An arm lift, or brachioplasty, is most commonly performed on persons who have a large amount of redundant skin and fat extending from the armpit to the elbow.
Arm Lift Surgery in San Francisco: What to Expect
Arm Lift surgery is done with general anesthesia and is performed in an outpatient surgery center or a hospital. Only a board-certified in anesthesiologist administers anesthesia at Marin Cosmetic Surgery Center.
The anesthesiologist will call the patient on the night before the scheduled surgery to go over his/her medical history, ask if there are any questions regarding the anesthesia, and confirm last-minute instructions. Dr. Delgado performs arm lift surgery in Marin County at his outpatient surgery center, which is fully accredited.
Marin Cosmetic Surgery Center (MCSC) is Dr. Delgado’s private surgery center located on the campus of Sutter Marin County Community Hospital, in his Marin County office. This allows him to give his patients outstanding medical care, with the reassurance and safety of a hospital next door. A surgical marking pen is used to draw a detailed map on the undersides of the arms before general anesthesia is given. This architectural drawing allows the plastic surgeon to make adjustments in the arms as one moves from lying to sitting.
The length of the incision is dependent on the amount of skin that needs to be excised. Incisions usually stop at the elbow, but they can extend from the armpit downward along the upper torso, if necessary. After general anesthesia is given, a solution of saltwater, lidocaine (a local anesthetic), and epinephrine (a medication that restricts bleeding) are injected into the underarm area. Once this has taken effect, liposuction is performed in the underarm area. An incision is placed in the most inconspicuous location of the inner arm.
A long section of skin is excised. The incision is closed in multiple layers to achieve a tight, even closure. After surgery, an elastic sleeve compression garment is put on the arms to control swelling. The surgery takes about three to four hours, depending on the amount of skin removal and liposuction required. It is done under a general anesthetic, and most patients do not report the post-operative recovery period to be significantly painful. In some cases, the patient may be kept overnight to ensure that his/her first post-operative night is as comfortable as possible, especially if other surgical procedures are done.