The procedure starts by making very detailed markings of the planned excision and the areas that need liposuction. Generally, we start the excision in the inner midpoint of your upper arm. We’ve found many people don’t realize they have a scar there. Next, we inject a tumescent solution into the arm to achieve anesthesia and to minimize bleeding. Then, we perform liposuction with small micro-canulas to remove fatty deposits and to reshape the arm into a more pleasing appearance.
Following liposuction, we remove excess skin and pull the remaining skin tight to complete the lift. If you have extra skin, sometimes the excision continues onto the forearm. Next, we suture the skin back together with suspension of the skin to the fascia to prevent the scar from spreading. Usually, we remove extra skin in the armpit and tighten it as well. This is known as an axillary lift. Two advantages include removal of hair-bearing skin (no more shaving) and removal of the sweat glands (minimal sweating).