skin to feel more loosely, specially if it was a big amount of fat suctioned. You still have some time due before you could see a final result but there are different techniques to take some skin out of your arms with minimal scars. Best wishes.

Jason Emer, MD · Answer

It is very common to have bruising and swelling/irregularities for weeks to months after liposuction procedures.  What is most important is that you follow your surgeons post operative instructions and continue compression.  If you are concerned, lymphatic massage and Velashape or Venus Legacy treatments can be used to improve the swelling and help the skin tighten.  My patients start treatments right away and it improves the long term results.  Speak to your physician if you are concerned.  Best, Dr. Emer.

Mariusz Sapijaszko, MD, FRCPC · Answer

Liposuction of the arms is great for removing fat and shrinking the skin. The results depend on many factors that have to do with the techniques used during the liposuction as well as the skin characteristics.We generally recommend the addition of radiofrequency (RF) technologies such as Fractora Firm to improve healing and skin tightness.I hope that helps and best regards, Dr. Sapijaszko.

Jeffrey M. Darrow, MD · Answer

Whether the skin retracts and tightens after arm liposuction depends on several factors.  A general idea of how elastic the skin is should be determined prior to surgery.  Part of the pre operative discussion should be that if the skin does not retract enough a skin tightening procedure may need to be needed.  As you continue through your healing process, be sure to follow up closely with your surgeon and express your concerns.

Gregory Turowski, MD, PhD, FACS · Answer

Just three weeks out is too soon for noticeable results.  In addition to the massaging, try to incorporate some arm tightening exercises.  You will notice results over the next few months.  If you are still dissatisfied with the sagging,  you may consider an arm lift procedure to get rid of the excess skin.  This can be done with an axillary approach.  I have done this in my office with a very nice outcome.  Best wishes

Michael Zarrabi, MD · Answer

Thanks for the question. Its only been three weeks so its hard to judge.  The symptoms you are having are not unusual and things will often get better over time.  Stay in close contact with your doctor and feel comfortable expressing your concerns. If in six months you have excess or loose skin, then you should discuss options with your surgeon.

Brian Coan, MD, FACS · Answer

Thanks for your question about your liposuction results.  We like to tell our patients that it's always best to speak directly with the person who performed your procedure as physicians appreciate open communication.  If you are still unhappy with the result then seek a second opinion from a board certified plastic surgeon and one who's a member of the ASPS.  Best of luck to you.  --Dr. Coan.

Steven Wallach, MD · Answer

The quandary of arm liposuction is that the skin is often very delicate and there is a delicate balance between removal of fat and the skin. At this point you have to let things heal and see how things heal over the next 4-6 months. Good luck.

Henry Mentz, MD, FACS · Answer

Thanks for your question. You are still in the healing period, so you just need to be patient. Continue following your surgeon's instructions. I hope this helps!

Joseph Franklin, MD · Answer

Unfortunately, arm skin is notorious for being unpredictable. Liposuction, alone, will just remove fat.   In patients with good skin tone, the arm skin my retract or shrink.  Additional modalities like laser- and ultrasonic assisted-liposuction may assist with moderate skin tightening.  At 3 weeks, I agree with your surgeon.   Massage is very important, and it will be several months before you can expect to see the final results.

I have saggy skin after arm Liposuction. Any suggestions?

Answers (15)

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