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Glossar

Upper arm lift (brachioplasty): Tightening of the upper arms to remove excess skin

An upper arm lift (brachioplasty) is a surgical procedure that corrects sagging skin and excess fatty tissue on the upper arms to create a firmer contour.

Important note

This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.

An upper arm lift, also known medically as brachioplasty, is a surgical procedure in plastic and aesthetic surgery designed to correct sagging skin and excess fatty tissue on the upper arms. The aim is to restore a firmer contour and a more youthful appearance to the upper arm. This aesthetically motivated procedure is often sought following periods of intensive dieting.

What is an upper arm lift?

An upper arm lift is a surgical procedure in which excess skin and, where necessary, fatty tissue – known as fat deposits on the upper arms – are removed to improve the contour. This sagging of the skin – also known as „flabby upper arms“, where the skin on the upper arms forms loose folds – can be a significant source of distress for those affected. This tightening operation is aimed at achieving an aesthetic improvement.

Reasons and indications: excess skin and sagging skin

The main reasons for wanting to tighten the upper arms are:

  • Significant weight loss: Following significant weight loss, often as a result of a successful diet or bariatric surgery, the skin may lose its original elasticity and fail to retract sufficiently, leading to excess skin.
  • Age-related sagging of the skin: As we get older, collagen production decreases and the skin loses its elasticity.
  • Genetic predisposition: Some people have a genetic predisposition to having weaker connective tissue.

Suitable candidates for brachioplasty

Ideal candidates for an upper arm lift are people who:

  • With a significant amount of excess skin on the upper arms.
  • whose weight is stable.
  • Those who are in good physical condition and have realistic expectations regarding an arm lift.

Non-smokers or those prepared to give up nicotine before and after the operation, as smoking significantly impairs wound healing. Before patients decide to undergo an upper arm lift, a comprehensive consultation is essential.

Surgical techniques for arm lifts

The choice of tightening method depends on the amount of excess skin and the individual’s anatomy.

Cutting techniques

  • Small incision (mini arm lift): If there is only a small amount of excess skin, a short incision in the armpit may be sufficient.
  • Cut on the inside of the upper arm: The standard incision runs from the armpit to just below the elbow along the inside of the upper arm. The length varies depending on the findings. The resulting scar is relatively inconspicuous.
  • L- or T-cut: In cases of very pronounced excess skin, which also affects the sides of the chest or the armpits, it may be necessary to extend the incision (L-shaped or T-shaped). This breast lift procedure is more extensive.

The scars are permanent, but they fade over time and are positioned so that they are barely visible.

In combination with liposuction

An upper arm lift is often performed in conjunction with a Liposuction (liposuction) is combined with this to remove excess fat deposits and achieve a more harmonious silhouette.

Preparing for the operation and the consultation

Careful preparation is essential. Many specialists offer a no-obligation consultation:

  • In-depth consultation: This is where expectations, options, alternative treatment options and risks are discussed. The cosmetic and plastic surgeon provides comprehensive information.
  • Physical examination: To check one’s general state of health.
  • Medication adjustment: Blood-thinning medication (e.g. aspirin) may need to be stopped.

Avoid nicotine and alcohol: for at least two weeks before and after the operation.

Unexpected complications and the role of follow-up costs insurance

Despite taking every care, complications may arise following a procedure. In such cases, a Consequential Costs Insurance to provide financial security for medically necessary follow-up treatment following cosmetic procedures.

The surgical procedure: Upper arm lift

An upper arm lift usually takes 2–3 hours. The procedure is usually carried out under general anaesthesia; less commonly, it is performed under twilight sedation with local anaesthesia. Once the incision lines have been marked, the excess skin and, where necessary, fatty tissue are removed; the remaining tissue is tightened and the wound is sutured. Drains are often inserted to remove any fluid from the wound. The aim is to achieve aesthetically firm upper arms.

Aftercare and the healing process

Immediately after the operation: Compression garments must be worn for several weeks (often six weeks) to minimise swelling and aid healing. Mild pain and swelling are normal. You should avoid raising your arms.

Long-term healing and scar care:

  • Take it easy for around 4–6 weeks (no heavy lifting, no sport). Avoid physical exertion and carrying heavy loads for at least six weeks.
  • Stitches are removed after about 2–3 weeks (often after around 14 days).
  • Specialised scar care (ointments, massages) once the wound has healed. The scar runs along the inside and should be looked after properly.

The final result is usually visible after 6–12 months. Patients undergoing an upper arm lift need to be patient. The recovery time is around one to two weeks for office work.

Potential risks and complications

  • Post-operative bleeding, bruising, swelling of the skin
  • Wound-healing disorders, infections
  • Prominent scarring (keloids, hypertrophic scars); the resulting scar may affect the appearance.
  • Numbness or sensory disturbances around the scars (usually temporary)
  • Asymmetries
  • Lymphatic congestion
  • Thrombosis, embolism (rare)

Careful selection of a doctor and proper aftercare minimise these risks. There are also minimally invasive procedures, but these are often insufficient when there is a large amount of excess skin.

Costs and funding

The cost of an upper arm lift varies depending on the extent of the procedure, the method chosen, the clinic and the type of anaesthesia. In Germany, it usually ranges between 4,500 and 7,500 euros. As this is usually a cosmetic procedure, the costs are generally not covered by health insurance. Please clarify the exact costs and what is included (consultation, surgery, anaesthesia, aftercare, materials) during your consultation.

Interested in financing options? Find out more about Finance a treatment.

Frequently asked questions about upper arm lifts

The results are usually long-lasting. However, the skin is subject to the natural ageing process, and significant weight loss or gain can affect the results.

You may experience pain after the operation, but this can be effectively managed with painkillers. The level of pain felt varies from person to person.

Depending on the type of work and the course of recovery, this is usually after 2–4 weeks (often around one to two weeks for lighter work). Office work can often be resumed sooner than physically demanding work, which should not be resumed until after six weeks.

Scars are unavoidable, but an experienced aesthetic and plastic surgeon will position the incisions so that they are as inconspicuous as possible (e.g. on the inside of the upper arm). Scars take up to a year to mature, and they usually fade significantly so that they are barely visible.

In cases of minor skin laxity and excess fat, liposuction alone may sometimes be sufficient. For skin tightening without surgery, there are methods such as radiofrequency therapy or laser treatment; however, their effects are significantly less pronounced than those of surgery and are more suitable for mild cases. Your doctor will advise you on alternative treatment options.

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