What is a Brachioplasty or Arm Lift?

Our Brachioplasty, or arm lift procedure can dramatically improve the appearance of your arms by carefully removing excessive or redundant skin, along with any localized fat deposits. Liposuction is frequently performed in combination to further enhance the shape and sculpted appearance of your upper arms.

Am I a candidate for an Arm Lift?

Patients who have lost significant weight, either through bariatric surgery or a change in lifestyle, may demonstrate moderate to significant excessive upper arm skin under their arms. This is often referred to as a “batwing” appearance. Thin people, too, may have sagging upper arms due to the effects of aging and genetics. Despite regular exercise, surgery remains the only treatment. Healthy patients with excess skin due to weight loss or aging may consider Brachioplasty.

Who is not a candidate for an Arm Lift?

Patients who have had a mastectomy, had their lymph nodes removed, have had repeated underarm infections or sweat excessively should avoid Brachioplasty or armlifting procedures.

What is a minimally invasive (minimal scar) brachioplasty (MIB)?

One of Dr. Hoefflin’s areas of expertise in body contouring surgery is the minimally invasive brachioplasty. In 2006, Dr. Hoefflin presented his mini-brachioplasty technique at the American Society of Aesthetic Plastic Surgeons (ASAPS) meeting. This specialized technique places a well-hidden scar into the natural arm pit crease, and avoids any scar placement on the upper arm itself.

What should I expect during my initial Arm Lift consultation?

Your initial consultation with Dr. Hoefflin is an opportunity for you to discuss your desired aesthetic goals. It is helpful to bring a list of questions and concerns that can be specifically addressed. During your consultation, customized literature that discusses the procedure will be provided. Additionally, digital photographs of similar patients will be reviewed. Dr. Hoefflin believes digital photography can be a valuable tool in understanding the benefits and limitations of brachioplasty surgery.


What are the incisions used for an Arm Lift placed?

An important consideration for Brachioplasty patients is the resulting scars. During a standard brachioplasty, a permanent scar extending the length of the upper arm, from elbow to armpit is placed. With a mini-brachioplasty, a semi-circular scar is hidden in the armit. The amount of hanging or sagging skin usually determines which procedure best fits a patient’s needs.

Does Dr. Hoefflin use drains with his Arm Lift procedure?

Dr. Hoefflin typically places small drains during your arm lift procedure. These drains, along with you dressings, are usually removed after several days in the office.

What types of anesthesia are required for a brachioplasty?

Dr. Hoefflin performs his Los Angeles Armlifts as an outpatient procedure under local anesthesia with deep sedation, as administered by a board-certified anesthesiologist. When performed in combination with other plastic surgery procedures, general anesthesia may be used. When small pockets of hereditary fat are targeted, liposuction alone can be performed. The procedure usually takes about one to two hours, depending upon the desired level of sculpting. All operations are performed in fully credentialed and state-of-the-art surgical facilities.

Should I expect pain after the procedure?

Our patients are surprisingly free of pain due to the tumescent local anesthesia that is used. Most patients describe the recovery process as a mild to moderate discomfort. Most patients tell us they feel much better than expected following their surgery and are able to return to work and social activities within several days to one week following surgery.

What is the recovery like after an Arm Lift?

Patients are directly discharged home with gauze dressings and compression garments covering the treated areas. Garment use is encouraged for the first two to four weeks to reduce post-operative swelling. After the procedure, patients may experience mild bruising, swelling, and local discomfort from several days to one week following their procedure. Any initial discomfort is easily controlled with oral medication. Endermologie® by LPG is begun several days after your procedure to help diminish any swelling, assist in healing and speeding your recovery. Patients can return to work and other regular activities as soon as they feel comfortable, which is usually after several days.

What are the risks associated with an Arm Lift?

When performed by a qualified plastic surgeon, the risk of serious problems after a Los Angeles brachioplasty are rare. Most complications are minor, temporary, and can be easily resolved. Complications may include nerve damage, infection, hematoma, wound complications, poor healing and the need for revision surgery. You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.

How long should I wait to resume exercise after an Arm Lift?

Patients can return back to light or non-strenuous workouts after several weeks, with a full return to all activities after six weeks. Any premature participation in strenuous exercises can prolong swelling or lead to unanticipated complications.

When will I notice the results and how long will they last?

Improvement can your upper arm contour can be immediately appreciated following your brachioplasty surgery. Accompanying bruising and swelling can take several weeks to resolve. The results of brachioplasty are long lasting, but can depend upon many personal lifestyle choices. Large fluctuations in weight, and the normal age related effects of skin laxity can lead toward recurrence of loose skin over time. While individual results can vary, typical results last 5 to 10 years.

What are the alternative treatments?

In Patients who demonstrate excessive localized fat deposits and good skin elasticity, liposuction might be considered. During your consultation, Dr. Hoefflin will review all of your body contouring options with you and help you decide which procedure best fits your individual anatomic needs.

Does Dr. Hoefflin offer treatments for cellulite reduction in Los Angeles?

Dr. Hoefflin offers his patients the latest advancement and most comprehensive treatment for patients seeking cellulite reduction

Read more about Dr. Hoefflin’s Cellulite Reduction Program.

Click here to view Before and After Cellulite Reduction Photos.

What can I do to best prepare for my upcoming Arm Lift?

Dr. Hoefflin and his staff will supply you with a list of pre-operative instructions, including medications to avoid, in the days and weeks leading up to your Los Angeles arm lift surgery. Importantly, these instructions include quitting smoking as it can have deleterious effects on wound healing and your final result.

Why is important to chose a board-certified plastic surgeon?

Your selection of a surgeon is as important as your decision to undergo cosmetic surgery itself. Many patients do not know that in most states, a licensed physician may perform plastic surgery without being board-certified in plastic surgery. This means someone not trained in Plastic Surgery could be performing your surgery.

The American Board of Plastic Surgery is the only plastic surgery board recognized by the American Board of Medical Specialties (ABMS). Selecting a surgeon who is certified by the American Board of Plastic Surgery provides that your physician has completed the necessary and extensive training to perform plastic surgery and help you achieve your aesthetic goals.

What can I do to minimize my risk of bruising?

Aspirin, Motrin, ibuprofen, Advil, and virtually all non-steroidal anti-inflammatory agents thin the blood and can promote bruising. In addition, anything herbal, red wine, and homeopathic medications can do the same. To minimize bruising, it’s advisable to avoid these products for 10 days before a treatment.

Does Dr. Hoefflin offer financing?

Yes, we offer financing to make our Los Angeles Arm Lift more affordable to our patients. To learn more about our financing programs, click here.

How can I get more information about a brachioplasty?

You can read more information about our brachioplasty or arm lifting procedures by clicking here. To learn if you are a candidate for an armlift in Los Angeles or Beverly Hills, contact our offices for a complimentary consultation.