Hello, and thank you for your request regarding incisional puckering two weeks after an arm lift, also known as brachioplasty, and whether this will heal smoothly and flat. Thank you for your history and your pictures. In examining your pictures, your arms are still swollen, and the incision is still healing. There are some areas of puckering and irregularities. Fortunately, the good news is that all this should smooth out with time. Your plastic surgeon should’ve notified you that your arms will not heal in just 13 days. It takes approximately 6 to 8 weeks after an arm lift for the arm to feel “normal” again. During this time, it is essential to wear a compression garment to minimize swelling, protect the incision, and help flatten the scar. Indeed, most plastic surgeons would agree that you have exceptional arm lift results. It will be essential to continue using silicone cream and silicone strips for at least six months to minimize the appearance of scarring. Also, it will be important to keep the incisions away from the fierce Tampa Sun. Good luck. I hope I’ve helped to answer your question regarding puckering around the incision two weeks after your arm lift, and whether this puckering will smooth and flatten over time. Good luck. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 150 arm lifts. Make sure they have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (Plastic Surgeon, President of the American Society of Bariatric 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, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)