What Are the Options for Treatment of Bat Wings if You've Had a Mastectomy?

Thank you for your question regarding your options regarding the treatment for bat wings or excessive arm skin if you had a mastectomy. A mastectomy should not hinder your ability to have an arm lift, arm reduction, or brachioplasty. You can still have a mastectomy if they did lymph node removal or axillary node removal. It would be best if you discussed these at length with your chosen experienced plastic surgeon. However, you can still have a brachioplasty after a mastectomy whether you choose a crescent, a modified T, full brachioplasty, or brachioplasty down from the armpit to the wrist. These procedures can safely be performed even if you had a mastectomy. Thank you for your question regarding your options regarding the treatment for bat wings or excessive arm skin if you had a mastectomy.
I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. 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 100 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. (“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.)

                  When
post-mastectomy patients have excess upper arm skin it’s not unusual for them
to request arm lift surgery. Redundant upper arm tissue can be especially
noticeable following mastectomy and for this reason, patients are often eager
to address this issue.

                  In
the vast majority of post mastectomy patients, brachioplasty is an excellent
surgical option. This procedure results in significant contour improvement and
is associated with high satisfaction rates.

                  Unfortunately,
if patients have had extensive axillary lymph node dissections, brachioplasty
should be approached with caution. Under these circumstances, lymph node
dissection can disrupt the lymphatic drainage of the arm and create scarring in
this area. This can increase the potential for swelling, drainage, infection,
wound breakdown and seroma formation. For this reason brachioplasty should be
approached with caution following lymph node dissection.

                  If
you’ve had a mastectomy and are considering arm lift surgery, consultation with
a board certified plastic surgeon is appropriate. This surgeon should be able
to make an appropriate recommendation based on your previous surgical
procedure. 

Thank you for the question.

Arm lifting is an excellent procedure to improve the contour of the arms;  the downside is a relatively high rate of unsatisfactory scarring and the need for revisionary surgery.

If your mastectomy involved lymph node dissection  you would be at greater risk for significant swelling/complications after arm lifting surgery.  Arm lifting  may be contraindicated in your case. 

You may want to check with your oncologic surgeon to ask about previous lymph node surgery.