(Arm Lift) Brachioplasty
This procedure involves the removal of excess skin and fat from the inner arm and armpit areas. The scar is well hidden on the inner aspect of the arm from above the elbow to the armpit and varies in length depending on the amount of excess skin that is present.
An Arm Lift Procedure includes the following steps:
Step 1- Anesthesia
Medications are administered for your comfort during arm lift surgery. The choices include intravenous sedation and general anesthesia. You doctor will recommend the best choice for you.
Step 2- The incision
Incision length and pattern during arm lift surgery depend on the amount and location of the excess skin to be removed, as well as the best judgement of your plastic surgeon.
Incisions are generally placed on the inside of the arm or on the back of the arm, depending on the surgeon’s preference, and may extend from the underarm (axilla) to just above the elbow. Excess fat may be directly excised or treated with liposuction. Depending on your specific condition, incisions may be more limited. Then, underlying supportive tissue is tightened and reshaped with internal sutures. Finally, the skin is smoothed over the new contour of your arm.
Step 3- Closing the incisions
Your incisions will be closed either with absorbable sutures, or stitches that will be removed within one to two weeks following your arm lift.
Step 4- See the results
The smoother, tighter contours that result from brachioplasty are apparent almost immediately following your procedure, although there will likely be swelling and bruising.
General. You will sleep through the entire procedure.
LOCATION OF OPERATION
Hospital, outpatient surgery center or office-based surgical suite.
LENGTH OF PROCEDURE
2 ½ to 3 hours.
LENGTH OF STAY
Most brachioplasty surgery is performed on and outpatient basis. In some cases, an overnight stay is recommended because of age, medical issues, or pain control.
Moderate to severe. Any discomfort should be relieved by pain medication prescribed by the physician.
You will start them after surgery and take them for 10 days. It is very important you take all of this medicine.
Most post-operative swelling and bruising will resolve within 2-4 weeks. Some swelling may persist for as long as 3 months.
A little numbness is expected. Some residual numbness may persist, but most patients get used to it and do not find it bothersome.
The initial garment is to be worn day and night for 2 weeks. After the first 2 weeks, another garment is transitioned into and worn only during the daytime for an additional 4 weeks. Showering may be resumed the day after the surgery, but tub bathing, whirlpools and swimming pools are prohibited for 4 weeks.
All sutures are dissolvable and are covered with paper steri-strips.
1-2 weeks off is recommended, or when you have stopped taking the prescription pain medication. Driving may also be resumed once the course of pain medicine is completed.
Strenuous activities are avoided for six weeks to allow for complete healing.
If your scars are exposed while you are outside, you should protect it with sunscreen SPF 15 or higher for at least one year to prevent permanent discoloration.
The final result is seen after your scar has matured, approximately 1 year.
ABSOLUTELY NO SMOKING!!!!!!!!!!! No smoking is advised for 4 weeks prior to and at least 4 weeks after surgery to ensure proper healing and for best scar results.