Hi, SSoto2026 in Valencia. Thank you for your question regarding lymphatic massage therapy seven weeks after brachioplasty. Thank you for your history. Swelling after a brachioplasty or arm lift (arm reduction) is normal. Swelling is your body's normal reaction to surgery. However, too much arm swelling can impede and slow normal healing after a brachioplasty. Therefore, efforts should be made to decrease arm swelling. After a brachioplasty, you should keep your elbows straight and your hands above your heart. You should open and close your hands about 15 times every hour while awake. You should not bend your elbows for about two weeks. Also, you should have ACE wraps or a compression garment from your wrists to your armpits. Most plastic surgeons specializing in arm lifts have their patients wear the arm garment for about eight weeks. If you have arm swelling after eight weeks, you must continue wearing arm compression garments. You need to wear the arm garments until the swelling is gone. The arm garments also help to flatten the scar. If you are developing a keloid (which is rare), you should start silicone cream and silicone strips now. In regards to arm massage after a brachioplasty, most plastic surgeons would recommend gentle arm massage. The type of massage is called lymphatic massage. Post-operative lymphatic massage is a gentle massage that massages lymphatic fluid back into circulation. Lymphatic fluid is the fluid that causes the normal swelling. Lymphatic massage is not like normal massages and should be done by a certified lymphatic massage therapist. Seven weeks from a brachioplasty is not too early to start lymphatic massage. Videos regarding post-operative brachioplasty lymphatic massage can be found on YouTube. I hope that I have answered your question regarding lymphatic massage therapy seven weeks after brachioplasty. 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, MD. (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.)