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I seldom, if ever, see any information about arm surgery. I know the most common...

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.

A:

In some cases, when the skin excess exists primarily in the upper half of the upper arm, the skin excision can be performed in the underarm area only, avoiding the scar along the inner aspect of the upper arm. Underarm incision brachioplasty can often be combined with liposuction to produce a very favorable upper arm contour. This can be a good option for some younger patients and for those with more deeply pigmented skin. In some patients with an 'in between' amount of skin laxity, the underarm incision may be combined with an incision that extends only halfway down the arm, thereby avoiding the 'armpit to elbow' scar

A:

Cosmetic Arm Surgery – Cosmetic arm surgery can be very rewarding if done in the proper patient selection. Liposuction alone can be done in patients with very youthful, tight skin with a mild amount of lipodystrophy of the arms. You can perform a limited hidden inner armlift if you have only lipodystrophy of the inner arm area. You can perform a posterior, extended armlift to get the remainder of significant arm lipodystrophy such as in the massive weight loss patient. All of these need to be discussed at length with a Board Certified Plastic Surgeon who has experience in body contouring and corrective surgery in aesthetic armlifts.

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