This patient was a 39-year-old 5 foot 4 inch female that weighed 120lbs. She had massive weight loss of greater than 100lbs after gastric bypass surgery. After the massive weight loss she was left with significant excess skin and fat of her upper arms. She decided to have plastic surgery under the care of board certified plastic surgeon Dr. Gaurav Bharti. She was very self-conscious of her appearance both in and out of clothing, and this affected her overall confidence. After multiple preoperative visits she decided to have an arm lift (brachioplasty).
She was taken to the operating room in an outpatient surgery center to undergo this procedure. This was performed under general anesthesia. During this procedure Dr. Bharti removed the excess skin and fat from her upper arms. At the beginning of the procedure Dr. Bharti injected local anesthesia to help with pain control and prevent blood loss. He then injected tumescent fluid and then performed liposuction of the upper arms. He then in a very careful and stepwise fashion removed the excess skin and fatty tissue closing the surgical wounds rapidly. All of the sutures used were absorbable. No drains were necessary. Steri strips were applied to the incisions, and then a compression wraps were placed. She was then awoken from anesthesia and discharged home later that day. Dr. Bharti saw her in clinic the following morning. She had minimal pain or swelling, and no reports of any numbness.
While recovering she had to wear compression garmets at all times on her arms for a period of 4 weeks. She was seen for follow up at a number of visits after the surgery. At her most recent follow-up visit she has healed well and is very happy with her result.
If you're self-conscious about your arms or feel restricted to wearing certain clothing, arm lift surgery may be able to improve your confidence and body image.