Your first discussion with a surgeon should clearly set out your expectations and whether the operation can give you the results you desire.
Careful discussions regarding the reasons for wanting an upper arm lift and your suitability for this type of surgery are very important at this stage. Make sure that you obtain as much information as is necessary to enable you to make a fully informed choice and make sure you receive satisfactory answers to all your questions.
It may be that liposuction alone will achieve the results that you desire. You need to talk this option through with your surgeon, along with all your other concerns, at your first meeting.
A medical history should also be taken to make sure that there are no reasons why you shouldn’t have a brachioplasty operation. You would normally be asked to sign a consent form which means that you have understood the potential benefits and risks associated with an upper arm lift.
Photographs may also be taken by the practitioner as a "before and after" comparison at a later date.
The surgeon may also wish to write to your G.P. giving details of the operation so that if there are any problems associated with surgery in the short or long-term, your doctor is aware of the procedure and can help you to recover.
Anaesthesia
Upper arm lifts are usually performed under a general anaesthetic.
Please take into account that a general anaesthetic carries more potential risks than a local anaesthetic – this should be clearly explained by the surgeon before you make any decisions about the anaesthetic.
The operation
If you make a decision to go ahead with an upper arm lift, the actual procedure may take place in an outpatient surgical clinic, but most surgeons and patients prefer a hospital where you can recover overnight.
An upper arm lift will usually take around 2 hours, depending on the extent of work required, and whether any other procedures such as liposuction are also involved.
This operation requires the surgeons to make long cuts through your skin and, therefore, you will be left with long scars after the surgery. The length of the scar will depend on how much excess skin you have.
Depending on the surgeon, and the extent of the body lift procedure, scars may run from the armpit to the elbow, and may be curved or zig – zagged. This should help healing by enabling the scars to close up as quickly as possible. Crescent or “smile”-shaped segments of skin and fat from underneath the skin are removed from the upper arm, and the remaining skin and tissue are lifted to achieve a tighter and smoother effect.
After an upper arm lift, dressings will be applied, and temporary tubes may be put in to drain excess fluid from the area of surgery. Firm elastic bandages are then applied to support the area.