The goal of arm lift surgery is to remove the excess skin and fatty tissue on the upper arms, and to improve the skin tone. Some patients find that after weight loss, this redundant skin will not tighten despite vigorous exercise and a health diet. During the appointment, Dr. Andrade will determine the amount of fatty tissue on the arms and the skin tone. This will help to determine whether liposuction alone will be effective, or whether excess skin will need to be excised. The arms will be examined to confirm that there is normal circulation, sensation, and movement. The discussion will include surgical options, the risks and benefits of surgery, and healing time. Any questions about the expected result will be answered.
Prior to any surgical procedure, a general physical examination by a family physician is recommended. For healthy patients, routine preoperative blood work or other tests usually are not required prior to surgery (as per the recommendations of Choosing Wisely Canada). It is very important to inform Dr. Andrade about all medications, vitamins, and herbal supplements. Some of these products can increase the risk of bleeding and must be stopped prior to surgery. Do not have anything to eat 8 hours before surgery. Water (no other liquids) may be consumed up to 3 hours before surgery. Dr. Andrade and a registered nurse will review all of these details prior to the operation.
This operation can be performed at Dr. Andrade’s private clinic or at Southlake Hospital, depending on the your preference, overall health, and other considerations. The surgery can be done as an outpatient procedure or as an overnight stay. A compression garment or tensor bandage will be applied to the arms, and it should be kept intact and dry until the follow-up appointment. Wound drains usually are not required.
Some discomfort or pain is not uncommon after surgery. The arms may be swollen for several weeks, and repetitive movements or heavy lifting should be avoided for at least 4 weeks. By 6 weeks patients can usually resume all normal activities and sports. Absorbable stitches are used so there is no need for suture removal.
Most patients are pleased with the contour improvement of the upper arms, and significant complications are uncommon. The objective is to hide the surgical scars on the posterior, inner side of the arms where the scars are less visible. However, since the operation is performed on loose skin that moves during the operation, it is not possible to guarantee their exact final location. Also, some patients heal with fine scars that are difficult to see, and others have thick, visible scars or itchy scars called keloids. Other potential problems that can occur with any operation include but are not limited to bleeding, infection, the incision opening up, or wound healing problems. Rare complications include chronic numbness or pain, permanent arm swelling called lymphedema, permanent injury to the arms called compartment syndrome, or life-threatening issues.
This information is intended to complement the advice of a plastic surgeon obtained during a proper consultation, and it is by no means exhaustive or complete.
