Brachioplasty (Arm Lift)

Brachioplasty—commonly known as an arm lift—is a surgical procedure designed to remove excess skin and fat from the upper arms, creating a smoother, firmer arm contour. Ideal for patients who have lost significant weight or who experience age-related skin laxity, brachioplasty can restore a youthful profile and improve self-confidence. At Monarch Plastic Surgery & Skin Renewal Center in Sandy Springs—serving Buckhead and Atlanta—Dr. Carmen Kavali applies meticulous technique, individualized planning, and state-of-the-art safety protocols to deliver lasting, natural-looking results.

Brachioplasty addresses two core issues of the upper arms:

• Redundant Skin: After weight loss or aging, the skin’s elasticity diminishes, leading to “bat wings” or flabby under-arm appearance.
• Localized Fat Deposits: Stubborn fat pockets beneath the skin resist diet and exercise, contributing to an uneven silhouette.

By excising surplus skin and fat and tightening the underlying tissue, brachioplasty reshapes the upper arm into a smoother, more toned contour.

You may consider brachioplasty if you:

• Have Noticeable Skin Laxity: Excess skin that hangs or sags under the upper arm.
• Are Near Your Ideal Weight: The procedure is not a weight-loss method but instead refines contours once you’ve stabilized your weight.
• Maintain a Healthy Lifestyle: Non-smokers or those willing to quit before and after surgery heal more efficiently.
• Have Realistic Expectations: Understanding the trade-off between tighter arms and scars ensures satisfaction.
• Are in Good General Health: Free of uncontrolled medical conditions and able to tolerate anesthesia.

During your consultation, Dr. Kavali reviews your health history, examines your arm contours, and discusses goals to confirm candidacy and outline a custom plan.

Brachioplasty offers multiple advantages:

• Improved Arm Definition: Removes sagging skin to reveal underlying muscle tone.
• Enhanced Confidence: Allows you to wear sleeveless clothing without self-consciousness.
• Long-Lasting Results: Once excess skin is removed, arm contours remain stable with proper maintenance.
• Proportionate Silhouette: Balances the upper arms with the rest of the body for a harmonious look.
• Complementary Procedures: Can be combined with liposuction of the arms, axilla, or torso for complete upper-body rejuvenation.

Dr. Kavali offers different approaches to suit varying degrees of skin laxity:

Traditional (Extended) Brachioplasty

• Incision runs from the elbow to the armpit along the inner arm.
• Best for significant excess skin.

Limited-Incision Brachioplasty

• Shorter scar confined to the armpit or mid-arm.
• Ideal for moderate laxity with minimal excess.

Minimal-Scar or Liposuction-Assisted Arm Lift

• Combines liposuction with small incisions for mild to moderate sagging.
• Maximizes fat removal while minimizing scar length

The choice depends on your anatomy, amount of excess skin, and personal preference regarding scar placement.

A welcoming, educational consultation sets the foundation:

Initial Assessment with Physician Assistant

• Review your medical history, current medications, and any prior surgeries.
• Discuss your concerns, desired arm shape, and lifestyle factors.
• Take standardized photographs to document baseline and plan.

Surgeon Evaluation with Dr. Kavali

• In-person exam of skin laxity, fat distribution, and tissue quality.
• Measure arm circumference, evaluate skin pinch, and assess muscle tone.
• Discuss incision options, scar placement, and anesthesia preferences.

Educational Overview

• Review surgical techniques, anesthesia type, and facility accreditation.
• Explain the recovery timeline, activity restrictions, and garment use.
• Provide clear information on risks, benefits, and expected outcomes.

Our goal is to ensure you leave feeling informed, comfortable, and confident.

Following your consultation:

• Personalized Blueprint: Dr. Kavali outlines incision patterns, fat removal volumes, and closure techniques for optimal contour.
• Preoperative Guidance: Detailed instructions on medications, smoking cessation, diet, and logistics for the day of surgery.
• Anesthesia Planning: Selection between general anesthesia or local with sedation, based on procedure extent and your comfort.
• Support Arrangements: Ensure you have a responsible adult to assist for the first 24–48 hours post-op.

This individualized plan guarantees that your arm lift aligns safely with your aesthetic and lifestyle goals.

Anesthesia & Preparation

• Administered under general anesthesia (or local with sedation).
• Intravenous antibiotics and compression devices on legs to reduce infection and clotting risk.

Incision Placement

• Traditional: A tailored incision along the inner arm from elbow to armpit.
• Limited: Shorter incisions hidden in the axillary fold or mid-arm.
• Hybrid: Liposuction first, then a minimal incision for skin excision, where appropriate.

Skin & Fat Removal

• Excess skin and subcutaneous fat are removed.
• The underlying tissue is sculpted to create a smooth transition between the upper arm and torso.

Underlying Tissue Repair

• Fascia and connective tissue layers may be tightened with internal sutures to support contour.
• Liposuction can enhance fat removal in the axilla or outer arm, resulting in a seamless appearance.

Closure & Dressing

• Multi-layer absorbable sutures secure deeper tissue; fine sutures close the skin to minimize scar thickness.
• Sterile dressings and a snug compression garment are applied to reduce swelling and support healing.

Duration: 1–2 hours (depending on incision length and additional liposuction)

Setting: Accredited outpatient surgical facility—same-day discharge with escort

To ensure your safety and comfort:

• Medical Clearance: Routine labs; cardiac evaluation if you have risk factors or are over 40.
• Medication Adjustments: Discontinue blood thinners, specific supplements, and NSAIDs per Dr. Kavali’s protocol.
• Smoking & Alcohol: Cease tobacco and alcohol at least four weeks before and after surgery.
• Diet & Hydration: Maintain a protein-rich diet; stay well-hydrated.
• Logistics: Arrange for reliable transportation home and support for 24–48 hours. Prepare a recovery area with easy-reach essentials.

Following these steps minimizes risks and supports optimal healing.

Immediate Post-Op (Days 1–3)

• Expect moderate discomfort, swelling, and bruising, which can be managed with prescribed pain medication.
• Wear the compression garment continuously to reduce edema and support new contours.
• Keep your arms elevated when at rest; short, gentle walks help circulation.

Early Healing (Weeks 1–2)

• Attend your one-week follow-up to remove or adjust dressings and assess incision healing.
• Keep incision sites clean and dry; resume light household activities.
• Continue compression; avoid raising arms overhead or lifting objects heavier than five pounds.

Intermediate Phase (Weeks 3–6)

• Swelling and bruising subside significantly.
• Gradual return to non-impact activities and desk work.
• Begin gentle range-of-motion exercises to prevent stiffness, as recommended by Dr. Kavali.

Late Recovery (Months 3–6)

• Incisions mature into fine lines; scar-maturation therapies (silicone sheets, topical agents) may be recommended.
• Resume strength training and overhead activities once cleared at six weeks.
• The final arm contour and scar appearance typically stabilize within three to six months.

Adherence to aftercare instructions accelerates recovery and delivers the smoothest, flattest arm profile.

While brachioplasty is generally safe, potential complications include:

• Infection: Minimized through sterile technique and perioperative antibiotics.
• Hematoma/Seroma: Fluid or blood collection may require drainage.
• Delayed Wound Healing: Risk increased by smoking, diabetes, or poor nutrition.
• Scarring: Though incisions are placed strategically, individual healing varies—scar-management strategies help.
• Numbness: Temporary or permanent skin sensation changes along the incision line.

Dr. Kavali reviews all potential risks during your consultation and employs meticulous surgical techniques to maximize safety.

• Stable Weight: Avoid significant fluctuations to preserve arm contours.
• Healthy Lifestyle: A balanced diet and regular exercise support skin quality and muscle tone.
• Sun Protection: Shield scars from UV exposure to prevent darkening.
• Supportive Garments: Wear compression sleeves or garments during high-impact activities if recommended.
• Routine Follow-Ups: Periodic visits enable early identification of any changes and facilitate timely interventions.

With proper maintenance, your sculpted arms can endure for years to come.

When seeking brachioplasty in Sandy Springs, Buckhead, or Atlanta, look for:

• Board Certification: American Board of Plastic Surgery credentials ensure rigorous training.
• Facility Accreditation: Centers accredited by AAAASF or The Joint Commission adhere to strict safety protocols.
• Technique Expertise: Experience in various arm-lift approaches and combined liposuction.
• Before-and-After Gallery: Consistent, refined transformations with well-placed scars.
• Patient Testimonials: Feedback praising surgical skill, bedside manner, and follow-up care.

Dr. Carmen Kavali’s specialized training, artistic eye, and commitment to patient safety deliver exceptional arm-contouring outcomes.

Ready to tighten and reshape your upper arms with brachioplasty? Contact Monarch Plastic Surgery & Skin Renewal Center today:

• Call: 404.250.3333
• Email: info(at)drkavali(dotted)com
• Visit: 6045 Barfield Rd, Suite 100, Atlanta, GA 30328
• Online: Request a Consultation

During your personalized consultation, Dr. Kavali will evaluate your arm anatomy, discuss your goals, and craft a detailed surgical plan—helping you achieve the smoother, firmer arms you desire in Sandy Springs, Buckhead, and the Atlanta area.