Arm Lift (Brachioplasty)

Introduction to Arm Lift (Brachioplasty)

Reducing the fat and excessive skin of the upper arm is sometimes impossible to do with diet and exercise alone. An arm lift, or Brachioplasty, can be the most effective way to eliminate the upper arm “wag”. Flabby arms, “Bingo wings” or “Bat wings” as they are sometimes called, are a common complaint in women. Dr. Michell Cohn agrees that the main reason some people develop this is usually due to hereditary factors, weight loss, and age.

At Cosmetic Surgical Arts & Rejuvenation of Oklahoma, we find there are 2 distinctly different types of patients who complain about their arms.

Patient A

The first type of patient that inquires about an arm lift Oklahoma is usually:

Extremely lean & fit with a low body mass index with a history of chronic sun tanning. Due to multiple issues, like age or smoking, they may have developed some loose skin along the upper inner aspect of their arms. This more noticeable when the arm is hanging down and somewhat forwards.
In this situation there is no problem with fitting of clothes or sleeves as the arm is quite lean, however, the appearance of the skin on the upper inner aspect of the arm looks decidedly wrinkly and rippled.

Patient B

The second type of patient seen inquiring about arm lift Oklahoma is usually:

Having problems with bulkiness of the arm in addition to loosening of the skin. Many times skin rashes and irritation can develop, in addition to a difficulty maintaining hygiene in the area. 
In these situations patients often have difficulty fitting into certain types of sleeves, and in extreme situations may have limitation of movements of the arm. 

In both situations, a brachioplasty, or arm lift, can be very beneficial. An arm lift surgery in Oklahoma by Dr. Cohn can help restore a person’s ability and confidence to wear blouses and shirts comfortably, and therefore be able to show their arms without feeling self-conscious.

View Before & After Photos

Arm Lift Frequently Asked Questions

Answers

Am I a suitable Candidate for an Arm Lift in Oklahoma City?

This will be decided at your consultation at Cosmetic Surgical Arts & Rejuvenation of Oklahoma . During your consultation Dr. Cohn will ask you about your general medical health and note any problems that could compromise the success of the operation

Men and women who are not good candidates for arm lift surgery in Oklahoma City in Oklahoma include those who predominantly have excess fat, which are better served by first losing weight. Also, people with Hidradenitis Suppurativa – a persistent ongoing infection of the sweat glands in their armpits, should not undergo Brachioplasty until treated appropriately. Finally, women who have had Radical Mastectomy or extensive breast cancer surgery are at risk of developing chronic arm swelling after undergoing brachioplasty.

If you are a smoker you will be asked to stop smoking well in advance of surgery. Smoking seriously constricts blood vessels and therefore decreases blood flow to a given area resulting in poor healing. Aspirin and certain anti-inflammatory drugs and other medications can cause increased bleeding, so you must avoid these.

A physical examination will determine if you are a candidate for an Arm lift in Oklahoma procedure. The best candidates are men and women who are within several pounds (i.e. 10%) of their ideal weight. If you are significantly more than this then you will be asked to reduce some weight before going ahead with any surgery. Ideal candidates also possess loose enough skin and tissue laxity making the operation possible. This will be assessed at your consultation.

Do all patients who are unhappy with their arms require an arm lift in Oklahoma?

No. In situations when there is slight sagging of the skin, moderate fat excess and good, relatively taut skin tone then there are a couple of other options. Liposuction certainly is useful in these situations by removing the bulk of the excess fat in the region through tiny incisions. However if the skin is loose, then liposuction on its own will not tighten skin. In liposuction we rely on the patients good skin tone for the skin to snap back into position. With liposuction, in the presence of good skin tone, the skin usually knits back into a new slimmer contour with the arm.

Another option is a non surgical treatment using the Accent Radiofrequency device. This device is good at achieving skin tightening and “melting” small amounts of fat. It certainly has been proven to work. However at least six sessions are usually required and the degree of skin tightening is usually modest. Sometimes both Liposuction followed by the Accent device is utilized to achieve a slimmer tauter contour of the arms, whilst avoiding the long scars associated with the Arm lift Oklahoma . A consultation will determine your suitability for eithe

What are the arm lift in Oklahoma City scars like?

The single most important consideration for any arm lift patients is the resulting scars. In fact scars are the greatest drawback in this operation. This is because in a standard armlift performed in our Oklahoma City Surgical suite results in a permanent scar extending the length of the upper arm, from the armpit to the elbow which may be visible in short sleeve clothing. In fact this is the main reason why many patients decide against having this procedure. This operation basically exchanges one cosmetic problem (loose skin) for another (scars). In general, only those with very loose saggy skin are most likely to find this exchange worthwhile. Those with a small amount of looseness will probably not want the scars. Although initially all scars are somewhat red and lumpy, with time(12-18 months) the scars usually settle an improve. In most patients the scar heals well, but in a small number of people the scars can remain thick and heavy.

With a mini arm tuck of course, the scar is more limited to a semi-circular line hidden in the armpit. However it’s important to understand that the vast majority of patients are probably more suitable candidates for a standard brachioplasty than a mini arm tuck in Oklahoma . This scar is either placed on the inner side of the arm, which is hidden in a normal pose; or at the bottom of the arm just, like the seam of a shirt. Before going to the surgical suite, Dr. Cohn uses a marking pen to draw on your arms in order to determine the exact amount of skin and fat she will be removing and to show you exactly where the incision will be. This is usually done with the patient standing. The incision length and pattern depend on the amount and location of excess skin to be removed. Generally however incisions are usually placed on the inside of the arm and may extend from the underarm (axilla) to just above the elbow. If fat is to be reduced during your arm lift, it will be excised or treated with liposuction accordingly.

During the operations, excess skin and fat is removed carefully whilst taking care to cauterize and stop any blood vessels bleeding. Some fat is left over the nerves and arteries for their protection. Following on, layers of sutures are used to stitch the wound closed.

Finally some tapes, and a light dressing are applied over the suture lines. A bandage is wrapped around the arms in order to apply some compression. All sutures used are of the dissolving kind and will not need to be removed.
Dr. Cohn does not use drains routinely. She has deemed these not necessary and has stopped using them for a number of years, without any adverse effects. Patients appreciate the fact that they no longer require any drains to be pulled from under the wounds after the surgery.

The following day after surgery, you will be instructed to remove your bandages and slip into your surgical support garment which will be both more comfort and aid in the proper healing. This should be worn for the first 3-4 weeks following surgery.

What are the risks?

It is true that when a Brachioplasty is performed by a qualified surgeon the risks are small, nonetheless, specific complications with this procedure can and do occur. As in any procedure the risk of significant infection is always possible. This is minimized by careful surgical technique and the preventative administration of antibiotics both at the time of surgery and after. However despite these measures mild infection is relatively common and can occur around the incision site, but usually subsides over a period of about 2 weeks.

Excess bleeding may also occur, which in rare circumstances may require readmission to remove any excess blood accumulation.

During the first 2 -3 weeks after surgery, some patients may experience a minor loss of wound adhesion at any point of the wound site. This is a temporary complication, which will require regular dressing changes initially. Eventually a scab develops over this, which subsequently separates after 3-4 weeks. However some distortion of the skin around the scar may ensue particularly if this has occurred over the hip region. Further revision surgery may be required if necessary.

After all operations there is usually some bruising and swelling. This lasts about two weeks but can continue for a month or more. Remember that the human body is asymmetrical and that even after surgery both sides of the body will look different. All surgery requires an incision and therefore will leave a scar. At the time of surgery the small nerves that supply feeling to the skin are damaged. This may cause changes in sensation including numbness. Although uncommon, bleeding and infection are risks and can be serious.

Arm Lift (Brachioplasty) Before & After Photos