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Body surgery, firming the upper arm

Arm Lift

After significant weight loss or with age, the skin of the upper arm can lose its elasticity and hang, the "bat wing" look that no amount of triceps work will fix, because the issue is loose skin, not muscle. An arm lift, medically a brachioplasty, removes that skin and firms the arm. At Santa Barbara Face & Body, Dr. Alain Polynice scales the incision to your laxity, so you get the correction with the least scar that will achieve it.

sbfb-23 Santa Barbara, California
AT A GLANCE

An arm lift, or brachioplasty, removes excess, hanging skin and fat from the upper arm to firm and reshape it, treating laxity from weight loss or aging. At Santa Barbara Face & Body in Santa Barbara, California, a board-certified plastic surgeon scales the incision to the loose skin, from a short armpit scar to a full inner-arm one.

An arm lift, or brachioplasty, removes loose, redundant skin and fat from the upper arm, from the armpit toward the elbow, tightening the remaining skin to firm the arm’s contour. It treats skin laxity from major weight loss or aging that exercise cannot correct, because the problem is skin rather than muscle. The incision is scaled to the laxity, from a short scar near the armpit to a full inner-arm incision, often with liposuction.

What it does

An arm lift firms the upper arm by removing what exercise cannot.

  • Removes hanging skin. Excises the loose, redundant skin of the upper arm that has lost its elasticity.
  • Refines with liposuction. Removes a fatty component of the arm at the same time when it is present.
  • Reshapes the contour. Tightens the remaining skin for a firmer, more toned upper-arm line.

Exercise builds the muscle underneath but cannot shrink loose skin, which is why an arm lift, not the gym, is the answer for true skin laxity.

Skin, not muscle an arm lift removes what training cannot

How it works

An arm lift is usually an outpatient procedure under anesthesia. The surgeon makes an incision along the inner or back of the upper arm, its length scaled to how much skin must be removed, excises the excess skin and any fatty tissue, and tightens the remaining skin before closing. Liposuction is often added when fat is part of the picture. Most people return to desk work within a week or two, wear a compression garment, and avoid heavy lifting for several weeks.

The trade at the center of the operation is the scar: more skin to remove means a longer incision, which is exactly what the consultation weighs.

Outpatient most people return to desk work within one to two weeks

Which arm lift, and why it is a real choice

The incision length is a genuine trade against how much correction you need.

ApproachWhat it involvesBest for
Short-scar (mini)A small scar near the armpitMild laxity, mostly upper arm
Full brachioplastyIncision from armpit toward elbowSignificant hanging skin
With liposuctionAdds fat removalLoose skin plus a fatty arm
Liposuction onlyNo skin excisionGood skin tone, fat only

The more skin that needs removing, the longer the scar, so the honest choice is the least incision that will actually correct your laxity. A board-certified surgeon assesses your skin and fat and recommends accordingly.

What an arm lift works with

This is what the consultation assesses, because skin and fat call for different tools.

What you haveWhat it meansThe plan
Hanging skin, good tone lostTrue skin laxityAn arm lift, scar scaled to it
Loose skin plus fullnessSkin and fatArm lift with liposuction
Firm skin, just fatty armsFat, not skinLiposuction alone
Skin laxity elsewhere tooPost-weight-loss patternPlan alongside other lifts
Minor upper-arm loosenessLimited laxityA short-scar approach

The value is not the list. It is that a board-certified surgeon distinguishes loose skin from fat and matches the operation, so you are not left with a long scar you did not need or a result that falls short.

Why Santa Barbara Face & Body

The arm-lift decision is really about the scar, and doing it well means removing enough skin to firm the arm while keeping the incision as short and well-placed as the laxity allows. Dr. Polynice is a Mayo-trained, board-certified plastic surgeon focused on breast and body surgery, and he scales the incision to your skin rather than defaulting to the longest one, and adds liposuction only when fat is part of the picture. A firmer arm with the least scar that achieves it is the standard here.

Least scar that works the incision scaled to your laxity
A good fit if you
  • Have loose, hanging upper-arm skin from weight loss or aging
  • Understand the issue is skin, which exercise cannot fix
  • Are at a stable weight and in good general health
  • Accept a scar on the arm in exchange for a firmer contour
Worth talking through first if you
  • Have firm skin and only excess fat, where liposuction alone fits
  • Are still losing weight, where waiting gives a better result
  • Are very concerned about scarring, worth an honest discussion
  • Smoke or have conditions that affect healing

What to expect

Dr. Polynice examines your upper arms, distinguishes loose skin from fat, and gauges how much skin needs to come out. He explains the incision length your laxity calls for and where the scar will sit, whether liposuction should be added, and what recovery and the compression garment involve. He is candid that the scar is the trade for a firmer arm. You leave with a plan scaled to your arms and honest about the scar.

What it costs

An arm lift is quoted by the plan, not by a shelf price, because it depends on how much skin is removed, the incision length, and whether liposuction is included. You will have that number in writing at your consultation, before anything is scheduled.

What it is
Brachioplasty, removing loose upper-arm skin
What it treats
Hanging "bat wing" skin from weight loss or aging
Incision
From a short armpit scar to a full inner-arm one
Recovery
Outpatient, desk work in one to two weeks
Performed by
Dr. Alain Polynice, board-certified plastic surgeon

Can't I just tone my arms with exercise instead?

Only if the problem is muscle or fat; exercise cannot tighten skin that has lost its elasticity, which is what causes the hanging “bat wing” look after weight loss or with age. When the issue is loose skin, an arm lift is the effective option, and a surgeon can tell you at a glance whether your concern is skin, fat, or both.

How noticeable is the scar?

An arm lift trades loose skin for a scar along the inner or back of the upper arm, and its length is scaled to how much skin is removed, from a short scar near the armpit to a longer inner-arm incision. It is permanent and fades over time. For most people with significant hanging skin, the firmer contour is worth it, and your surgeon will show you where it will sit.

Will I need liposuction too?

It depends on whether your arm has a fatty component as well as loose skin. When both are present, liposuction is combined with the skin excision to refine the contour; when it is loose skin alone, excision is enough; and when it is only fat with good skin tone, liposuction by itself may do. Your surgeon assesses this.

How long is recovery?

Most people return to desk work within one to two weeks, wear a compression garment, and avoid heavy lifting and strenuous arm use for several weeks while the incision heals. Swelling settles over the following weeks. Your surgeon will give you a timeline based on how extensive your arm lift is.

Should I wait until my weight is stable?

Usually yes, because further weight loss can leave new laxity and further gain can affect the result, so operating once your weight has settled gives a more lasting outcome. If you are mid-journey on a weight-loss plan, a surgeon will often advise waiting until you have plateaued. It is worth discussing your timeline.

Arm Lift in Santa Barbara, CA

When loose skin along the upper arms won’t respond to exercise, an arm lift can restore a firmer, more comfortable contour — and the confidence to wear what you like. Here in Santa Barbara, Dr. Polynice plans each procedure around your frame, placing incisions thoughtfully so the result looks natural and settles well over time. If sagging skin has been holding you back, a consultation is the simplest way to understand your options. Fill out the form below or call us at (805) 764-9074. We’d love to meet you.

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