1 year post op - Asymmetry and still noticeable "Bat Wings" following double brachioplasty

Hello, I am sorry you're dissatisfied with your previous surgery. Of note, I would consider scar therapies as you appear to have hypertrophied (thick) scars. Some patients may see a benefit with 6 weeks of silicone tape and others with cortisone injections. If you do have an additional procedure I would be mindful of starting scar therapies a few weeks after surgery in hopes of preventing thick scarring again.

You appear to have a small amount of excess fat and excess skin. Two options as I see it. One option is liposuction alone where you decrease the volume on the bottom part of the arm that is currently hanging and you may get some skin contraction and possibly avoid a much larger procedure. Most plastic surgeons are able to perform this type of liposuction in the office. If you want a more reliable results then you need repeat surgery to treat the skin excess. I almost always perform liposuction at the same time as the brachioplasty to maximize results. This includes liposuction on the outside part of the arm to make it appear more toned and athletic. Good luck!

Your best result would come from redoing your arm lift, with liposuction of the inner and posterior portions of your upper arm to shrink the volume of your arm so that when your skin is sutured again, it is being wrapped around a smaller volume. It is not possible to reduce the size of the arm by wrapping the skin tighter. It simply results in a worse scar. A pattern for your new arm lift incision should be able to remove your present incision line and leave you with a fresh new one in approximately the same position. I do not believe that any of the non-invasive options that you mentioned would deliver the results that you were looking for. Discuss this at length with your plastic surgeon.