Arm Lift (Brachioplasty)
Brachioplasty, commonly known as an arm lift, attempts to produce a more natural and youthful look by removing the fat and excess skin hanging down from the upper arms after substantial weight loss, weight gain or simply from the effects of aging, as skin on the upper arms can become inelastic, loose and flabby. Patients who have significant amounts of fat may want to consider combining the procedure with liposuction. The procedure helps to relieve patients’ self consciousness in wearing short sleeves or otherwise showing their arms.
During the arm lift procedure, the incision is made beneath the arm and can extend from the elbow to the armpit, varying upon how much skin must be removed. The skin is then cut away from the rest of the arm and pulled taut around the extremity. Dr. Cohen may also perform a more limited incision arm lift in patients with smaller amount of skin excess.
This procedure is very likely to leave a scar that could be noticeable. Most doctors can adjust where they make their incision so that the cut runs either underneath the arm or on the inside surface. These are less visible in normal poses and can improve over time as the scar fades. However, most patients need to be firmly aware that they are essentially trading “skin for scars” with this procedure.
The patient may return to light work within a week or less. However, exercise must remain off limits for several weeks. The results will be immediately obvious, but will show apparent improvement over the next two weeks as swelling subsides.
A thigh lift is performed to tighten the skin around the inner thigh to form a more aesthetically pleasing frame.
The thigh lift procedure is performed under general anesthesia and requires an incision in the groin area and sometimes extending downward around the back of the thigh, depending on the results desired by the patient. An inner (medial) thigh lift may require an incision only in the groin area, and is ideal for patients with a moderate amount of skin and fat in the inner thigh area.
After surgery, the patient is dressed in a compression garment to limit swelling. Discomfort is generally minimal in smaller lifts, but when large amounts of skin are removed, an overnight stay in the hospital may be required. In either case, pain medication and anti-inflammatory methods will be utilized.
Light labor is normally possible after two weeks, while most physical activity is permissible at four to six weeks.