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.
In cases following massive weight loss, there is usually significant sagging, and the procedure involves removing excess fat and skin from the underside of the arms. The surgeon evaluates the skin laxity and marks the area of skin to be removed from the armpit to the elbow. The incisions are designed so that the final scar lies along the lower part of the arm, making it less visible. Liposuction is first performed to remove excess fat, followed by excision of the loose skin and closure with long-lasting absorbable sutures to achieve the best possible scarring outcome.

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.