Sagging, drooping skin in the underarm region can be caused by several factors, and it is a difficult area to target with diet and exercise. At Tarola Plastic Surgery, our arm lift procedure will reshape the contour of your arm for a more proportionate, toned appearance.
Contact us at our Murfreesboro office today to schedule a consultation with board-certified plastic surgeon Dr. Nicholas Tarola, who will discuss your cosmetic goals with you and determine if an arm lift is right for you.
What Is an Arm Lift?
The effects of aging, fluctuations in weight, and hereditary factors can result in excess fat or skin in the underarm region. Even with exercise, sometimes this problem is not remedied, even when muscle is built. An arm lift, also known as a brachioplasty, is a surgical procedure that tightens loose skin and removes localized fat from the underarm to the elbow to achieve tighter skin and a more toned appearance.
An arm lift involves an incision placed on the inside of your upper arm. The incision pattern and length depend on each situation as well as the location and amount of the excess tissue being removed. Arm lifts are often performed in conjunction with liposuction, which can be discussed with Dr. Tarola during your consultation.
What an Arm Lift Treats
Skin Laxity and Bat Wings
Loose, hanging skin along the upper arms often develops when the skin loses elasticity and no longer conforms to the underlying shape of the arm. The appearance can resemble a bat wing, especially when you lift your arms away from your body. An arm lift removes the extra skin and reshapes the contour so the arm has a smoother, more toned outline.
Residual Fat Depositions
Even after a healthy diet and regular exercise, stubborn fat pockets can remain along the upper arms. These areas do not always respond well to traditional weight-loss methods. During surgery, we remove the excess fat to create a slimmer, more proportional look.
Shape Changes After Weight Loss
Significant weight loss can leave the upper arms looking deflated and uneven. The skin may appear stretched and loose, which can hide the muscle tone you worked hard to achieve. Arm lift surgery removes the excess skin and redefines the shape of the arm to better match your new body proportions.
Reduction of the Overall Size
In addition to improving skin tightness and contour, an arm lift can also reduce the overall circumference of the upper arm. This upper arm reduction creates a leaner profile and can make clothing fit more comfortably. The goal is to bring the arm into balance with the rest of your body.
What an Arm Lift Does Not Treat
An arm lift will not increase muscle tone in the upper arms. The procedure focuses on removing excess skin and fat, so you will need regular strength training to build and maintain muscle definition. It is also not intended as a weight-loss method for generalized obesity. If excess weight is present throughout the body, we may recommend addressing overall weight reduction before surgery to achieve the most balanced results. The best candidates for an arm lift already maintain a stable weight and focus on healthy lifestyle habits.
Arm Lift Procedure Options
Mini Brachioplasty
A mini brachioplasty works well when excess skin is limited to the upper third of the arm near the armpit. We make a shorter incision and remove a smaller amount of skin, which allows for a quicker recovery compared to larger procedures. This option can still create noticeable improvement in contour for patients with mild skin laxity.
Standard Brachioplasty
The standard brachioplasty is the most common form of arm surgery. It addresses loose skin and fat from the armpit to the elbow. We create an incision along the inner arm where it is less visible, then remove the extra tissue and reshape the arm for a smoother, more defined appearance.
Extended Brachioplasty
An extended brachioplasty works best when loose skin extends beyond the upper arm into the side of the chest. The incision is longer, so we can address the excess tissue in both areas at once. This approach can be beneficial for patients who have experienced significant weight loss and want a more complete contour improvement.
Liposuction
Liposuction can be performed on its own or combined with a brachioplasty when stubborn fat is present, but skin quality is good. We use a small cannula to remove the excess fat and refine the arm shape. When used with skin tightening techniques, liposuction can create a slimmer, more proportionate arm contour without the need for longer incisions.
Types of Arm Lift Incisions
- Inner Arm Incision: An inner arm incision runs along the inside of the upper arm, making it less noticeable when your arms are at your sides. We use this approach when addressing loose skin from the armpit to the elbow. It allows us to remove a significant amount of tissue while keeping the scar in a discreet location.
- Back of Arm Incision: A back of arm incision follows the line along the back of the upper arm. This option can be effective when skin removal is wanted, but the patient prefers to avoid an inner arm scar. The placement can make the scar easier to hide in certain clothing styles, depending on your personal preference.
- Minimal Arm Lift Incision: A minimal arm lift incision is the shortest option and is placed in the armpit crease. It works best when there is only mild excess skin close to the underarm.
Who is a Good Candidate for an Arm Lift?
Doctor Tarola will evaluate patients on a case-by-case basis, but in general, good candidates for an arm lift procedure are:
- Adults who are not significantly overweight
- Non-smokers
- Individuals in general good health who do not have conditions that could possibly impair surgery or healing.
- Those who maintain realistic cosmetic expectations of what an arm lift can and cannot do.
Your Upper Arm Lift Consultation and Assessment
During your consultation, we evaluate the skin quality, amount of excess tissue, and your overall arm proportions. We also discuss your goals and review any medical conditions or medications that may affect surgery or recovery. Measurements and photographs help guide our surgical plan so we can choose the most effective approach for you. We take time to explain each option so you feel informed and comfortable before moving forward.
How the Upper Arm Lift Procedure Works
An upper arm lift is performed under anesthesia to keep you comfortable throughout the surgery. Before we begin, we mark the incision sites to guide precise skin and fat removal. If liposuction is part of your treatment, we use tumescent fluid to make fat removal easier and reduce bleeding. We then remove the extra skin, excise stubborn fat, and contour the arm for a smoother, more proportionate appearance.
After surgery, your incision will be closed with either absorbable sutures or stitches that will be removed in about a week. Bandages and supportive dressings will be wrapped around your arm in order to cushion and support the new contours of your arm. Small, thin tubes may also be placed underneath your skin in order to drain excess fluids as you are healing. Doctor Tarola will inform you of how to properly care for your treated area after surgery, as well as any medications to take and how to identify signs of infection or proper healing.
How to Prepare for Your Arm Lift Surgery
Proper preparation can make your recovery smoother and more comfortable. Start by organizing everything you will need before the day arrives so you can focus on resting afterward. We will provide you with specific preoperative instructions, but some common steps include:
- Get your recovery area ready. Have extra pillows, blankets, and easy access to water, snacks, and entertainment so you do not need to move around more than necessary during the first few days.
- Fill prescriptions in advance. Make sure any pain medication or antibiotics are ready before surgery so you can begin taking them as directed without delay.
- Arrange your ride home. You will not be able to drive after anesthesia, so plan for a responsible adult to take you home and stay with you for at least the first night.
- Plan your meals. Prepare or purchase easy-to-reheat foods so you do not have to cook while recovering.
- Review any restrictions. Follow instructions about fasting, stopping certain medications, and avoiding nicotine before surgery to promote healthy healing.
The Day of Your Arm Lift Surgery
Arrive at the surgical facility at the scheduled time so there is no rush before we begin. Wear loose, comfortable clothing that opens in the front to make changing easier after surgery. You will meet with the surgical team to review your plan and answer any final questions. Anesthesia is administered to keep you comfortable, and once you are asleep, we proceed with the procedure as outlined in your plan. After surgery, you will recover in a monitored area until you are ready to return home with your designated caregiver.
What Is Arm Lift Recovery Like?
Post-Surgery Recovery Room
After your arm lift, you will spend some time in a monitored recovery area while the anesthesia wears off. Nurses will check your vital signs, adjust your dressings if needed, and make sure you are comfortable before you leave. We will review your post-operative instructions with both you and your caregiver so you know exactly how to care for your arms at home. Once you are stable and alert, you will be released to go home with your prearranged ride.
The First 24-48 Hours
Swelling and bruising are common side effects following an arm lift procedure, and it may be necessary to keep your arms elevated for several days. Any discomfort you may experience is usually controlled with medication, and you may be advised to return to light walking as soon as possible to avoid the risk of clotting. Keeping small, light compresses in place and avoiding unnecessary arm movement can help protect your incisions during this stage. Staying hydrated and eating balanced meals will also support your body’s healing process.
Returning to Normal Activities
Most patients can return to light daily activities within about one to two weeks, depending on the extent of their procedure and how their body heals. Strenuous exercise, heavy lifting, or anything that stretches the arms should be avoided until we clear you at a follow-up visit. Gradually increasing your activity level helps prevent complications and allows the tissues to heal properly. Listening to your body and not rushing the process is an important part of a smooth recovery.
Wound Care
You may be able to shower within a couple of days, but we will give you specific instructions based on your procedure. Keep your incisions clean and dry, and gently pat them after washing rather than rubbing. Dressings should be changed as directed, using clean hands and materials each time. Watch for any increased redness, swelling, drainage, or warmth around the incision and call us if you notice changes that concern you.
Your Upper Arm Lift Results
Early changes in arm shape are often noticeable within the first few weeks as the initial swelling begins to decrease. The contour will continue to improve as swelling resolves, which may take several months. Final results usually develop around six months to a year after surgery, once the tissues have fully healed and the scars have matured. Having realistic expectations is important, as arm lift procedures can give a smoother, firmer shape, but cannot stop the natural aging process. Your results will last longer if you maintain healthy habits and protect your skin.
How to Maintain Your Arm Lift Results
Keeping your arms in good condition after surgery involves consistent care and lifestyle choices. A few key habits can help preserve your results:
- Maintain a stable weight. Significant weight changes can stretch the skin and alter your surgical outcome.
- Stay active. Regular strength training and cardiovascular exercise help keep your arms toned and support overall health.
- Care for your skin. Use sunscreen, stay hydrated, and follow a good skincare routine to help your skin stay firm and healthy.
Upper Arm Lift Risks and Considerations
All surgeries carry some degree of risk, and an upper arm lift is no exception. Potential complications can include infection, bleeding, delayed wound healing, fluid accumulation, and changes in skin sensation. Scarring is expected, although most patients find that it fades over time and becomes less noticeable. We review your health history and take precautions during surgery to reduce risks, and you will receive detailed instructions to support safe healing.
Can an Upper Arm Lift Be Combined With Other Procedures?
An upper arm lift can often be performed along with other body contouring surgeries. Common combinations include breast lift, tummy tuck, or liposuction in other areas. Performing multiple procedures in the same surgical setting can streamline recovery, but it also means a longer operation and healing period. We will help you decide whether combining treatments makes sense based on your goals, health, and the amount of correction needed.
Upper Arm Lift Cost and Financing
The cost of an upper arm lift can vary depending on factors such as the surgical technique, whether liposuction is included, and the complexity of your case. Your quote will also reflect anesthesia fees, facility costs, and follow-up care. We provide a detailed cost breakdown during your consultation so you know what to expect. Financing options are available for patients who prefer to make monthly payments instead of covering the full cost at once.
Frequently Asked Questions About Upper Arm Lifts?
Will I Need Drains?
Some brachioplasty procedures require small surgical drains to remove excess fluid during the initial healing period. If drains are used, we will show you how to care for them and when to return for removal. Not every patient needs drains, and the decision is based on the amount of tissue removed and your individual healing factors.
How Long Should I Wear My Compression Garment?
Most patients wear their compression garment for about four to six weeks after surgery. The garment helps control swelling, supports the new contour, and can make the arms feel more comfortable during recovery. We will let you know when it is safe to transition out of the garment based on your progress.
How Is an Upper Arm Lift Different From a Lower Arm Lift?
An upper arm lift focuses on the area from the armpit to the elbow, removing loose skin and fat to improve contour. A lower arm lift addresses the forearm, which is less common and typically involves different surgical considerations. The choice depends on where the excess skin or tissue is located and your specific goals.
Can I Sleep on My Side?
Side sleeping can put pressure on your incisions, so we recommend sleeping on your back with your arms supported in the early healing phase. Once the incisions have healed enough and swelling has decreased, you can usually return to your preferred sleeping position. We will give you clearance when it is safe to make the change.
About Us
Dr. Nicholas Tarola is a Board-Certified Plastic Surgeon with advanced training in both cosmetic and reconstructive surgery for the face, breasts, and body. After earning his medical degree in Philadelphia and completing a general surgery residency at Thomas Jefferson University, he continued his plastic surgery training at Vanderbilt University Medical Center in Nashville. He now focuses his practice on cosmetic breast and body surgery, with a particular interest in procedures that restore natural shape and proportion after weight loss, pregnancy, or implant removal.
At Tarola Plastic Surgery, we take the time to understand your concerns, explain your options, and deliver care with respect and attention to detail. Every patient receives a thoughtful surgical plan designed to create balanced, natural-looking results.
Refine and Reshape Your Arms With an Upper Brachioplasty in Murfreesboro, TN
An upper arm lift can remove loose skin, reduce stubborn fat, and create a smoother contour that complements the rest of your body. If you’re ready to feel better about the way your arms look and feel, contact Tarola Plastic Surgery in Murfreesboro today. To learn more or request your consultation, call (615) 624-8914 or book your appointment online.
