32 Thank you for your question regarding whether it's possible to get arm liposuction before an arm lift. Yes, it's possible to get arm liposuction before an arm lift. Typically, I perform arm liposuction at the same time as an arm lift, arm reduction, or brachioplasty. The reason I perform arm liposuction at the same time as the arm lift is that during arm liposuction, arm fat can be directly removed. Arm fat can also be removed from areas that cannot be resected with a scalpel. All liposuction also aids in surgery dissection. When doing arm liposuction at the same time as the arm skin and fat resection i.e. brachioplasty, there is minimal swelling during the procedure. Swelling after liposuction takes several hours to begin. During that window of time, I am able to dissect the field and reapproximate the skin. There is not so much swelling in the arm that the skin cannot be closed and it will not jeopardize the results. I have hundreds of cases to prove this. Personally, I do not think you need arm liposuction performed before your arm lift. I believe your arm liposuction can be performed at the same time as your secondary arm lift or revision. If, however, you are fixed on having arm liposuction before your brachioplasty, I would suggest you have VASER arm liposuction. This is the best form of liposuction for scar tissue as well as to aid in sculpting the arms. In addition, I would suggest you probably wait 4-6 months after arm liposuction and before having your arm lift revision. It will take several months for the healing of the arm liposuction to completely heal. During that time, it may be unwise to operate because of swelling from the liposuction as well as scar formation. Therefore, again, I would suggest that the arm liposuction be performed at the same time as your arm lift/revision. I hope this helps to answer your question regarding whether arm liposuction can be performed before your arm lift. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)