When is brachioplasty performed?
Brachioplasty is indicated when there is significant excess skin in the upper arms and armpit area, typically after major weight loss, or when there is localized excess fat in the upper arms.

How is the procedure performed?
The procedure is performed under general anesthesia or local anesthesia with sedation and lasts approximately 2–2.5 hours. The type of surgery depends on the degree of skin laxity and the amount of excess fat.
f there is excess fat with minimal skin laxity, liposuction alone — often using VASER® technology — may be sufficient. The advanced VASER® system liquefies fat while preserving surrounding tissues, and the ultrasound energy helps promote skin tightening.
In cases where there is laxity primarily in the armpit area, fat removal is combined with limited skin excision in the axillary region (mini brachioplasty).
In cases of more significant skin laxity, the procedure involves removal of excess fat and skin from the underside of the upper arms. The surgeon evaluates the extent of laxity and marks a skin excision extending from the armpit to the elbow. Incisions are carefully planned so that the final scar lies along the inner aspect of the arm, making it less visible. Liposuction is usually performed first to remove excess fat, followed by excision of the loose skin. The area is then closed with long-lasting absorbable sutures to achieve the best possible scar quality (classic brachioplasty).

What should I expect after surgery?
As mentioned, the procedure lasts approximately 2–2.5 hours, and you can usually return home the same afternoon. The sutures are internal and absorbable. Pain is generally mild and is managed with simple analgesics such as Depon or Lonarid.
Postoperatively, a compression bandage or special elastic garment is required for about one month to help reduce swelling.
The scars will initially appear red and slightly firm. Gradually, they will soften, turn pink, and eventually fade to a lighter color, leaving a fine scar. Proper scar care with specialized regenerative creams and silicone sheets is recommended to help accelerate this process.

When can I return to my activities?
From the first day after surgery, you may move around freely, although it is advisable to avoid household tasks for one week. Return to light work is recommended after 3–4 days, while full return to normal activities is expected after about one month.