Techniques You Use to Liposuction Arm Fat?

What techniques or methods do you personally use to minimize irregularities and contour problems that can occur with arm fat liposuction? I am 125lbs at 5'3" and have excess fat around my arms/deltoids/armpits that I would like removed. Thank you.

Doctor Answers 11

Liposuction of the upper arms

I use what is called CAST liposuction technique that involves injecting the upper arm circumferentially with tumescence fluid but only removing the fat from the posterior lateral side of the arm where the skin is usually nice and thick.  I then use the liposuction cannula - without suction -  to tunnel the rest of the circumference of the arm, where the fat layer and the skin is thinner.  I use small cannulas and my PAL (power assisted liposuction).  I have patients wear a compression bolero for three weeks.   I've had very nice results with this technique, even in some patients with pretty beefy arms. 

The upper arms are a tricky area and it's important to use a lot of caution because they are pretty unforgiving.   This procedure is so much more surgeon dependent than equipment dependent!

Seattle Plastic Surgeon
5.0 out of 5 stars 67 reviews

Optimizing Arm Liposuction

If you’re a candidate for arm liposuction, one must have good skin tone, no skin laxity and use fine cannulas with multiple long strokes. It needs to be done by someone with experience and expertise in body contouring procedures.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 50 reviews

Liposuction of the Arms

The technique for liposuction of the arms is patient specific as not everyone needs the same treatment. For most Arm Liposuction I use a small cannula, generally 3 mm, use a "Superwet Tumescent" technique focusing on the posterior and lateral aspects making sure to feather the edges of liposuction as needed. If there is cellulite, dimpling, noted on the sides or front of the arms then undermining without suction is often used

Lipsuction of Arms and Technique?

Thank you for the question.

In my opinion the most important determinant of successful results after liposuctioning of the arms is:

1. Careful patient selection;  the amount  of redundancy and nature of  skin elasticity of the upper arm skin is critical. The majority of patients I see who are interested in liuposuctioning of the upper arms are not good candidates and would benefit from arm lifting surgery instead.

2. Use of small cannulas with a cross feathering technique avoiding over resection and liposuctioning too close to the skin is important.

 I hope this helps.

Arm liposuction technique

I have been very happy with the results of circumferential infiltration of tumescent fluid and aggressive liposuction of the posterior and lateral arm tissue. I also "pickle fork" the anterior and medial aspect of the arm without suction. I use the PAL system with a 3 mm cannula that does not have suction holes on the top surface. This allows me to direct the suctioning away from the skin surface which reduces the risk of removing too much of the immediate subdermal fat. I have not had any issues with contour irregularities with this technique. 

Wm. Todd Stoeckel, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 76 reviews

Arm Liposuction

Once appropriate technique of liposuction is chosen for the patient, the most important variable is patient selection. Any of the techniques that my colleagues are mentioning can be beneficial and in the right hands can produce the appropriate results. At the end of the day, the most and the single most pertinent criteria that would lead to a good result in liposuction of arms is the patient her/his self. The integrity and elasticity of the skin is the main issue here.


Sepehr Egrari, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 48 reviews

Arm liposuction

Suction assisted liposuction using the superwet technique in my opinion can lead to the best results with minimal contour irregularities.  The use of ultrasound or laser assisted techniques can result in scarring between the dermis and the underlying fascia of the arm resulting in more contour irregularities.  Excision of excess skin can also help the overall result if excess skin is also present. 

Arm liposuction

The key to a smooth result in any liposuction procedure is to leave untouched about 1 cm. of fat just under the skin.  If this is done, and some type of skin-tightening methodology used, a very nice result can be achieved.  My favorite modality is external ultrasound for tightening.

Michael Leff, MD (retired)
Bellevue Plastic Surgeon
5.0 out of 5 stars 10 reviews

Liposuction of Arms

Arms can respond very well to judicious liposuctioning.  It is important to taper the area of fat removal so that there is not a line of demarcation between where the suctioning was done and where it ended.  It is important not to over remove fat, as this can leave an unnatural contour.   I agree with Dr. Baxter that the machine that is used for the liposuction is way less important than the right surgeon using the machine.  There is no scientific data that shows an improved outcome for either laser liposuction or "Smart Lipo."  Those "technologies"
 have hyped up marketing claims with unproven benefits. 

Mary Lee Peters, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 109 reviews

Techniques for Arm Fat Liposuction

The arms are a mored demanding area in terms of getting consistently good results due the more complex anatomy and frequently diminished skin elasticity. I have found that Smart Lipo or laser liposuction techniques produce the overall best results. The Smart Lipo probe is very small (less that 1 mm) which alllows for very precise removal of fat. In addition there is improved skin tightening with laser liposuction, and this provides for better results when skin elasticity is diminished. So I smart lipo provides better more consistent overall results.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.