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PROCEDURE GUIDE
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An arm lift, medically known as a brachioplasty, is a surgical procedure that removes excess skin and fat from the upper arm area, from the armpit down to the elbow. The result is a firmer, more toned arm contour.
If you have tried diet and exercise and still can not get rid of loose, hanging skin on your upper arms, you are not alone. Upper arm skin is thin and loses elasticity with age, weight loss, or simply over time. No amount of tricep exercises will tighten skin that has stretched beyond its ability to snap back. That is where an arm lift comes in.
The SixSurgery team has helped hundreds of patients regain confidence in their arms, whether it is for getting back in a sleeveless dress, feeling comfortable at the gym, or just going about everyday life without self-consciousness.
One of the most common reasons patients come in for a brachioplasty is after losing a significant amount of weight. Whether through bariatric surgery, GLP-1 medications like Ozempic, or lifestyle change, rapid or substantial weight loss often leaves behind excess skin that no longer fits the smaller body underneath. An arm lift removes that extra skin and gives the arm a contour that reflects all the hard work done to get there.
As we age, the body produces less collagen and elastin. Skin that once bounced back starts to sag. The upper arms are especially vulnerable to this because the skin there is already thin. Sun exposure, genetics, and smoking all speed up this process. If you are bothered by the appearance of your upper arms and no topical treatments or exercises are making a difference, surgery is the only option that can address the structural cause of sagging skin.
The right candidate for an arm lift has sagging skin on the upper arms that is not responsive to exercise or weight loss. Here is how to know which type of arm procedure might be right for you:
The incision runs along the inside or underside of the arm, from the armpit to the elbow. Through this incision, the surgeon removes excess skin and fat, tightens the underlying supportive tissue with internal sutures, and reshapes the arm contour. The remaining skin is trimmed and closed with dissolvable sutures.
For patients with larger amounts of excess skin that continues beyond the armpit toward the chest wall, the incision is extended into the chest area. This is most commonly performed on patients who have lost large amounts of weight.
In many cases, liposuction is performed alongside the skin removal to address any excess fat in the arm. This improves the final contour and ensures the tightest possible result.For patients with larger amounts of excess skin that continues beyond the armpit toward the chest wall, the incision is extended into the chest area. This is most commonly performed on patients who have lost large amounts of weight.
Complications following brachioplasty are infrequent, but possible risks include:
We will review all risks in full at your consultation and discuss the steps we take to minimize each one.
Brachioplasty does result in a visible scar. Upper arm skin is thin and scars here tend to be more noticeable than on other parts of the body. That said, the SixSurgery team carefully positions all incisions along the inside or underside of the arm so they are hidden when your arms are at your sides.
Scars will look their worst in the first few months and will continue to fade over 1 to 2 years. Proper scar management (silicone sheeting, sun protection, massage) will help the scar mature and fade.
It is important to have realistic expectations about scarring with arm lift surgery. The trade-off is removing the loose skin and bat wings in exchange for a scar that fades over time. Most patients feel the trade is more than worth it.
The most common reason for arm lift surgery is post-weight-loss skin removal. If you have lost a significant amount of weight, the arms are often just one of several areas affected. A brachioplasty can be safely combined with:
Combining procedures reduces the total number of surgeries and anesthesia exposures. Our team will help you determine the safest and most effective combination based on your goals and health.
Swelling and bruising are normal in the first 1 to 2 weeks
Pain and discomfort are managed with prescribed medication
Drainage tubes may be placed for the first few days to prevent fluid buildup
Compression bandages are worn to support healing
Most patients return to work within 4 to 7 days
Full return to physical activity in 4 to 6 weeks
Final arm contour is visible within 3 months as swelling fully resolves
The SixSurgery team will see you the day after your surgery and at scheduled follow-up appointments to monitor your healing personally.
Costs may vary depending on anesthesia, customization, and whether additional procedures are combined
Mini Arm Lift
$9,800 +
Full Arm Lift
$12,300 +
Arm Lift with Chest Extension
$14,300 +
Yes. A full arm lift requires an incision from the armpit to the elbow, leaving a scar on the inside of your upper arm. The scar will be discreetly positioned so it is not visible when your arms are at your sides. Scars take 12 to 24 months to fully mature and fade.