Bermant Brachioplasty Arm Lift

Bermant Arm Lift - Brachioplasty

(arm lift, reduction, contouring, and tightening cosmetic surgery)

Explore what brachioplasty arm tightening plastic and cosmetic surgery has to offer you by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Arm lift brachioplasty arm tightening surgery.
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Brachioplasty arm lift Richmond Virginia

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Tighten sagging skin deformity with brachioplasty arm lift.
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Arm lift is brachioplasty and tighten drooping skin deformity of the arm.
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drooping arm skin treated by brachioplasty arm lift.
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Bermant Brachioplasty cosmetic surgery.

Arm tissue relaxes and descends with aging, gravity, and weight loss. The drooping of skin is from a stretching of the anchoring fascial system and loss of supporting fat. The extra sagging can result in significant "loose hammock" like deformity from the axilla to the elbow. Some call this a "bat wing" deformity.

The Surgery
There are different degrees of ptosis (drooping) deformity. Brachioplasty arm reduction surgery can remove the excess tissue and reduce the circumference of the upper arm. Surgical correction depends on the amount of extra skin an how loose the supporting tissues have become. Extra skin is removed from incisions along the inner arm. The incision must be placed where the tissue can be best tightened.

The most common incision extends from the elbow to the axilla. This permits the excision to maximally address the redundant skin in the middle. Modification of the incision may be necessary to limit scar contracture in the axilla.

Surgical sculpture involves not just the superficial skin, but also the deeper attachments that have loosened.

Brachioplasty arm lift


Arm tightening brachioplasty tightens drooping skin deformity In cases of limited extra skin, the incision can be hidden in the axilla. This can resuspend tissues in some cases but is not a very good answer for extensive redundant skin.


A combined excision can sometimes limit the leng th of the scar between the elbow and axilla. In cases where there is loose skin of the lateral chest, the incision can be extended to deal with the extra tissue there. Brachioplasty arm lift and arm tightening surgery for drooping skin
Before surgery markings help guide the excision. The actual incision may curve or zigzag to minimize scar contraction. Liposuction can be useful to contour the fat layer. A skinny rubber drain may be used after surgery to remove fluids.

Because of the level of the incisions, visible scars can be a major concern. It becomes a choice between the loose wobbling extra skin and the scar from the excision. Meticulous surgical technique, after surgery scar care can limit the degree of scarring. Clothing style can help camouflage some of the scar, but not the loose skin before surgery. Other possible compilations include persistent swelling of the arm, infection, bruising, and bleeding. Nerve injury can result in numbness and change in feeling.

This surgery is not suitable after mastectomy or operations in the axilla lymph nodes. Those with multiple infections of the sweat gland may also not be candidates for brachioplasty. Drainage of the arm may already be impaired, and further surgery may lead to permanent arm swelling.

This operation is usually done as an outpatient under general anesthesia or local with sedation. The choice depends on the extent of the operation, but most are more comfortable having this done asleep.

After Surgery Care
Recovery takes one to two weeks, depending on what was done. Return to work depend on the activity needed on the job but is often about 2 weeks. The dressing may be extensive with elastic support or something smaller. You will need to protect the incisions after surgery. Limiting lifting is important. Elevation with pillows increases comfort. It can take 6 months or more to see how the scars will evolve.

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This page last updated on: April 21, 2012

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