Upper Arm Reduction
Q:
I had upper arm reduction three times with liposuction. The skin on my arms is very saggy to the point that my arms actually look deformed. What can I do to correct this?
A:
From the brief history provided, it appears that skin contraction did not respond favorably following liposuction. The best and probably the only way to correct the non contractile skin would be a brachioplasty or arm lift, more likely, a full lift that would involve an incision on the inner aspect of the arm with removal of excess skin and fat and restore the arms to a more acceptable appearance.
Q:
I seldom, if ever, see any information about arm surgery. I know the most common surgery that reduces the overall size of the upper arm leaves some undesirable scarring. However, what can be done to tighten just the inside skin of the upper arm?
A:
In cosmetic surgery, there are often multiple approaches to specific problems. The key issue here is whether the size of the upper arm is due to excess skin, fat or muscle. If the fullness is due to excess fat (the most common problem) my preferred approach is via a 3 millimeter incision in the armpit and a 2 millimeter incision at the elbow. I would utilize UAL (ultrasound assisted lipoplasty) to remove the excess fat in the region.
Q:
I have what my gynecologist calls excess breast tissue in my armpits. I am 42 and very self-conscious, especially when I wear a swimsuit or sleeveless top. I have never read anything about this and wanted to know if there was a procedure to remove it.
A:
People with this condition may be treated, but the specific technique, as well as the degree of improvement, depends on a number of specific factors. How much of this excess is fat, mammary gland, muscle and/or skin must first be determined. You are correct that there is not a lot of patient education information about this condition or its treatment, but a board-certified plastic surgeon can help. I recommend that you seek evaluation by an ASAPS member in your area.
Q:
I want to do something with the hanging skin on my inner arms and upper legs. Could you tell me a little about these types of surgeries?
A:
Following significant weight loss or occasionally because of the aging process the skin will become loose. Without good skin elasticity, the skin stretches and will not return to its former shape. This is frequently seen in the upper arm and thigh areas. There are surgical procedures available that can remove the excess skin and leave the thighs or upper arms with a more pleasing and youthful contour. Depending on the amount of loose skin on the upper arm the incision is located near the axilla (armpit) only or will extend on the inner side of the upper arm down to the elbow. This procedure is called a brachioplasty. To remove excess skin from the thighs, an incision is made in the groin area, the skin is loosened towards the knee and the excess skin is pulled upwards. The excess skin is removed and the wound is closed. The scar is usually hidden in the groin crease. This procedure is called a thigh lift. Both operations can be performed as an outpatient.
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