Understanding the Limitations of Brachioplasty Surgery

It is important to approach brachioplasty (arm lift surgery) with realistic expectations. This procedure removes excess skin and some fat from the upper arms. While it can reshape the arms, it does not address every concern. Below, we explain what brachioplasty can and cannot achieve so that patients have a clear understanding before deciding on surgery.

Patient 3162 - Brachioplasty

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Disclaimer: Operation performed by Dr Bernard Beldholm. Adult content, surgery has risks, individual results vary, seek 2nd opinion. Please see the full disclaimer.

Brachioplasty Surgery Does Not Cause Significant Weight Loss

Although some skin and fat are removed during an arm lift, the effect on body weight is minimal. Brachioplasty is not designed to treat obesity or act as a substitute for bariatric surgery or lifestyle changes.

  • Patients are encouraged to reach and maintain a stable weight before undergoing an arm lift.
  • The role of brachioplasty is to remove redundant upper arm skin and localised fat, often present after major weight loss or pregnancy.
  • In some cases, removing excess tissue can improve comfort, reduce skin irritation, and make physical activity easier.

Skin Quality Will Not Be Changed

The procedure reshapes the upper arm by excising skin, but it does not alter the biology of the skin itself.

  • Ageing reduces collagen and elastin, which leads to skin becoming less elastic over time.
  • Brachioplasty does not reverse these processes.
  • Further skin laxity may occur in future depending on genetics, ageing, and lifestyle factors.

You Will Not Look Like Someone Else

Brachioplasty alters the arm shape but does not change a person’s overall body identity.

  • The aim is to improve the arm’s appearance in proportion to your body.
  • Results depend on your existing anatomy, skin condition, and healing response.

Recovery Requires Downtime

Time off work and normal activities will be necessary.

  • Most patients return to light activities and driving after 2–3 weeks.
  • A compression garment must be worn in the early recovery phase to reduce swelling and support the healing tissues.
  • Strenuous exercise, heavy lifting, and similar activities should be avoided for several weeks.

Brachioplasty Scars Are Permanent

All surgical incisions leave scars.

  • The length and position of scars depend on the amount of skin removed.

  • Scars usually become less noticeable with time, though they remain permanent.
  • Some patients may develop thicker scars such as hypertrophic or keloid scars, which can be managed with treatments such as laser, injections, or topical therapy if required.

Surgery Carries Risks

As with all surgical procedures, brachioplasty involves risks.

  • Potential complications include infection, wound separation, asymmetry, blood clots, changes in skin sensation, and anaesthetic reactions.
  • Careful patient assessment, choosing a qualified surgeon, and following all post-operative instructions help reduce risks.

Brachioplasty is Customisable, But Within Limits

Arm lift surgery can be adapted to individual needs, but there are boundaries to what can be achieved.

  • In selected cases, suction-assisted lipectomy may be combined with brachioplasty to address localised fat deposits.
  • It is generally not recommended to combine an upper arm lift with extensive procedures such as a lower body lift at the same time.
  • Staging surgeries separately is often safer and supports better recovery.

Long-Term Maintenance Depends on Lifestyle

Surgical results may change over time depending on weight fluctuations, ageing, and other factors.

  • Maintaining a stable weight helps preserve results.
  • A balanced diet, regular physical activity, and avoiding smoking may help support the outcome in the long term.
  • Minimising excessive sun exposure can reduce the impact of skin ageing.

Frequently Asked Questions

What is a “scarless” arm lift?

The term “scarless” is misleading. Some surgeons may use “minimal incision brachioplasty” to describe a procedure with shorter scars, or they may refer to non-surgical devices. However, in patients with significant excess skin (such as after major weight loss), a standard brachioplasty incision is usually required for effective results.

How much skin and fat can be removed?

This varies for each patient. The surgeon will assess your arms during consultation and advise on what can safely be removed.

Why must I wear compression garments?

Compression sleeves reduce swelling, support healing tissues, and help the arms adjust after surgery. They are an important part of recovery.

What type of brachioplasty is right for me?

The choice depends on the degree of skin and tissue excess. Options include minimal incision brachioplasty, standard brachioplasty, or extended brachioplasty. A GP referral to a specialist surgeon is the first step in determining suitability.

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