Why Do Upper Arms Sag and Who Is Affected?
As we age, skin and connective tissues lose elasticity, particularly in the upper arms. This issue becomes more prominent after age 40 but can also appear earlier in individuals with genetic predisposition or a history of rapid weight fluctuations. Other contributing factors include a sedentary lifestyle and repeated weight gain and loss. Sagging skin in the arms is not only an aesthetic concern—it can also cause discomfort, clothing limitations, and self-consciousness. Arm lift surgery addresses these concerns and helps patients regain both confidence and comfort in their appearance.
What Is Arm Lift Surgery (Brachioplasty) and How Is It Performed?
Brachioplasty is a surgical procedure that removes excess skin and fat from the upper arms. It is typically performed under general anesthesia and takes about 1.5 to 2 hours.
During the procedure, the surgeon makes an incision along the inner part of the upper arm—ranging from the armpit to the elbow, depending on the extent of sagging. Excess fat may be removed via liposuction, and the skin is then tightened and re-draped over the new contour. The incisions are closed using aesthetic sutures to minimize scarring, and the result is a firmer, more toned arm profile.
Who Is a Good Candidate for Arm Lift Surgery?
This procedure is ideal for individuals who:
- Have noticeable skin laxity in the upper arms
- Experienced significant weight loss (e.g., after bariatric surgery)
- Have poor skin elasticity that does not respond to exercise
- Are in overall good health and nonsmokers
- Have realistic expectations about the outcomes and potential scarring
For those with good skin elasticity and only excess fat, liposuction alone may be sufficient. However, if excess skin is present, liposuction must be combined with skin removal to achieve optimal results.
What Is the Recovery Process Like?
Recovery after an arm lift is generally smooth and manageable. Compression bandages are applied post-surgery, and surgical drains may be used temporarily. Swelling, bruising, and mild discomfort are normal during the first week, but symptoms typically improve quickly.
Postoperative care tips:
- Keep arms elevated as much as possible for the first 2 weeks
- Avoid lifting or strenuous activities for 3–4 weeks
- Wear compression sleeves to reduce swelling and support healing
- Most stitches are absorbable and do not require removal
- Return to work or daily activities is usually possible in 10–14 days
- Final contour results become more evident over 2–3 months
Scars are initially noticeable but fade significantly over time. Surgeons place incisions strategically along the inner arm where they are less visible.
What Are the Advantages of Arm Lift Surgery?
Besides enhancing appearance, this surgery improves comfort, mobility, and wardrobe options. Patients often report feeling younger, more confident, and able to wear short-sleeved clothing without hesitation.
Key benefits include:
- Complete removal of sagging skin
- Slimmer and more proportionate arm shape
- Relief from irritation caused by excess skin folds
- Better clothing fit and improved self-esteem
- Long-lasting results with a stable weight
Frequently Asked Questions (FAQ)
Yes, but it is placed on the inner arm and fades over time. Proper wound care helps minimize its appearance.
If your skin has good elasticity and the issue is mainly excess fat, liposuction may be enough. Otherwise, skin removal is necessary.
Postoperative pain is typically mild and controlled with prescribed medications.
With stable weight and a healthy lifestyle, results are long-lasting. However, natural aging continues over time.
Most patients can return to light activities in 10 days, and resume exercise after 3–4 weeks.
TR 
ES 
DE