Arm Lift

The discomfort caused by loose or wrinkled arms can affect self-confidence. Camouflaging unsightly arms considerably limits the clothing possibilities. When there is significant sagging of the tissues, excess skin and excess fat on the inner side of the arms, aesthetic surgery can have a solution.

Factors explaining sagging skin on the arms
The skin on the inside of the arms is very stressed by the repeated movements of the arms, by gravity but also by other factors contributing to the occurrence of cutaneous ptosis.

1.Age
Aging naturally induces fatty infiltration and a loss of firmness.

2.Significant weight loss, especially following obesity or pregnancy
The arms generally do not regain their original shape, because the skin can take several months to contract on the new thinned volumes. Note, it can also be a bad skin retraction following liposuction of the arms, where a lifting (lifting) of the skin is necessary.

3.Heredity
This also plays an important role in the relaxation of the arms.

Arm lift, often associated with liposuction

In case of excess fat, a first liposuction is performed in addition to the facelift. Common and reliable practice, liposuction removes excess fat reluctant to diet and sports activities.
Sometimes, especially in young subjects where the elastic skin has a good potential for retraction, a simple liposuction may be sufficient to find beautifully curved arms and remove a heavy and voluminous appearance: the skin can be redraped up to a certain point. degree naturally and it is then not necessary to carry out an arm lift, ie to create scars.
If the arm is distended and wrinkled, without excess fat, a liposuction procedure is not necessary and only the arm lift is performed.

Three arm lift techniques
Each technique is adapted to each case. Different techniques have been described. The location of the scar as well as its length will depend on the extent of the skin distension to be corrected.

1.Arm lift with horizontal incision in the armpit
These are rare cases where the excess skin is minor. The excess skin is then removed through a small incision scar hidden in a natural fold in the armpit.

2.The “classic” arm lift with a longitudinal incision on the inside of the arm
This is the most commonly performed arm lift. The excess skin is removed in the longitudinal and transverse axis of the inner side of the arms.

3.The combined arm lift
This facelift is reserved for patients with very damaged arms and combines the two incision scars seen previously (the scar then has the shape of an “L” or a “T”).

Arm lift scars
Like any surgery, brachioplasty leaves a scar. This scar will depend on the technique used . The intervention must therefore bring about a significant improvement to be justified. The final appearance of the scar is appreciable one year after the operation. Careful care and avoidance of UV exposure of the scar will be required during the year of the operation.

Before the intervention
One or two consultations with the cosmetic surgeon are necessary. A clinical examination is performed. A complete preoperative assessment is carried out according to the prescriptions. A visit with the anesthesiologist must be observed abour 1 day before the operation.

An estimate must be submitted and signed as well as informed consent. It will be asked to avoid taking tobacco at least 2 weeks before the operation, as well as avoiding taking aspirin or anti-inflammatory drugs, herbal supplements at least 14 days before the brachioplasty. 

Anesthesia is always general for a brachioplasty procedure. The duration of the operation differs from 1 hour 30 minutes to 2 hours. Hospitalization is carried out on an outpatient basis, that is to say entry and exit on the day of the operation. However, in some cases the required hospital stay may be 24 hours  if the plastic surgeon deems it necessary.

Complications and risks
Like any surgical intervention, aesthetic or not, brachioplasty is an intervention that may present risks. Even rare, these must be exposed as a whole by the surgeon and the anesthetist during preoperative consultations: thromboembolic accident (phlebitis, pulmonary embolism), hematoma which may justify an urgent revision in the operating room, infection which may require drainage. surgery and treatment with antibiotics, delayed healing due to scarring or skin necrosis, transient sensitivity disorders, etc. 

Results
After the intervention, desocialization not exceeding one week is possible. The patient should wear a compression garment for 3 weeks so that the treated areas emerge as quickly as possible. Mild to moderate pain is alleviated by taking simple analgesics. Bruises (bruises) are present and will fade after ten days. Resumption of physical activities is possible after a month and a half. The result begins to be defined at the end of 15 days but it will be necessary to wait 3 months for it to be finalized, the time for the tissues to soften and for the edema resulting from the operation to subside.

Arm lift procedures.

arm liftleg contour, arm lift
Leg contour: liposuction and lipofilling