The ideal arm lift techniques will differ from patient to patient, although there are generally agreed upon guidelines known to provide smoother, more natural-looking results. For instance, some doctors almost always incorporate simultaneous liposuction to further contour the upper arm and possibly the armpit area as well.
In essence, arm lift surgery removes the excess skin with an incision that is limited to the armpit fold, or an inner arm scar that extends down to the elbow; the latter is reserved for massive weight loss patients due to the large amounts of their redundant skin.
But to further achieve smoother results, there is also a need to reshape the underlying supportive tissue with internal sutures. This additional step also allows the surgeon to eliminate most of the tension on the skin, thus allowing the scars to heal and fade better.
It is critical to remove most of the superficial tension, which is achieved with proper wound closure techniques, to prevent the scars from spreading and migrating, as suggested by Orange County plastic surgery experts.
A good number of patients also require simultaneous liposuction to further improve their arm contour.
Arm liposuction in general must involve most of its circumference to achieve a smoother, more feminine contour (this is almost an exclusive procedure for women). Nonetheless, there should remain a thin layer of superficial fat (beneath the skin) to prevent deformities and skin irregularities.
Aside from improving the arm circumference, simultaneous liposuction can also improve the appearance of fat pads in front and/or back of the armpit. This “unwanted” fat rolls become prominent with age or after significant weight loss.
It is almost always advisable to use microcannulas, which are narrow flexible tubes that remove the “unwanted” fats, instead of larger cannulas.
Microcannulas provide smoother results because they allow for more accurate fat removal, i.e., they remove fats in smaller bits. Furthermore, they require smaller round incisions (1-1.5 mm) that almost always disappear quickly in light-skinned patients.
It is also critical to move the microcannulas precisely parallel to the skin and in a rather swift manner to prevent removing too much fats and thus leading to “Swiss cheese” skin irregularities.
The right arm lift techniques and the use of ancillary procedures can provide long lasting results provided that the patient maintains a healthy, stable weight.