Arm tissue relaxes with age, gravity and weight loss. The
drooping of skin is from a stretching of the anchoring system of the arm and loss of supporting fat. Patients are very unhappy with this "loose hammock" appearance.
Before the arm lift you will have a so called "pre-op" visit. During this visit you will be able to discuss your expectations with the surgeon and the surgeon will inform you about the procedure and explain its risks and limitations.
Before the arm lift we will make pictures of the concerning area. The pictures are for the patient's medical report and are subject to the medical confidentiality.
You will also need to have your EGC and blood picture done.
There are different degrees of drooping deformity. arm lift surgery can remove the excess tissue and reduce the circumference of the upper arm. Surgical correction depends on the amount of extra skin an how loose the supporting tissues have become. Extra skin is removed from incisions along the inner arm. The incision must be placed where the tissue can be best tightened.
The most common incision extends from the elbow to the armpit. This permits the excision to maximally address the redundant skin in the middle. Modification of the incision may be necessary to limit scar contracture in the axilla.
Surgical sculpture involves not just the superficial skin, but also the deeper attachments that have loosened.
In cases of limited extra skin, the incision can be hidden in the axilla. This can resuspend tissues in some cases but is not a very good answer for extensive redundant skin.
The actual incision may curve or zigzag to minimize scar contraction. Liposuction can be useful to contour the fat layer. A skinny rubber drain may be used after surgery to remove fluids. ^
Because of the level of the incisions, visible scars can be a major concern. It becomes a choice between the loose wobbling extra skin and the scar from the excision. Clothing style can help camouflage some of the scar, but not the loose skin before surgery. Other possible compilations include persistent swelling of the arm, infection, bruising, and bleeding. Nerve injury can result in numbness and change in feeling.
Recovery takes one to two weeks, depending on what was done. Return to work depend on the activity needed on the job but is often about 2 weeks. The dressing may be extensive with elastic support or something smaller. You will need to protect the incisions after arm lift surgery. Limiting lifting is important. Elevation with pillows increases comfort. It can take 6 months or more after the arm lift until you can see how the scars will evolve.
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