*Actual Patient



Underarm loose skin can be a source of embarrassment and can greatly affect your self-esteem. When you are prevented from wearing sleeveless clothing you can be reminded of it everyday. A Brachioplasty removes excess fat and skin from the underside of the upper arms. This surgery reshapes the underside of the arm for a firmer appearance from the underarm to the elbow. When this excess skin is removed you will look and feel slimmer.



Who is a Good Candidate for Brachioplasty?

Brachioplasty surgery is for those who carry extra underarm fat or skin. It is most important for patients who have experienced extreme weight loss. Weight loss patients are often left with excessive amounts of loose underarm skin that has lost its elasticity. These patients can see life changing results from this procedure.

Aging can also lead to the development of saggy skin under the arms. Skin simply loses firmness over time. The best candidates for a Brachioplasty are patients who are not overweight and are in good overall health.

Before Scheduling the Operation

You will have an initial consultation with Dr. Wells to determine the extent of Brachioplasty you need. He will determine if supplemental liposuction is recommended. Consultations typically last about an hour and address all questions you may have about the procedure and determine your expectations.

Questions about incisions and scarring are often asked by patients.  Incision length and pattern varies from patient to patient depending on the amount and location of excess skin to be removed.  Incisions may extend from the underarm (axilla) to just above the elbow depending on the extent of removal.  The appearance of incisions decrease significantly with time.

He will review your past medical history and determine what results you are looking for.  He will do a physical exam and determine what it will take to clear you for surgery. Brachioplasty is typically considered an outpatient procedure. This allows you to go home the same day as your surgery so you can recover at home. Dr. Wells sometimes feels it is necessary for a patient to stay overnight.  You will have several follow up appointments to check on healing and ensure the success of the procedure.

The Brachioplasty Procedure

Brachioplasty is a cosmetic surgical procedure that requires general anesthesia. It typically takes about two to three hours to perform. It is often done in conjunction with other surgeries including breast augmentation and abdominoplasty. Combination procedures can transform the body and create beautiful results.

Incisions are generally placed on the inside of the arm or on the back of the arm to minimize their appearance. The underlying supportive tissue is then tightened and reshaped with internal sutures.  The skin is then smoothed over the new contour of your arm. The tighter contours resulting from a Brachioplasty are apparent immediately following your procedure. Keep in mind that there will be some swelling and bruising.

Excess fat in the underarm area may also be removed during Brachioplasty with liposuction.  This is a procedure that directly removes fat from the body and provides a more tight and toned appearance. Areas targeted by supplemental Liposuction can be in the underarm area or in the upper sides of the chest.

Some people think that just having liposuction will eliminate saggy underarms. However this often leads to loose skin left behind. Dr. Wells sees Liposuction  as a supplementary procedure to Brachioplasty to improve the aesthetic results of your Arm Lift.


After the Procedure

After completing an arm lift procedure your incisions will be covered in bandages and your arms will be loosely wrapped in elastic dressings to minimize swelling.  A follow-up visit will be scheduled within a day or two to check how well you are healing.  Small drain tubes may be placed in your arms to assist with the draining of any excess fluid.

It is recommended to avoid lifting your arms above your shoulders for about three to four weeks after the surgery.  Heavy lifting may lead to injury of your incision sites. Avoid strenuous activity for up to eight weeks.  Dr. Wells may prescribe pain medication to ease your recovery.

Making a Change

If you are dissatisfied with the appearance of your arms due to underarm loose skin schedule a consultation with Dr. Wells. He is passionate about achieving the aesthetic goals of all his patients. He will address any questions and concerns to help you realize your potential and give you your confidence back. Your loose underarms can be a thing of the past with Brachioplasty with the aid of a talented plastic surgeon like Dr. Henry Wells Jr.


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