Loose and sagging upper arm skin can be a deterrent to wearing the clothing of your choice. Your upper arms may not look toned if you have lost a lot of weight which leads to hanging skin on the inner side of your arms. These batwing arms are very wide in the upper aspect and then narrow down towards your elbows giving it a disproportionate appearance. Aging, as well as major weight loss, can both cause batwing arms. An Arm lift or Brachioplasty is a cosmetic surgical procedure to give your arms a toned and firmer look by removing the excess skin and fat.
Pre-operative marking is done in the standing position. Your surgery is performed under general anaesthesia as a daycare procedure. If there is excess fat, liposuction is first performed to help contour your arms. After the liposuction has been performed, a cut is made on the inner aspect of your arm extending from your underarms to your elbow. In patients with major weight loss, the cut has to be often extended from the armpit to the sides of your chest wall to remove loose skin from there as well. After the cut is made, excess skin is removed and the remaining skin is redraped and sutured. Finally, the arm is wrapped in a firm dressing.
You will be discharged on the same day or the very next day. You will feel some soreness and swelling in your arms which will reduce with analgesics. You will be advised to be off work for around 4 to 5 days. There will be restrictions on upper body exercises and strenuous physical activities. You will be advised to wear a compression garment for 4 to 6 weeks which will help in reducing the swelling and giving a good contour to your arms.