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POSTED UNDER Arm Lift REVIEWS

Arm Lift Recovery Extended Brachioplasty with Lipo - Pasadena, CA

ORIGINAL POST

I had an extended brachioplasty, this is my...

LovetoDance
WORTH IT$6,000
I had an extended brachioplasty, this is my experience of the first two weeks.... Hope it will be helpful to anyone out there getting ready for or considering their own armlift. I needed a little more time off and help with daily activities than I thought I would, even though everything went well....hope this helps you plan your surgery recuperation!

The surgery itself went fine, I left the hospital with tape and gauze over the incisions. My doctor did not use ace badges or compression for the first two days. I could already tell, even though swollen and bruised, that I will be happy with the new slim shape and contour. Whoo hoo!

Now for the fun part: As expected, very very sore. Doctor said I would be able to brush my own teeth and should have enough range of motion for basic self care. Mmmmm No.. No way. Not for two days. The first 2 days I was not able to move my arms or hands upward more than a few inches. I am in good shape, good health, no whiner, but my arms were tight, swollen, sore as hell to move. I looked like a Tyrannosaurus with limp-wrist arms dangling in front of me. Or the robot from Lost in Space. I could not reach enough to brush my own teeth, pull up my panties or sweatpants, put on glasses.....

Most limiting and irksome was dressing myself--- I needed help for 10 days to put sleeves on! Even with shirts that button up the front. I just couldn't twist my shoulder or lift and turn arms enough to reach and pull up the second sleeve. Doh! Was humbling, but I would recommend practicing first, or having someone around to dress you if you must return to work, don't assume you'll be fine alone and risk hurting yourself.
Again, I have an incision extending into armpit and down side chest wall, so if your incision stops at armpit, you may be a little more comfortable, but I really needed full help for 48 - 72 hours. Hubby was angel, so everything was fine, but please schedule to have someone there to help you dress, shower, etc,

Get a bathrobe or pajama tops with large sleeve openings for first week to 10 days. A narrow sleeve was a no-go for me.

Also, I needed someone to wrap a towel around me and dry my hair after a shower. I couldn't reach back of head to towel, comb, etc. until Day 9 or 10.

Pain- I took one Vicodin every 4 hours the first 48 hours. Set my alarm to ring every 4 hours during night so i could make sure to reposition arms a bit, take pain med....this helped with swelling and stiffness to make sure i adjusted my sleeping position a bit and not get stuck in one position all night.

My bruises were gone by day 7, but armpit, reaching, still hurts. I take half a Vicodin or just Tylenol randomly now, 12 days out. Sore from overuse, showering, reaching.

Also not a big deal but unexpected is a pain in my FOREARM, along the inner side, running from elbow to wrist..it feels much like a pulled tendon. It worried me but I read that its common to have it and it subsides within 3-6 months. Hard to straighten arm because of it, so gently stretching whenever I can.

HELPFUL THINGS to know and get before surgery:

STRAWS - holding a full glass or cup was heavy, straws help so you don't have to reach for and lift drinks.

PILLOWS - sleep with one under each arm and two behind head. Helps to elevate arms as often as possible to reduce swelling. Keep pillows in lap while sitting during day, rest arms on them.

COMPRESSION- Child size girls tights/stockings for sleeves. Work perfect! i cut off the toes, cut them in half and used each leg for a sleeve. so comfy, and small enough to give gentle, but snug support. Really helps. Put a non-stick gauze pad over incisions then pull the stocking sleeves up over it. Feels great.

I did buy two different high-end compression vests with sleeves, expensive nice garments, but I couldn't contort into them yet, plus the sleeves were too short--- may use them later, but the hosiery/tights idea works so great now. And only $3.00.

DRIVING- I would suggest 2 weeks for driving. On day 12 now, I feel like I will be able to drive in a few days, but I could not turn the wheel quickly or feel safe driving up until now. Had hubby drive me to doctor follow up visit on Day 7 and just riding in car, bumps in road, made me pretty sore and achy rest of the day. Trying to be patient :)

RASH- I had a skin reaction and rash to the surgical prep/iodine solution they used. Also to the tape glue. Ask your doctor to have them wash the prep solution off your skin at the end of surgery. Or thoroughly wash your chest and abdomen yourself when you get home. A lot of people seem to get rashes which could have been prevented if they just washed the solution off, my doctor said later. He recommended Benadryl and Caladryl lotion, which did help the itching and rash. I am still a bit itchy 12 days later, sucks, hope you fare better:)

ANXIETY - it's normal to feel lonely or sad in the second week after surgery. I feel like a useless blob but I know the surgery was worth it and am really happy I did it. Picturing myself dancing in spaghetti strap dresses next summer:)

PROTEIN- I double up protein, it's supposed to really help healing. i use whey drink powder, easy to digest and easy to make. Good to start this 2 weeks before surgery.

Will post more later, on the healing, progress, etc., but hope this helps you plan your surgery schedule, care, and be more comfortable in recovery:)

LovetoDance's provider

Martin O`Toole, MD, FACS - Account Suspended

Martin O`Toole, MD, FACS - Account Suspended

Board Certified Plastic Surgeon

Replies (11)

December 10, 2013
Love to dance, lots of great advise. Glad to hear your healing well and getting better range of motion. I had arm lift 7 months ago. I used men's tube socks on my arms. Cut the toes off and hem the edge. Worked very well
November 20, 2015
CAn u recommend the type of stocking to get for homemade compression. Thanks. Day one of mine.
November 20, 2015
Hi Silvergirll! Congratulations! Per the compression -- I bought tights for little girls on Amazon -- you can get cotton blend or nylon ones, as long as they are stretchy and will bounce back. I bought these:
http://www.amazon.com/gp/product/B0079MI5JU?psc=1&redirect=true&ref_=oh_aui_detailpage_o03_s00

But I think i wound up with some girls' cotton knee socks that worked really well too.

On the tights, just cut the legs off at the hip and the foot part, and you have a good tube for arms. Walmart, Target, maybe you can measure your arms and have a family member pick some up for you in the right kids' size.

I know these couple of days are rough, but just go easy on yourself and try to rest for 10 days -- you don't want to pull on the scars, they look worse if they spread, so tempting as it is, just don't move around too much.

It will get so much easier in a week or two, promise -- I just realized this week is the 2 year anniversary of my surgery and I'm so happy I did it. I wore sleeveless dresses all summer and with a little makeup on a few spots, no one has ever noticed. It's really transforming....
Best wishes! Keep us posted!
March 17, 2016
So true everything you said. 9 weeks out love the way my surgery turned out and the way my arms look but the pain i'm still in with nerves still generating and things getting back to normal is a waiting game. Did not know this was going to be this way I should have done more research,no I would have still done the surgery but praying things go back to normal with no pain!!:-)
August 20, 2016
I am 8 days post op today from having extended brachioplasty so happy to read your experience! Thank you for sharing
August 10, 2017
For the first 3 weeks after mine, I went to Super Cuts for just a hair wash. It was the best ever. $10 including tip.
UPDATED FROM LovetoDance
20 days post

3 Weeks Update

LovetoDance
Feeling good, so much more mobile the last week... By Day 14, I could feel all the swelling was down--- my shoulders and arms have a lot more range of motion, easier to shower, reach to dry hair. Felt so good on Day 16, I cleaned up a bit, did some laundry, drove to doctor, met a friend. On Day 10 I had been a teary miserable blob, but body healed so much after the two week mark.

Rash gone, a few faint marks from it, but no more itching....incisions are nicely closed in some areas, still slightly open, tiny bit oozing in others. Some stinging, but not painful really. Worse in the evening, but ok during day.

I realized I forgot to write here that I also had arm LIPO at the same time as the arm lift! I am sure a lot my lack of mobility early on was because of it, additional swelling and muscle pain. In hindsight, I might suggest to do the lipo first, wait for it to heal, and then do the arm lift if you have a limited amount of time off. I have read where some surgeons recommend that. With less swelling and trauma, i might have been able to drive or get back to work a few days earlier. Honestly, didn't matter that much for me, because I work from home, so I was able to schedule a full 2 weeks off.

I also had some blistering from the medical tape they used to secure my bandages right after surgery. Got the tape off by wetting tape strips and slowly, gently puling them off. Whew. Much better.

Also, I had been using Neosporin on incisions, under instructions to keep them moist and covered, but doctor told me to use Polysporin instead. My incisions were red and irritated with Neosporin, but immediately got better when I switched to polysporin. Doc said is pretty common people have reaction to neomycin.

I swear, the actual surgery wasn't the hard part---- the only complications I had we're from the tape, glue, wet prep, neosporin, chemicals! I hope doctors come up with some better solutions and tools for themselves considering these chemcial reactions in patients are pretty common.

Getting mobility back has made everyday life much more pleasant. i am kind of digging the time off, but was bummed to miss two christmas parties. i didn't tell more than a handful of people i was having the surgery. i am going to have to tell the relatives i visit at christmas that i have a pulled neck or shoulder, or something. i won't be able to lift luggage or heavy dishes or play with kids or anything for another 3 weeks.

Am still doing protein shakes and veggie juicing and being really diligent with vitamins. I bought a Nutribullet machine, it's sooooooo easy and awesome, much healthier and better then my old juicer and all the work cleaning. I actually USE the Nutribullet everyday, I couldn't be bothered with the old juicer.

I am getting my sutures out later today, thank god, they are super tender in the armpit, so I will update after that! Hope you all are well:)

Replies (6)

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December 16, 2013
Appreciate your story. I had armlipo and now my arms are a hot mess. Terrified of the pain because i found the arm lipo brutal. Thanks for sharing.
December 16, 2013
You had lipo recently? And are considering arm lift next? Honestly, the lipo bruising and muscle soreness is worse than the incision pain. You are probably through the worst of it. Happy to answer any questions.
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December 16, 2013
Had the lipo 4 yrs ago and it was beyond BAD. Took months for those nerves to settle down. I'm totally freaked out because I need this surgery but those old memories won't fade. I also need to find a PS who does this somewhat regularly. Most have never done it, and I live in NY!
December 16, 2013
Yes, i can feel the nerves coming back to life and it isn't super fun:) I was actually considering a Dr. Sterry in NY, from reading his website, i never met with him, so i can't say definitively. The PS doctors who specialize in post weight loss tend to do more arm surgeries. I am only 3 weeks out, but I think this recovery is worse in short term than long, at least that is my hope. Use arms for everything in life!
June 8, 2018
I had arm lipo and my arms too were horrible afterward. Rest assured the brachio was way less painful then the lipo for me. Brachioplasty is the way to go!!
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December 29, 2018
I am on day 10 today... And I also had an emotional wreck. Glad it isn't just me.
UPDATED FROM LovetoDance
9 months post

Arm Lift 8 Months Update

LovetoDance
I am now 8 months post. All is well physically, any pains and soreness is gone. Having a nice summer.

I will doing a small revision in November. My scars spread and widened in the upper arm and armpit --- my doctor, Martin O'Toole suggested the revision himself, and was wonderful about it. At the 4 month mark, he himself thought the scars could look much smaller and asked me if I wanted to a revision without my even asking or prompting him. I do want the revision. I have 40 years left with these arms, might as well make it great now since I can.

I know and knew that there is a high rate of revision work on arms because of the thin skin in the upper arm. Additionally, my armpit incision never closed completely, also common, took longer to heal and seal -- it might have been a stitch spitting out, or I slept wrong a few night. I was very careful not to stretch, EVER, and couldn't really. I have very thin fair skin though.

I did NOT have any other stitches spit out or split, which was great. Just had a small hole in the armpit, like a scrape. It wasn't as gross as it sounds -- The skin grew in beneath the incision just fine, and the body closed from underneath it rather than the doctor pulling it closed again. He said he preferred not to tug it closed and re-stitch at the time in case there was a risk of any existing stitches inside getting aggravated or infected if they wanted to come out.

Dr. O'Toole offered the revision at 4 months, but I chose to wait so I could just enjoy the summer and be sure to see final results before the revision. He said that was also better for the procedure.

By 4 months I was completely back to normal in terms of mobility. All forearm pain and tightness I was worried about went away --apparently lymphatic ducts in the forearm and inner elbow get disturbed and that's what hurts and feels like tight tendons. Absolutely fine now. So if you have it, it WILL go away.

QUESTION: Recovery from the scar revision? If anyone has any comments on their revision, if it was done under local anesthesia, results, how long it took to recover compared to the original surgery, that would be so helpful. Thanks!



I am a thin person with genetic tendency to hold fat in upper arm. It just looked out of proportion. I hope to do minor lipo again on the top of the arm in a month, let that swelling go down, and then do the scar revision before Christmas. I will see the doctor shortly to sort all this out and will then update.





My scars are white in some areas and pink in others. I put some Dermablend on them if I want to go sleeveless. It covers, but the scar is not quite flat yet near my elbow, so it is still noticeable even with makeup on, the linear raised bump. But no one notices and I just don't wave my arms around.

I feel confident the revision will narrow and flatten the scar, also tighten the top two inches of my arm which is still a bit larger than I wanted.

Revision will be done under local anesthesia. I will post photos shortly.

Replies (16)

August 7, 2014
Can't wait for pics. I haven't dive my review but just recently did arms as well. How are your scars now?
November 5, 2014
Hi thanks for your post I'm two weeks post op today and just looking for anyone's posts mentioning the forearm pain, mine hurts more than the incisions, my skin even hurts to touch there, one side much more than the other..weird But It was good too read that it does happen and that it gets better, so Thankyou again for sharing
December 4, 2014
Sarbear, Yeeeeah, that forearm pain is scary. You're at 6 weeks now, how are you feeling? I mentioned in my post that the nurse at my doctor's office told me the lymphatic ducts get disrupted during surgery and take awhile to heal. But it feels like a tight tendon or ligament is torn though, right? Agree, definitely hurt more than the incisions and was so unexpected. I think mine was gone totally at 8 - 10 weeks. I just realized one day it didn't hurt anymore.
December 4, 2014
Hi again The forearm seems to be gone, but the swelling, especially in the hands still happening daily, poor fingers look like sausages sometimes. The bottom half of my scars towards the elbow started to raise and get tight and a bit red, I started with some silicone sheeting and I hope that flattens them back out, but even so, I do still love my and back and boobs ;) and can't wait till end of jan for my TT
December 4, 2014
Yay on the forearm! And Yay boobs :) Hope the fingers heal up soon... I'm doing silicone too. Sounds like you will be a fantastic new woman in February, good wishes for the TT!
November 21, 2014
I had the same procedure but had also a z plasty in my axilla to get rid of that armpit fat and side boob area which was horrible. I never had large arms or to much loose skin but did the brachioplasty to help more with the side boob issue. I'm now 5 weeks out and love the look of my arms. However, I'm not new to plastic surgery and had 4 other procedures but this by far was the most painful! I had more complications than most people I know. I had mind numbing pain for 3 weeks straight. Crying weekly at the ps office. I was having allergic reaction to the sutures he used and a topical med I was put on. Finally , feeling more like myself and less pain I was hoping on the right track. One day in the evening my pain in my r arm hurt so bad. So much edema, red , warm and spread to the top of the forearm, not usual for four 5 weeks post op. Thought it was a blood clot and ruled out only to find I had a go abscess. The area was healing and had to be cut open the drained. Now I have another hole in my arm:( .... Just letting people know this is not a simple surgery like it might seem. Hopefully when I'm on the mend my mind will change.
December 4, 2014
Kristal - I had my surgery on 11/14 and once my drains were removed a week later I developed an abscess in my right arm. Red, swollen, painful, temp the whole nine yards. My PS had to open up a small area for it to drain and I have to pack it daily with gauze. its been painful and frankly gross to have to pack up the arm. Meanwhile my left arm is a rock star because it's pretty well healed. Hope things are going well for you.
December 4, 2014
I have a little 'bubble' on my right arm. Right at the end of the incision, behind the elbow. I am trying to get over it so I don't want more surgery but it makes my arm appear fat! It's funny, the more we do, the more we want done!!!
December 4, 2014
Hi BacktoBest, A little bubble might be swelling, I had that too. My elbow held onto an area at the back just above the elbow, about an inch around -- fluid swelling. The swelling will tend to go where gravity holds it, or maybe where you rest arm on the desk at the computer? My elbow puff was there for 6 - 7 months and went down well after the rest of the arm swelling resolved. It did finally go down. If it is a "dog ear" of puffy skin at the end of the incision not sewn flat or healing properly, that could be corrected. Most doctors will fix those in the office, with a local anesthetic. After a big expensive surgery, and long recovery, I think it's a reasonable request for you to want that incision done well and look it's best.
September 9, 2015
If the color of the scars bothers you or doesn't even out you can consider going to a permanent makeup artist for her to blend it for you. I have permanent makeup on my eyebrows and while talking to her about my upcoming brachioplasty she showed me before and after pics of tattooing she did over a woman's brachiplasty scars and it looked amazing!
September 9, 2015
Thank you slskubi! Yes, the scars are flatter now -- will definitely check out the tattoo permanent makeup. :)
November 25, 2017
It was great reading your details about recovery. I am having my brachioplasty done Jan 15th and will probably have a longer incision due to some back fat removal as well. My surgeon is keeping me overnight in the hospital. Last year I had back surgery which was a rough recovery; a week in the hospital then a week of rehab.
Would love to see your before and after pics!!
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November 25, 2017
I had back surgery and a full brachioplasty. The back surgery was far worse than the arms.
November 25, 2017
I figured that if I could get through back surgery, the arms wouldn't be too bad. Plus I'm a retired Occupational Therapist and know techniques for ADL's(bathing, dressing, etc) and have equipment from my back surgery.WEre you satisfied with your brachio results????
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November 25, 2017
Not only did it take me 10 years after failed lumpy, wavy arm lipo but I redid my right arm 3x to get it perfect. I was terrified for the first surgery. Im going through laser to smooth the skin and then the final laser to remove the red from the incisions. No sweat, except for the first few days. The drain wasn't fun. Be very careful after the first 10 days. You don't want to split the incision in anyway, and that drain area is very tender.
November 25, 2017
I'm really excited about the surgery! Have been wanting to do it for a few years. I plan on being really careful with everything. I have 3 cats and am planning on having my cat sitter come every day for a while to take care of the litter, etc. One of my best friends lives nearby and she will be helping to take care of ME.